Identification of risk factors associated with acute kidney injury in patients admitted to acute medical units

被引：82

作者：

Finlay, S. ^{[1
]}

Bray, B. ^{[2
]}

Lewington, A. J. ^{[3
]}

Hunter-Rowe, C. T. ^{[4
]}

Banerjee, A. ^{[5
]}

Atkinson, J. M. ^{[6
]}

Jones, M. C. ^{[7
]}

机构：

[1] Dumfries & Galloway Royal Infirm, Dept Med, Dumfries DG1 4AP, Scotland

[2] Kings Coll London, London WC2R 2LS, England

[3] St James Univ Hosp, Dept Renal Med, Leeds LS9 7TF, W Yorkshire, England

[4] NHS Dumfries & Galloway, Dept Publ Hlth, Dumfries, Scotland

[5] South London Healthcare Trust, Princess Royal Univ Hosp, Orpington, Kent, England

[6] Univ Hosp Hartlepool, Dept Med, Cleveland, OH USA

[7] Univ Hosp North Durham, Dept Acute Med, Durham, England

来源：

CLINICAL MEDICINE | 2013年 / 13卷 / 03期

关键词：

Acute kidney injury (AKI); risk factors; acute medical units (AMUs); MORTALITY;

D O I：

10.7861/clinmedicine.13-3-233

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In 2009, the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report identified significant deficiencies in the management of acute kidney injury (AKI) in hospitals in the UK. Many errors arose from failure to recognise patients with AKI and those at risk of developing AKI. Currently, there is no universally accepted risk factor assessment for identifying such patients on admission to acute medical units (AMUs). A multicentre prospective observational study was performed in the AMUs of 10 hospitals in England and Scotland to define the risk factors associated with AKI and to assess quality of care. Data were collected on consecutive acute medical admissions over two separate 24-h periods. Acute kidney injury was present in 55/316 (17.7%) patients, with sepsis, hypovolaemia, chronic kidney disease (CKD) and diabetes mellitus identified as the major risk factors. Deficiencies in patient care were identified, reinforcing the continuing need to improve the management of AKI.

引用

页码：233 / 238

页数：6

共 12 条

[1] *AC MED ROYAL COLL, 2011, AC KIDN INJ COMP FRA
[2] [Anonymous], ADD INS INJ REV CAR
[3] Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group
Bellomo, R
Ronco, C
Kellum, JA
Mehta, RL
Palevsky, P
[J]. CRITICAL CARE, 2004, 8 (04): : R204 - R212
[4] The severity of acute kidney injury predicts progression to chronic kidney disease
Chawla, Lakhmir S.
Amdur, Richard L.
Amodeo, Susan
Kimmel, Paul L.
Palant, Carlos E.
[J]. KIDNEY INTERNATIONAL, 2011, 79 (12) : 1361 - 1369
[5] Acute kidney injury, mortality, length of stay, and costs in hospitalized patients
Chertow, GM
Burdick, E
Honour, M
Bonventre, JV
Bates, DW
[J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2005, 16 (11): : 3365 - 3370
[6] Foreword
Eckardt, Kai-Uwe
Kasiske, Bertram L.
[J]. KIDNEY INTERNATIONAL SUPPLEMENTS, 2012, 2 (01) : 7 - 7
[7] RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis
Hoste, Eric A. J.
Clermont, Gilles
Kersten, Alexander
Venkataraman, Ramesh
Angus, Derek C.
De Bacquer, Dirk
Kellum, John A.
[J]. CRITICAL CARE, 2006, 10 (03):
[8] Levy Mitchell M, 2003, Intensive Care Med, V29, P530
[9] Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury
Mehta, Ravindra L.
Kellum, John A.
Shah, Sudhir V.
Molitoris, Bruce A.
Ronco, Claudio
Warnock, David G.
Levin, Adeera
[J]. CRITICAL CARE, 2007, 11 (02):
[10] Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff
Muniraju, T. M.
Lillicrap, M. H.
Horrocks, J. L.
Fisher, J. M.
Clark, R. M. W.
Kanagasundaram, N. S.
[J]. CLINICAL MEDICINE, 2012, 12 (03) : 216 - 221

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