Yıl: 2017 Cilt: 23 Sayı: 1 Sayfa Aralığı: 39 - 45 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment

Öz:
BACKGROUND: There are few studies examining development of acute kidney injury (AKI) in the various types of patients in intensive care units (ICUs). Presently described is evaluation of risk factors and development of AKI in different groups of ICU patients.METHODS: Present study was performed in 3 different ICUs. Development of AKI was measured using Acute Kidney Injury Network (AKIN) classification system. Total of 300 patients who were treated in trauma, neurosurgery, or general ICU departments (due to head injury, aneurysmal subarachnoid hemorrhage [aSAH], or severe sepsis/septic shock, respectively) were assessed for incidence, risk factors, and development of AKI.RESULTS: AKI did not develop in aSAH patients when evaluated based on serum creatinine level; however, it was observed in 5% of aSAH patients according to volume adjusted creatinine (VACr) level. AKI developed in 76% of sepsis group, and in 20% of head injury group, based on AKIN classification, according to both serum and VACr levels. Incidence of AKI was significantly higher in sepsis group (p<0.001). Only use of vasopressor was significantly related to AKI development in sepsis and head injury groups. Mortality rate was 8%, 22%, and 42% in aSAH, head injury, and sepsis groups, respectively. AKI development and vasopressor use were significantly related to mortality in sepsis group.CONCLUSION: Despite similar characteristics and risk factors, there were fewer instances of AKI in aSAH group. Hypertension or hydration therapy used to treat vasospasm and polyuria due to cerebral salt-wasting syndrome may prevent aSAH patients from developing AKI.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KAMAR C, ali a, ALTUN BİNGÖL D, ORHUN G, Sabancı P, Sencer A, AKINCI İ (2017). Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. , 39 - 45.
Chicago KAMAR Ceren,ali achmet,ALTUN BİNGÖL DEMET,ORHUN GÜNSELİ,Sabancı Pulat Akın,Sencer Altay,AKINCI İbrahim Özkan Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. (2017): 39 - 45.
MLA KAMAR Ceren,ali achmet,ALTUN BİNGÖL DEMET,ORHUN GÜNSELİ,Sabancı Pulat Akın,Sencer Altay,AKINCI İbrahim Özkan Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. , 2017, ss.39 - 45.
AMA KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. . 2017; 39 - 45.
Vancouver KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. . 2017; 39 - 45.
IEEE KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ "Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment." , ss.39 - 45, 2017.
ISNAD KAMAR, Ceren vd. "Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment". (2017), 39-45.
APA KAMAR C, ali a, ALTUN BİNGÖL D, ORHUN G, Sabancı P, Sencer A, AKINCI İ (2017). Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. Ulusal Travma ve Acil Cerrahi Dergisi, 23(1), 39 - 45.
Chicago KAMAR Ceren,ali achmet,ALTUN BİNGÖL DEMET,ORHUN GÜNSELİ,Sabancı Pulat Akın,Sencer Altay,AKINCI İbrahim Özkan Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. Ulusal Travma ve Acil Cerrahi Dergisi 23, no.1 (2017): 39 - 45.
MLA KAMAR Ceren,ali achmet,ALTUN BİNGÖL DEMET,ORHUN GÜNSELİ,Sabancı Pulat Akın,Sencer Altay,AKINCI İbrahim Özkan Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. Ulusal Travma ve Acil Cerrahi Dergisi, vol.23, no.1, 2017, ss.39 - 45.
AMA KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(1): 39 - 45.
Vancouver KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(1): 39 - 45.
IEEE KAMAR C,ali a,ALTUN BİNGÖL D,ORHUN G,Sabancı P,Sencer A,AKINCI İ "Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment." Ulusal Travma ve Acil Cerrahi Dergisi, 23, ss.39 - 45, 2017.
ISNAD KAMAR, Ceren vd. "Evaluation of risk factors and development of acute kidney injury in aneurysmal subarachnoid hemorrhage, head injury, and severe sepsis/septic shock patients during ICU treatment". Ulusal Travma ve Acil Cerrahi Dergisi 23/1 (2017), 39-45.