Factores relacionados a la lesión renal aguda en pacientes críticos con Covid-19 en una Unidad de Cuidados Intensivos durante el año 2021
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Fecha
2023
Autores
Tabares Vásquez, Johann Andrés
López García, Carlos Mauricio
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
En pacientes con infección grave por SARS-CoV-2, se ha señalado al riñón como un órgano blanco para la proliferación del virus, lo que provoca lesión renal aguda /LRA/ que empeora el pronóstico e incrementa el riesgo de muerte en comparación con los que no desarrollan LRA. Una ascendente evidencia científica ha demostrado que la LRA es de hecho prevalente entre los pacientes con COVID-19, particularmente entre los pacientes críticamente enfermos en la UCI.
Objetivos: Determinar los factores asociados a la lesión renal aguda en pacientes críticos con neumonía grave por COVID-19 en una unidad de cuidados intensivos de Barranquilla, Colombia durante el año 2021.
Materiales y métodos: Estudio observacional, analítico, de tipo cohorte retrospectiva en el que se incluyeron consecutivamente pacientes con neumonía grave por SARS-CoV-2 que ingresaron a una unidad de cuidados intensivos de la Clínica General del Norte de Barranquilla (Colombia) desde el 14 de abril del 2020 al 31 de diciembre del 2021. Se recolectaron las variables sociodemográficas, condiciones coexistentes, intervenciones clínicas, parámetros de laboratorio en la admisión y desenlace final.
Se realizó dos modelos de regresión logística binaria para ajustar las variables de confusión (presencia de LRA) y se calcularon las medidas de asociación OR con sus intervalos de confianza al 95%.
patients with severe SARS-CoV-2 infection, the kidney has been identified as a target organ for the destruction of the virus, causing AKI that worsens the prognosis and increases the risk of death compared to those who do not develop AKI. Mounting scientific evidence has shown that AKI is indeed common among COVID-19 patients, particularly among critically ill ICU patients. Objectives: to determine the factors related to acute kidney injury in critically ill patients with severe pneumonia due to COVID-19 in an intensive care unit in Barranquilla, Colombia during the year 2021. Materials and Methods: descriptive, quantitative study that consecutively included patients with severe pneumonia due to SARS-CoV-2 who were admitted to an intensive care unit of the clinica General del Norte in Barranquilla (Colombia) from April 14, 2020 to December 31, 2021 Sociodemographic variables, coexisting conditions, clinical interventions, laboratory parameters on admission and final outcome were included. Two binary logistic regression models were performed to adjust the confounding variables (presence of AKI) and the OR association measures with their 95% confidence intervals were calculated.
patients with severe SARS-CoV-2 infection, the kidney has been identified as a target organ for the destruction of the virus, causing AKI that worsens the prognosis and increases the risk of death compared to those who do not develop AKI. Mounting scientific evidence has shown that AKI is indeed common among COVID-19 patients, particularly among critically ill ICU patients. Objectives: to determine the factors related to acute kidney injury in critically ill patients with severe pneumonia due to COVID-19 in an intensive care unit in Barranquilla, Colombia during the year 2021. Materials and Methods: descriptive, quantitative study that consecutively included patients with severe pneumonia due to SARS-CoV-2 who were admitted to an intensive care unit of the clinica General del Norte in Barranquilla (Colombia) from April 14, 2020 to December 31, 2021 Sociodemographic variables, coexisting conditions, clinical interventions, laboratory parameters on admission and final outcome were included. Two binary logistic regression models were performed to adjust the confounding variables (presence of AKI) and the OR association measures with their 95% confidence intervals were calculated.
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Palabras clave
COVID-19, Unidad de cuidados intensivos, Lesión renal aguda, Factores de riesgo, Intensive Care Unit, Acute kidney injury, Risk factors