Análise da injúria renal aguda tardia do paciente queimado em terapia intensiva
Carregando...
Tipo
TCC
Data de publicação
2023-11-27
Periódico
Citações (Scopus)
Autores
Galvão, Letícia Holtz
Montenegro, Paula
Montenegro, Paula
Orientador
Franck, Claudio Luciano
Título da Revista
ISSN da Revista
Título de Volume
Membros da banca
Programa
Resumo
Introdução: No Brasil, as queimaduras representam um agravo significativo à saúde pública. São responsáveis por graves lesões que podem levar a incapacidade física e psicossocial. Uma complicação comum que pode ocorrer em queimaduras graves é a injúria renal aguda, que pode trazer graves consequências ao paciente. Assim, a melhor compreensão das características clínicas, a detecção e prevenção precoce dos fatores de risco que afetam a ocorrência e a gravidade da injúria renal aguda e a intervenção precoce podem efetivamente reduzir a incidência e a progressão dessa complicação, melhorando seu prognóstico. Objetivo: Analisar os fatores que influenciam na gravidade da injúria renal aguda do paciente queimado internado em terapia intensiva, correlacionado com características antropométricas, características da queimadura e características do prognóstico do paciente. Métodos: Foram avaliados 137 pacientes no período de um ano, conforme características antropométricas (sexo, idade e obesidade), características da queimadura (etiologia, superfície corporal queimada e porcentagem de queimadura de 3º grau) e características do prognóstico (escore ABSI, presença de sepse e desfecho). Esses fatores foram correlacionados os estágios de injúria renal aguda que os pacientes apresentaram durante o internamento. Resultados: Os fatores relacionados a características antropométricas dos pacientes apresentaram diferença estatisticamente significativa com os estágios de injúria renal aguda apenas com a faixa etária (p = 0,010), enquanto os fatores sexo (p = 0,114) e obesidade (p = 0,140) não apresentaram essa correlação. Em relação as características da queimadura, a porcentagem de superfície corporal queimada (p = 0,003) e porcentagem de queimadura de 3º grau (p = 0,032) apresentaram diferença significativa com a injúria renal aguda, enquanto o fator etiologia da queimadura não apresentou essa correlação (p = 0,576). Os fatores de prognóstico do paciente também apresentaram associação significante com a injúria renal aguda, como o risco de óbito pelo escore ABSI (p = 0,009), presença de sepse (p = 0,000) e desfecho do paciente (p = 0,000). Conclusão: Na análise dos fatores que influenciam na injúria renal aguda do paciente queimado internado em terapia intensiva, pacientes com as variáveis idosos, maior área de superfície queimada, maior porcentagem de queimadura de 3º grau, alto risco de morte pelo escore ABSI calculado na admissão, presença de sepse e desfecho óbito, apresentam correlações estatisticamente significativas com a gravidade da injúria renal.
Introduction: In Brazil, burns represent a significant public health problem. They are responsible for serious injuries that can lead to physical and psychosocial disability. A common complication that can occur in severe burns is acute kidney injury, which can have serious consequences for the patient. Thus, a better understanding of clinical characteristics, early detection and prevention of risk factors that affect the occurrence and severity of acute kidney injury, and early intervention can effectively reduce the incidence and progression of this complication, improving its prognosis. Objective: To analyze the factors that influence the severity of acute kidney injury in burn patients admitted to intensive care, correlating with anthropometric characteristics, burn characteristics and patient's prognosis characteristics. Methods: 137 patients were evaluated over a period of one year, according to anthropometric characteristics (sex, age and obesity), burn characteristics (etiology, total body surface area and percentage of 3rd degree burn) and prognostic characteristics (ABSI score, presence of sepsis and outcome). These factors were correlated with the stages of acute kidney injury that patients presented during hospitalization. Results: The factors related to patients' anthropometric characteristics showed a statistically significant association with the stages of acute kidney injury only with age group (p = 0.010), while the factors sex (p = 0.114) and obesity (p = 0.140) did not show this correlation. Regarding burn characteristics, the percentage of body surface area (p = 0.003) and percentage of 3rd degree burn (p = 0.032) showed a significant correlation with acute kidney injury, while the burn etiology factor did not show this correlation (p = 0.576). The patient's prognostic factors also showed a significant association with acute kidney injury, such as the risk of death according to the ABSI score (p = 0.009), presence of sepsis (p = 0.000) and patient outcome (p = 0.000). Conclusion: The analysis of the factors that influence acute kidney injury in burn patients admitted to intensive care, patients with the variables such as elderly, greater burned surface area, higher percentage of 3rd degree burns, high risk of death according to ABSI score calculated on admission, presence of sepsis and outcome death, present statistically significant correlations with the severity of kidney damage.
Introduction: In Brazil, burns represent a significant public health problem. They are responsible for serious injuries that can lead to physical and psychosocial disability. A common complication that can occur in severe burns is acute kidney injury, which can have serious consequences for the patient. Thus, a better understanding of clinical characteristics, early detection and prevention of risk factors that affect the occurrence and severity of acute kidney injury, and early intervention can effectively reduce the incidence and progression of this complication, improving its prognosis. Objective: To analyze the factors that influence the severity of acute kidney injury in burn patients admitted to intensive care, correlating with anthropometric characteristics, burn characteristics and patient's prognosis characteristics. Methods: 137 patients were evaluated over a period of one year, according to anthropometric characteristics (sex, age and obesity), burn characteristics (etiology, total body surface area and percentage of 3rd degree burn) and prognostic characteristics (ABSI score, presence of sepsis and outcome). These factors were correlated with the stages of acute kidney injury that patients presented during hospitalization. Results: The factors related to patients' anthropometric characteristics showed a statistically significant association with the stages of acute kidney injury only with age group (p = 0.010), while the factors sex (p = 0.114) and obesity (p = 0.140) did not show this correlation. Regarding burn characteristics, the percentage of body surface area (p = 0.003) and percentage of 3rd degree burn (p = 0.032) showed a significant correlation with acute kidney injury, while the burn etiology factor did not show this correlation (p = 0.576). The patient's prognostic factors also showed a significant association with acute kidney injury, such as the risk of death according to the ABSI score (p = 0.009), presence of sepsis (p = 0.000) and patient outcome (p = 0.000). Conclusion: The analysis of the factors that influence acute kidney injury in burn patients admitted to intensive care, patients with the variables such as elderly, greater burned surface area, higher percentage of 3rd degree burns, high risk of death according to ABSI score calculated on admission, presence of sepsis and outcome death, present statistically significant correlations with the severity of kidney damage.
Descrição
Palavras-chave
queimaduras , injúria renal aguda , fatores de risco , unidades de terapia intensiva , burns , acute kidney injury , risk factors , intensive care units