Asociación de la fracción excretada de sodio (FENA) con lesión renal aguda en pacientes adultos en la unidad de cuidados intensivos en una institución de Barranquilla
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Fecha
2021
Autores
González Pineda, Luz Berida
Ospina Herrera, Daniel
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
El monitoreo de la función renal es esencial en la Unidad de Cuidados Intensivos, porque permite evaluar la lesión prerenal, dada la respuesta fisiológica del riñón de retener sodio con el fin de mantener la homeostasis corporal, la cual se ve afectada cuando se presentan estados patológicos cuando el paciente está internado en una Unidad de Cuidados Intensivos (UCI).
Objetivo: Determinar La Asociación de la Fracción Excretada de Sodio (FENa) con Lesión Renal Aguda en Pacientes Adultos en la Unidad de Cuidados Intensivos entre 2019 (noviembre, diciembre) y 2020 (enero) en Una Institución Barranquilla Atlántico.
Materiales y Métodos: Se realizó un estudio observacional, descriptivo de corte transversal de pacientes que desarrollaron AKI durante la internación en la UCI. Se estudiaron 19 pacientes de 150 que fueron seguidos. Se calculó la FENa y esta se comparó con los marcadores de función renal y la mortalidad asociada, y su relación con el Score de Fragilidad Clínica.
Monitoring renal function is essential in the Intensive Care Unit, because it allows evaluating pre-renal injury, given the physiological response of the kidney to retain sodium in order to maintain body homeostasis, which is affected when they occur pathological states where the patient needs to be admitted to an Intensive Care Unit (ICU) plus the association of acute kidney injury (AKI). Objective: To determine the fractional excretion of sodium (FENa) in association with Acute Kidney Injury in adult patients in the Intensive Care Unit 2019 (November, December) and 2020 (January) in an Institution Barranquilla Atlántico. Materials and Methods: A observational, descriptive, cross-sectional study of patients who developed AKI during ICU admission was carried out. 19 patients out of 150 who were followed up were studied. FENa were calculated and this was compared with markers of renal function and associated mortality, and its relationship with the Clinical Frailty Score.
Monitoring renal function is essential in the Intensive Care Unit, because it allows evaluating pre-renal injury, given the physiological response of the kidney to retain sodium in order to maintain body homeostasis, which is affected when they occur pathological states where the patient needs to be admitted to an Intensive Care Unit (ICU) plus the association of acute kidney injury (AKI). Objective: To determine the fractional excretion of sodium (FENa) in association with Acute Kidney Injury in adult patients in the Intensive Care Unit 2019 (November, December) and 2020 (January) in an Institution Barranquilla Atlántico. Materials and Methods: A observational, descriptive, cross-sectional study of patients who developed AKI during ICU admission was carried out. 19 patients out of 150 who were followed up were studied. FENa were calculated and this was compared with markers of renal function and associated mortality, and its relationship with the Clinical Frailty Score.
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Injuria renal aguda, Fracción excretada de sodio, Unidad de cuidados intensivo, Clasificación AKIN, Sepsis, Acute renal injury, Sodium excreted fraction, Intensive care unit, AKIN Classification