Características clínico-epidemiológicas de la injuria renal aguda en pacientes del departamento de medicina del Hospital Regional Docente de Trujillo

• Autor: Chávez Ramírez, Mayra Nella
• Formato: tesis de grado
• Fecha de Publicación: 2014
• Institución: Universidad Nacional de Trujillo
• Repositorio: UNITRU-Tesis
• Lenguaje: español
• OAI Identifier: oai:dspace.unitru.edu.pe:20.500.14414/7925
• Enlace del recurso: https://hdl.handle.net/20.500.14414/7925
• Nivel de acceso: acceso abierto
• Materia: características clínico-epidemiológicas, injuria renal aguda

Acute Kidney Injury (AKI) is frequent in hospitalized patients. Due to the variability of operational definitions, epidemiological characteristics of this disease are not known. In March 2012, the Clinical Practice Guideline for AKI of the International Society of Nephrology establishes three criteria that define AKI based on the RIFLE and AKIN schemes providing uniform and standard diagnostic criteria for definition. Objective: To describe the clinical and epidemiological characteristics of Acute Renal Injury in patients of Medicine Department in Hospital Regional Docente de Trujillo (HRDT). Method: A descriptive, prospective, developed at Hospital Regional Docente de Trujillo - Department of Medicine: Medicine A, B and C during the period November 2013 - May 2014. Information from the medical records of 113 patients was obtained. Results: The frequency of Acute Renal Injury in Medicine department of HRDT was 51.32% (n= 113 patients). In patients with AKI the age range most frequently was 73-83 years (31.03%) followed by 62-72 years (27.58%). 60.3% of the patients were male and 39.6% female. Of the 58 patients with AKI, the 56.90% corresponds to Stage 1, Stage 2 (25.86%) and Stage 3 (17.24%). The most common coexisting conditions are: hypertension (32.7%), anemia (27.58%), liver cirrhosis (24.13%), UTI (24.13%), ICC (20.68%), gastrointestinal bleeding (22.4%), sepsis / septic shock (15.51%), bacterial pneumonia (10, 34%), diabetes mellitus (8.62%), cardiac arrhythmias (8.62%). Furthermore, 51.7% of patients had no diagnosis of AKI. 20.7% had a diagnosis of renal insufficiency, acute renal failure acute (12.1%), acute renal failure (8,6%), renal disease (3.4%), renal injury (3,4%). Conclusions: Acute Kidney Injury is a common non-diagnosed disease in Medicine Department of HRDT, which affects a greater percentage elderly male patients whose most frequent comorbidity is arterial hypertension, anemia and cirrhosis