Bibliographic citations
Chong, G., (2019). Factores asociados a lesión renal aguda en pacientes operados de craniectomía debido a traumatismo craneoencefálico [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/5602
Chong, G., Factores asociados a lesión renal aguda en pacientes operados de craniectomía debido a traumatismo craneoencefálico [Tesis]. PE: Universidad Privada Antenor Orrego; 2019. https://hdl.handle.net/20.500.12759/5602
@misc{renati/1357116,
title = "Factores asociados a lesión renal aguda en pacientes operados de craniectomía debido a traumatismo craneoencefálico",
author = "Chong Barrios, Gino Sergio",
publisher = "Universidad Privada Antenor Orrego",
year = "2019"
}
Objetive: Evaluate the association between age, sex, surgical time, APACHE II scale score at the admission, operative water balance and chronic kidney disease and acute kidney injury (AKI) in pacients who underwent craniectomy procedures following traumatic brain injury. Materials and methods: An analytical, cross-sectional, association study that included 87 craniectomized patients after suffering a traumatic brain injury (TBI), between 2015 and 2018 at the Hospital Regional Docente de Trujillo (HRDT), which were selected by inclusion and exclusion criteria. A bivariate analysis was performed using Pearson's chi-square test and the odds ratio and confidence interval of each studied factor associated with AKI was calculated, all of them with a significance below 5% (p<0.05). Results: 87 craniectomized patients were studied, among which AKI occurred in 25 patients (28.7%). The average age was found to be 49.52 ± 21.25 (p = 0.322). The factors that demonstrated association with the presence of AKI were sex (OR: 4.39, p=0.01), water balance (OR: 6.54, p=0.004), operative time (OR: 3.78, p=0.007) and score of APACHE II scale at admission (OR: 11.6, p=0.002). No significant association was observed between the occurrence of AKI and age of the patients (p=0.322) or previous renal disease (p=0.113). Conclusions: The appearance of acute kidney injury in craniectomized patients following traumatic brain injury is related to patients’ sex, water balance, operative time and APACHE II scale score at admission.
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