Русский
Dialysis-dependent acute kidney injury in a multidisciplinary hospital: a retrospective analysis of fatal outcomes
DOI: https://dx.doi.org/10.18565/nephrology.2022.1.69-72
Grigoryeva E.V., Voloshinova E.V., Tоlmazova O.N., Shesterkina J.V., Horkina I.Y.
1) Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russian Federation, Department of the Internal Medicine, Saratov, Russia; 2) Regional Clinical Hospital, Saratov, Russia
Material and methods. A retrospective analysis of 47 medical records of deceased patients with stage 3 AKI was carried out.
Results. In 2017 161 patients, admitted to Saratov Regional Hospital, were diagnosed with stage 3 AKI, 47 of them died, the mortality rate was 29.2%. 37 (78%) patients developed AKI in the hospital. 39 (83%) patients were treated in intensive care units (ICU). The main causes of AKI were acute surgical pathology and sepsis. One third of the patients had a multiple cause AKI. Risk factors were identified in 76.6% of patients. The main causes of death were brain or pulmonary edema.
Conclusion. Dialysis-dependent AKI is one of the aspects of multiple organ dysfunction in serious comorbid patients and is a predictor of an unfavorable outcome. In this regard, much attention should be paid to early detection of risk factors and prevention of AKI.
About the Autors
Grigoryeva Elena V. – PhD, assistant of professor of hospital therapy department of Federal State Educational Institution of High Education Saratov State Medical University n.a. V.I. Razumovsky Ministry of Health Russian Federation, Saratov, Russia; e-mail: lek133@yandex.ru. ORCID: https://orcid.org/0000-0001-6064-560X.
Voloshinova Elena V. – PhD, assistant of professor of hospital therapy department of Federal State Educational Institution of High Education Saratov State Medical University n.a. V.I. Razumovsky Ministry of Health Russian Federation, Saratov, Russia; e-mail: voloshinovaelena@mail.ru. ORCID: https://orcid.org/0000-0002-6883-0567.
Tоlmazova Olga N. – nephrologist, GUZ “Regional Clinical Hospital”, bld 1, p. Smirnovskoe uschelye, Saratov, Russia; e-mail: o.n.razumova@mail.ru.
ORCID: https://orcid.org/0000-0003-2188-3263.
Shesterkina Ylia V. – resident of hospital therapy department of Federal State Educational Institution of High Education Saratov State Medical University n.a. V.I. Razumovsky Ministry of Health Russian Federation, Saratov, Russia; e-mail: grachenok123@yandex.ru; ORCID: https://orcid.org/0000-0003-3763-8174.
Horkina Irina Y. – pathologist, GUZ “Regional Clinical Hospital”, bld 1, p. Smirnovskoe uschelye, Saratov, Russia; e-mail: irenhor@mail.ru.
Similar Articles
