Acute kidney injury in Latin America: a view on renal replacement therapy resources

Autor: Orlando Canzani, Nerio Quintero, Silvio Cesar Franco Bobadilla, Mauricio Alvarez, Juan Carlos Flores, Eduardo Maldonado, Fabiano Klaus, Benedito Pereira, Maria Terezinha Infantosi Vannucchi, Gustavo Martins Dos Santos, Alfredo Maino, Daniel Tambucho, Noralma Mosquera Vivas, Alejandro Operti, Maria Cristina de Andrade, Francisco Roberto Lello Santos, Alberto Flores Almonte, Javier Panissa, Claudia Cecilia Cortez, Sandra M Laranja, Gina Solís, Cecilia Burgos, Gustavo Greloni, Juan Carlos Peñaloza, Inés Olaizola, Alan Castro Azevedo e Silva, Osvaldo Vieira Neto, Oscar Pavão dos Santos, Mauricio Younes-Ibrahim, Raúl Lombardi, Eric Roessler, Luis Yu, María Elena González García, Juan Fernández-Cean, Elvira Giménez, Alice Pignaton Naseri, Myriam Fiestas, Mariela Odriozola, Rigoberto Jiménez, Franklin Correa Barcellos, Gustavo Herdoiza, Raúl Plata-Cornejo, Teresita Llopart, Ramos Brizuela, André Luis Balbi, Juan M Rodríguez, Douglas Urbina Oteiza, Cristina Verdaguer, Domingos O. d'Avila, Andrei Alkmim Teixeira, Darío Jiménez Acosta, Domingos Candiota Chula, Ovidio de Freitas Patiño, Raúl Hinojosa, Asunción Álvarez, Fabián Ortiz, Thiago de Castro Santos, Sandra Rodriguez, Ricardo Correa-Rotter, Luis Oviedo Rumbos, Celso Campusano Domínguez, Leda Daud Lotaif, Carlos Huamán, Antonio Eustaquio Vieira, Mónica Labella, Darío Cuevas Benítez, Matilde Andrade, Ben Szpinak, Luis Alberto Batista Peres, Francisco González, Willians Dutra, Rinaldo Marchese, José Luis González, Carla Postigo, Anna Stein, Nelson Dibello, Beatriz Gelabert, Andres Boltansky, Antonio José de Almeida Inda, Humberto Hurtado, Mauricio Espinoza, Rogéria Noga de Medeiros, Elianne Gronros, Miguel Núñez, Elen Almeida Romão, Helmut Goecke, Ronald Wainstein, Graciela Sakihara, Eduardo Rugnitz, Patricio Downey, Carolina Maseda, Doris Ester Subiabre Cortes, Cyro Nogueira Fraga, Rina Barreto, César Loza, Vivian Ayca, Milton Huehara, Tania Duran Sobral, Emerson de Lima, Mario Forselledo, Marilia Oliveira, Enrique Quintana, Alejandro Pacheco, Virgina Matonte, Javier Hernández, Eduardo Briones, Emmanuel A. Burdmann, Alejandro Ferreiro, Alfonso M. Cueto-Manzano, Mariela Mautone, Luiz Antonio Miorin, Cristóbal Santa Cruz, Guillermo Rosa-Diez, Abdias Hurtado, Erwin Otero Garcés, Anna Kalugina, Manuel Cerdas Calderón, Manuel Domínguez Moreno, Rolando Claure-Del Granado
Rok vydání: 2014
Předmět:
Zdroj: Nephrology Dialysis Transplantation. 29:1369-1376
ISSN: 1460-2385
0931-0509
DOI: 10.1093/ndt/gfu078
Popis: Background Acute kidney injury (AKI) has increasingly been recognized as an important public health issue due to its rising frequency, its associations with early and late adverse outcomes and its economic burden. Methods Given the importance of determining the available resources to address this serious issue, the AKI Committee of SLANH conducted a survey to obtain information about infrastructure, human resources and equipment devoted to the treatment of AKI in Latin America Results A total of 246 units from 14 countries participated in the survey, the majority of them pertaining to nephrology divisions in teaching hospitals. Intermittent hemodialysis was universally performed by all of the units, and less frequently, slow extended dialysis (40%) and continuous renal replacement therapy (23%) were performed. Seventy-nine units (30%) perform peritoneal dialysis, but only 51 (19%) of them reported having treated at least 1 patient with this technique in the last 3 months pre-survey. The vast majority of the units reported adequate water treatment and use of modern filter membranes. Most of the patients received renal replacement therapy (RRT) in the intensive care unit. Specific causes of AKI were reported in different frequencies, with a heterogeneous pattern among the countries. Septic abortion, hemolytic-uremic syndrome, community-acquired diarrhea and leptospirosis were the etiologies most frequently associated with AKI. Conclusions To our knowledge, this report was the first available study of the equipment and human resources utilized for RRT in AKI patients in Latin America.
Databáze: OpenAIRE