Citas bibligráficas
Fasanando, E., (2023). Lesión renal aguda y mortalidad en pacientes con COVID-19 en el Hospital II-2 Tarapoto, marzo 2020 - diciembre 2021 [Universidad Nacional de San Martín. Fondo Editorial]. http://hdl.handle.net/11458/5453
Fasanando, E., Lesión renal aguda y mortalidad en pacientes con COVID-19 en el Hospital II-2 Tarapoto, marzo 2020 - diciembre 2021 []. PE: Universidad Nacional de San Martín. Fondo Editorial; 2023. http://hdl.handle.net/11458/5453
@misc{renati/1058867,
title = "Lesión renal aguda y mortalidad en pacientes con COVID-19 en el Hospital II-2 Tarapoto, marzo 2020 - diciembre 2021",
author = "Fasanando Ruiz, Eduardo Marcelo",
publisher = "Universidad Nacional de San Martín. Fondo Editorial",
year = "2023"
}
Introduction: Acute kidney injury (AKI) occurs as a complication in hospitalized patients with coronavirus disease 2019 (COVID-19). Although, studies initially revealed a low incidence, a substantial risk of increased mortality was found in critically ill patients admitted to intensive care units (ICU), including those who received renal replacement therapy (RRT). Objective: To determine the association between acute kidney injury and increased mortality in patients with COVID-19 in Hospital II-2 Tarapoto, March 2020 - December 2021. Materials and methods: This was a basic, descriptive correlational research, non-experimental, retrospective, cross-sectional design with a sample size of 146 patients with a diagnosis of COVID-19. The documentary analysis was used as a technique and the data collection form as an instrument. To test the hypothesis, the Pearson's Chi-square statistical test was applied; to estimate the strength of the association between the variables, the Odds Ratio (OR) and the 95% confidence interval (95% CI) were applied. A p<0.05 was considered significant. Results: The mean age of the 146 patients with COVID-19 was 54.39 ± 16.45 years with a range of 19 - 90 years. Acute kidney injury was present in 91 patients (62%), predominantly male with 63.7%, the most frequent origin was urban area in 64.8% and the most frequent age range was 47 - 60 years. The most frequent comorbidities were anemia (23.1%), type 2 diabetes with hypertension (14.3%) and type 2 diabetes (12.1%). Of the total number of patients with AKI, 30 (33%) required hemodialysis and of these, 20 patients (22%) underwent hemodialysis. Significant difference was found between in the age range of 61 - 74 years (OR=3.32, 95% CI: 1.42 - 7.76, p<0.05), serum creatinine discharge >1.18 mg/dl (OR=7.94, 98% CI: 3.45 - 18.26, p<0.05) with mortality in patients with COVID-19. Mortality in COVID-19 patients with acute kidney injury was 63%. Of the 20 patients who underwent hemodialysis, 85% died. However, mortality in patients who required hemodialysis and did not undergo hemodialysis was 100%. Conclusions: There is a significant association between acute kidney injury and higher mortality in patients with COVID-19 (OR= 3.18, 95% CI: 1.58 - 6.39, p<0.05).
Este ítem está sujeto a una licencia Creative Commons Licencia Creative Commons