Introduction: Patients with acute kidney
injury (AKI) in developing countries are
described in a profile of young age, with
less comorbidities, with unifactorial,
and with a lower mortality compared to
patients in developed countries. Objective:
To assess mortality in patients with acute
kidney injury undergoing hemodialysis
(HD) and its associated factors in a
developing country setting. Methods:
Retrospective study. Demographic,
clinical, and mortality variables were
collected from patients who presented
AKI and underwent HD between January
2014 and December 2015 at a national
reference hospital in Lima, Peru. Risk
ratios (RR) and 95% confidence intervals
(95%CI) were estimated through Poisson
regressions. Results: Data from 72
patients with AKI that underwent HD
were analyzed, 66.7% of them were < 64
years old, and 40.2% of all patients died
undergoing HD. Crude analysis showed
higher mortality among those who used
vasopressors, but lower mortality among
those with creatinine values > 8.9 mg/
dL. The adjusted analysis showed that
having had a creatinine level of > 8.9 mg/
dL, compared to a creatinine level of < 5.2
mg/dL at the time of initiating HD, was
associated with 74% less probability of
death. Conclusion: Four out of every ten
AKI patients undergoing HD die. Higher
levels of creatinine were associated with
lower probability of mortality.
| Identifer | oai:union.ndltd.org:PERUUPC/oai:repositorioacademico.upc.edu.pe:10757/622317 |
| Date | January 2017 |
| Creators | Herrera-Añazco, Percy, Taype-Rondan, Alvaro, Pacheco-Mendoza, Josmel, Miranda, J Jaime |
| Contributors | silamud@gmail.com |
| Publisher | Brazilian Society of Nephrology |
| Source Sets | Universidad Peruana de Ciencias Aplicadas (UPC) |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/article |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | http://www.gnresearch.org/doi/10.5935/0101-2800.20170029, http://www.jbn.org.br/details/1936/pt-BR/fatores-associados-a-mortalidade-em-uma-populacao-com-lesao-renal-aguda-submetidos-a-hemodialise-no-peru |
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