Abstract:
Introduction. Acute kidney injury (AKI), term that
replaced the notion of acute renal failure, is defined as
an abrupt decrease in kidney function and represents a
complication registered frequently in critically ill
patients, with impact on outcome and mortality [1].
Identification of hospitalized patients with an increased
risk for AKI is of great interest.Purpose. Estimation of the prevalence and etiology of
acute kidney injury in critically ill patients admitted to
the surgical intensive care units.
Material and methods. Prospective study. During 6
months (11 June 2019 – 11 January 2020) patients from
3 surgical intensive care units were evaluated for acute
kidney injury and risk factors inclusively. Descriptive
statistic.Results. AKI prevalence in surgical intensive care units
was 16.1% (329/2043), with an average age of
5 9 . 8 ± 1 6 . 8 y e a r s , s h o w i n g a n a g e - d e p e n d e n t
relationship between AKI and older age - 79.3% of
patients with AKI were ≥ 61 years.
According to the severity o illness: stage I - 58%, stage II
- 20.4%, stage III - 21.6%.
Pre-renal and intrinsic renal etiologies prevalence
98.1%. Post-renal obstructive causes were observed in
elder patients ≥ 61 years.
Conclusions. The elder patient is in group of risk for
acute kidney injury. The etiology and pathogenesis of
acute kidney injury in patients admitted to intensive
care units have mixed ischemic nature (pre-renal and
intrinsic renal). Post-renal obstructive disease is
characteristic more for elder patients.
Description:
”V. Ghereg” Chair of anaesthesiology and reanimatology No. 1, Nicolae Testemitanu SUMPh, Chisinau, Republic of
Moldova, The ”Em. Cotaga” Clinic, the Institute of Mother and Child, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltare
