Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Acute kidney injury in severe trauma assessed by RIFLE criteria: a common feature without implications on mortality? | Gomes et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 1 http content 18 1 1 SCANDINAVIAN JOURNAL OF t emergency medicine ORIGINAL RESEARCH Open Access Acute kidney injury in severe trauma assessed by RIFLE criteria a common feature without implications on mortality Ernestina Gomes1 Rui Antunes1 Cláudia Dias2 Rui Araujo1 Altamiro Costa-Pereira3 Abstract Background Acute kidney injury AKI has been hard to assess due to the lack of standard definitions. Recently the Risk Injury Failure Loss and End-Stage Kidney RIFLE classification has been proposed to classify AKI in a number of clinical settings. This study aims to estimate the frequency and levels of severity of AKI and to study its association with patient mortality and length of stay LOS in a cohort of trauma patients needing intensive care. Methods Between August 2001 and September 2007 436 trauma patients consecutively admitted to a general intensive care unit ICU were assessed using the RIFLE criteria. Demographic data characteristics of injury and severity of trauma variables were also collected. Results Half of all ICU trauma admissions had AKI which corresponded to the group of patients with a significantly higher severity of trauma. Among patients with AKI RIFLE class R Risk comprised 47 while I Injury and F Failure were 36 and 17 respectively. None of these patients required renal replacement therapy. No significant differences were found among these three AKI classes in relation to patient s age gender type and mechanism of injury severity of trauma or mortality. Nevertheless increasing severity of acute renal injury was associated with a longer ICU stay. Conclusions AKI is a common feature among trauma patients requiring intensive care. Although the development of AKI is associated with an increased LOS it does not appear to influence patient mortality. Introduction Acute Kidney Injury AKI affects 5 to 7 of all hospitalized patients. In the ICU .
