Causas e prognóstico da insuficiência renal aguda hospitalar em pacientes idosos

Junior, Jorge; Haiashi, A.R.M.; Júnior, A.F. Vidonho; Abensur, Hugo; Quintaes, P S L; Araujo, MP; Noronha, Irene L.; Santos, Fps; Machado, Marco

doi:10.1590/s0104-42302000000300005

Cited by 10 publications

(3 citation statements)

References 36 publications

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“…In the sociodemographic analysis of this study, it was noted that the group over 60 years of age had a higher incidence of renal failure. This can be explained by the fact that with advancing age, the glomerular filtration rate decreases as part of the body aging process ( 9 , 16 - 17 ) . The analysis of the associations between comorbidities and acute renal failure in the literature is scarce.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for renal failure and a control and treatment algorithm

Cerqueira

Tavares

Machado

2014

Rev. Latino-Am. Enfermagem

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Objectives to evaluate the renal function of patients in an intensive care unit, to identify the predisposing factors for the development of renal failure, and to develop an algorithm to help in the control of the disease. Method exploratory, descriptive, prospective study with a quantitative approach.Results a total of 30 patients (75.0%) were diagnosed with kidney failure and the main factors associated with this disease were: advanced age, systemic arterial hypertension, diabetes mellitus, lung diseases, and antibiotic use. Of these, 23 patients (76.6%) showed a reduction in creatinine clearance in the first 24 hours of hospitalization. Conclusion a decline in renal function was observed in a significant number of subjects, therefore, an algorithm was developed with the aim of helping in the control of renal failure in a practical and functional way.

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Section: Discussionmentioning

confidence: 99%

Predictive factors for renal failure and a control and treatment algorithm

Cerqueira

Tavares

Machado

2014

Rev. Latino-Am. Enfermagem

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“…In our cohort, only KDIGO 3 had this association, with a three-fold higher chance of mortality for the individual. Admission of elderly people with AKI to the ICU was considered a risk factor for mortality in previously published data 6 , 18 . Our study demonstrated a twelve-fold increased risk for these cases.…”

Section: Discussionmentioning

confidence: 99%

“…Our study demonstrated a twelve-fold increased risk for these cases. Some studies on the elderly have described an association of oliguria with an increased risk of death 18 , 19 . However, this factor has not been evaluated in studies on nonagenarians.…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury in nonagenarians: clinical characteristics and mortality

Dias,

Duarte,

Barbosa

et al. 2024

Braz. J. Nephrol.

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Introduction: Nonagenarians constitute a rising percentage of inpatients, with acute kidney injury (AKI) being frequent in this population. Thus, it is important to analyze the clinical characteristics of this demographic and their impact on mortality. Methods: Retrospective study of nonagenarian patients with AKI at a tertiary hospital between 2013 and 2022. Only the latest hospital admission was considered, and patients with incomplete data were excluded. A logistic regression analysis was conducted to define risk factors for mortality. A p-value < 0.05 was considered statistically significant. Results: A total of 150 patients were included, with a median age of 93.0 years (91.2–95.0), and males accounting for 42.7% of the sample. Sepsis was the most common cause of AKI (53.3%), followed by dehydration/hypovolemia (17.7%), and heart failure (17.7%). ICU admission occurred in 39.3% of patients, mechanical ventilation in 14.7%, vasopressors use in 22.7% and renal replacement therapy (RRT) in 6.7%. Death occurred in 56.7% of patients. Dehydration/hypovolemia as an etiology of AKI was associated with a lower risk of mortality (OR 0.18; 95% CI 0.04–0.77, p = 0.020). KDIGO stage 3 (OR 3.15; 95% CI 1.17–8.47, p = 0.023), ICU admission (OR 12.27; 95% CI 3.03–49.74, p < 0.001), and oliguria (OR 5.77; 95% CI 1.98–16.85, p = 0.001) were associated with mortality. Conclusion: AKI nonagenarians had a high mortality rate, with AKI KDIGO stage 3, oliguria, and ICU admission being associated with death.

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Incidence of Renal Diseases in an Acute Geriatric Unit

Bouzón¹,

Araoz²,

Llera³

The Aging Kidney in Health and Disease

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Causas e prognóstico da insuficiência renal aguda hospitalar em pacientes idosos

Cited by 10 publications

References 36 publications

Predictive factors for renal failure and a control and treatment algorithm

Predictive factors for renal failure and a control and treatment algorithm

Acute kidney injury in nonagenarians: clinical characteristics and mortality

Incidence of Renal Diseases in an Acute Geriatric Unit

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