Incidence of acute kidney injury and use of renal replacement therapy in intensive care unit patients in Indonesia

Autor: Ayu Nursantisuryani Jahya, Moch Hasyim, Venna Febrian Kusumaningrum, Nattachai Srisawat, Vedora Angelia, Jonny Jonny, Lydia Permata Hilman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Nephrology
Adult
Male
medicine.medical_specialty
Survival
medicine.medical_treatment
030232 urology & nephrology
030204 cardiovascular system & hematology
lcsh:RC870-923
urologic and male genital diseases
Peritoneal dialysis
law.invention
03 medical and health sciences
0302 clinical medicine
Sex Factors
law
Risk Factors
Internal medicine
Sepsis
medicine
Humans
Intensive care unit
Renal replacement therapy
Risk factor
Renal Insufficiency
Chronic
Dialysis
APACHE
Aged
business.industry
urogenital system
Incidence
Acute kidney injury
Patient Acuity
Acute Kidney Injury
Middle Aged
lcsh:Diseases of the genitourinary system. Urology
medicine.disease
female genital diseases and pregnancy complications
Survival Rate
Intensive Care Units
Indonesia
Female
business
Peritoneal Dialysis
Kidney disease
Research Article
Zdroj: BMC Nephrology
BMC Nephrology, Vol 21, Iss 1, Pp 1-8 (2020)
ISSN: 1471-2369
Popis: Background Currently, there is limited epidemiology data on acute kidney injury (AKI) in Indonesia. Therefore, we assessed the incidence of AKI and the utilization of renal replacement therapy (RRT) in Indonesia. Methods Demographic and clinical data were collected from 952 ICU participants. The participants were categorized into AKI and non-AKI groups. The participants were further classified according to the 3 different stages of AKI as per the Kidney Disease Improving Global Outcome (KDIGO) criteria. Results Overall incidence of AKI was 43%. The participants were divided into three groups based on the AKI stages: 18.5% had stage 1, 33% had stage 2, and 48.5% had stage 3. Primary diagnosis of renal disease and high APACHE II score were the risk factors associated with AKI (OR = 4.53, 95% CI: 1.67–12.33, p = 0.003 and OR = 1.14 per 1 unit increase, 95% CI: 1.09–1.20, p Conclusions This study showed that AKI was a common problem in the Indonesian ICU. We strongly believe that identification of the risk factors associated with AKI will help us develop a predictive score for AKI so we can prevent and improve AKI outcome in the future.
Databáze: OpenAIRE
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