Renal replacement therapy in patients affected by Covid-19 in an Intensive Care Unit in the countryside of Rondônia

The research was carried out from the analysis of medical records of patients who acquired Acute Kidney Injury (AKI) and needed Kidney Replacement Therapy (RRT) in admissions to Covid Intensive Care Units of the Hospital Regional de Cacoal (HRC) in the countryside of Rondônia . It is a descriptive,...

Descripción completa

Detalles Bibliográficos
Autores: Sottocornola, Sara Ferreira, Silva, Rittiela Rocha da, Barbosa, Shirley Junqueira, Queiroz, Amanda Gabrielle Silva, Souza, Rafael Zondonadi de, Bulgarelli, Érico Minoru Narahashi
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/23921
Acceso en línea:https://rsdjournal.org/index.php/rsd/article/view/23921
Access Level:acceso abierto
Palabra clave:Covid-19
Intensive Care Units
Acute Kidney Injury.
Unidades de Cuidados Intensivos
Lesión Renal Aguda.
Unidades de Terapia Intensiva
Injúria Renal Aguda.
Descripción
Sumario:The research was carried out from the analysis of medical records of patients who acquired Acute Kidney Injury (AKI) and needed Kidney Replacement Therapy (RRT) in admissions to Covid Intensive Care Units of the Hospital Regional de Cacoal (HRC) in the countryside of Rondônia . It is a descriptive, cross-sectional, retrospective study with a quantitative approach. After applying the exclusion criteria, 188 medical records were able to be analyzed from June 2020 to June 2021. Of the 188 patients, 108 were male (57%), with a mean age of 62.44, minimum age 23 and maximum 94 years. Diabetes, hypertension and obesity were the most prevalent pre-existing diseases in the study with 84%, and 6% of patients developed AKI without having any declared comorbidity. In this study, there is a high rate of patients who evolved to hemodialysis with a high mortality outcome with altered laboratory tests, totaling 93% of deaths and 7% of discharges. AKI in patients hospitalized with Covid-19 is intertwined with a poor prognosis with a high mortality rate, that the hyperinflammatory state affects the renal cells, causing the need for renal replacement therapy.