Claure-Del Granado R

Idioma: Español
Referencias bibliográficas: 37
Paginas: 79-85
Archivo PDF: 162.17 Kb.

RESUMEN

La Insuficiencia renal aguda es un problema creciente y que conlleva complicaciones graves y potencialmente catastróficas, sobre todo en pacientes hospitalizados. A pesar de que nuestro entendimiento sobre la epidemiología y fisiopatología de la insuficiencia renal aguda ha mejorado, las estrategias actuales de prevención son inadecuadas y no existen otras opciones de tratamiento fuera de la terapia sustitutiva renal (hemodiálisis y diálisis peritoneal). Parte de esta falla en no conseguir mejoras en el tratamiento y pronóstico de esta enfermedad se debe a la falta de criterios diagnósticos estandarizados y que se continúa confiando en marcadores de filtración glomerular (creatinina y nitrógeno de urea) que no son ni sensitivos ni específicos. El contar con una nueva terminología, criterios diagnósticos, clasificación y marcadores ideales, permitirá identificar mejor este problema y conducir nuevos estudios que permitan lograr mejoras en el manejo de pacientes con lesión renal aguda. Esta revisión resume y se enfoca en los cambios que se han producido en relación a lo que hoy debemos conocer como Lesión renal aguda.

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