INCIDENCE AND RISK FACTORS ASSOCIATED WITH ACUTE KIDNEY INJURY IN INTENSIVE CARE UNIT ABSTRACT:The study aims to identify the incidence, classification and risk factors for acute kidney injury in patients admitted to an intensive care unit. Descriptive documentary study with a quantitative approach, conducted from January to February 2016, based on the analysis of 114 medical records of hospitalized patients. The diagnosis was based on the criterion of the Acute Dialysis Quality Initiative. Incidence and the classification of acute kidney injury were assessed. Also, correlation was assessed using the Chi-square test (p<0.05) and Prevalence Ratio (p<0.05). The incidence rate of the disease is 44.7% (51 patients). Of these, most were at the risk class: 41% (20 patients).The development of disease is associated with changes in blood pressure levels, body fluid balance, inability of the kidneys to produce sufficient amounts of urine, and elevated blood urea and creatinine levels, and when complicated by the occurrence of acute respiratory diseases, mortality increases substantially. Strict monitoring of the identified factors is necessary, aiming at the early detection of acute kidney injury and decrease in mortality rates.

Objective: to characterize suicidally motivated intoxication by psychoactive drugs among elderly people. Method: a retrospective and documentary study with a quantitative approach was carried out, based on the notification forms of 692 cases of suicidally motivated intoxications by psychoactive drugs, registered by the Centro de Assistência Toxicológica (the Toxicological Care Center) in Fortaleza, Ceará, Brazil from 2010 to 2014. The absolute and relative frequencies of social conditions, intoxication episodes and clinical conducts were obtained, and the Chi-squared Test was applied with a significance of p≤0.05. Results: elderly people aged between 60 and 69 years (65.9%), who were female and retired predominated. The most frequently used psychoactive drugs were antidepressants (48.3%) and anxiolytics/hypnotics (29.0%). The most frequent clinical conducts were the use of activated charcoal and gastric lavage. Moderate poisoning was the most frequent, and the main outcome was discharge arising from cure. There was a significant relationship between the elderly persons and gender, occupation, occurrence of intoxication at home, clinical manifestation and hospital admission. Conclusion: suicidally motivated poisoning by psychoactive drugs in elderly persons suggests the need to promote active aging, as well as the access to and rational use of these drugs, thereby reducing harm and preserving the lives of elderly persons.

Peixoto FMS, Silva KVLG, Carvalho ILN, Ramos AGB, Siva IL, Lacerda GM et al.

Objetivo: Avaliar a capacidade funcional em idosos com insuficiência renal crônica que realizam tratamento de hemodiálise. Metodologia: Estudo transversal, descritivo, realizado em Teresina-PI, no período de agosto a novembro de 2015, com amostra de 60 idosos. Aplicado questionário estruturado e a Medida de Independência Funcional (MIF), sendo obtido frequência simples e Teste Qui-quadrado de Pearson (p<0,05).  Resultados: A maioria dos pacientes avaliados apresentou o grau de independência completa (28,3%), embora a média total da MIF (104,3 pontos) indicou grau de dependência no nível de supervisão. O conhecimento sobre a patologia e renda apresentou relação estatisticamente significante com a capacidade funcional. Considerações finais: O tratamento de hemodiálise pouco interfere sobre a capacidade funcional dos idosos, mas sugere ações de saúde baseadas em atividades físicas e lazer, otimizando a manutenção da qualidade de vida.Descritores: Atividades Cotidianas; Saúde do Idoso; Insuficiência Renal Crônica; Diálise Renal.