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2015, Número 3

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Rev Cuba Enf 2015; 31 (3)


RIFLE y AKIN: impacto en la predicción de la injuria renal aguda durante el periodo postoperatorio de cirugía cardíaca

da Silva MMC, Zerbato B, Gonçalves DM, Quidim A, Sassá E, Lamonica CJC

Idioma: Portugués
Referencias bibliográficas: 40
Paginas:
Archivo PDF: 218.48 Kb.


RESUMEN

Introducción: la tasa de supervivencia por enfermedades renales continúa siendo un problema de salud prevalente.
Objetivo: comparar el desempeño de las clasificaciones RIFLE y AKIN en la evaluación de la función renal durante el periodo postoperatorio de cirugía cardíaca.
Métodos: estudio longitudinal, prospectivo y cuantitativo con 207 pacientes, acompañados durante el 1º y 2º días del periodo postoperatorio inmediato de cirugías cardíacas.
Resultados: predominaron los pacientes hipertensos, de raza blanca y del sexo masculino, con tasa de mortalidad de 2,9%. La incidencia de afección renal aguda fue de 76,3% y 80,7% por las clasificaciones RIFLE y AKIN, respectivamente. Las dos clasificaciones mostraron un poder similar para la identificación de dicha afección por los criterios de flujo urinario y creatinina. El índice de masa corporal y tiempo de internación en la Unidad Cuidados Intensivos mostraron ser factores de riesgo para afección renal aguda.
Conclusión: la incidencia de afección renal aguda permanece elevada y el desempeño de las clasificaciones RIFLE y AKIN para la evaluación de la función renal en periodo postoperatorio de cirugía cardíaca fue similar.


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