Abstract

FERNANDEZ-BURGA, Antonio; BRICENO-SANTILLAN, Kristhian  and  MEJIA, Christian R. Clinical characteristics and in-hospital mortality in patients with acute kidney injury undergoing hemodialysis at the Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, 2014-2015. An. Fac. med. [online]. 2019, vol.80, n.3, pp.312-316. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.803.16515.

Introduction: There are no official data on patients with acute kidney injury (AKI) in Peru. Most of the information comes from isolated centers in other countries. Objective: To describe the clinical characteristics and in- hospital mortality in patients with acute kidney injury undergoing hemodialysis at a third level hospital in Peru. Methods: A cross-sectional study. Demographic, clinical, and mortality data were collected from patients diagnosed with AKI undergoing hemodialysis at the Hospital Nacional Guillermo Almenara Irigoyen EsSalud during 2014-2015. Results: 183 patients were included. The average age was 58 years and 57% were male. Ninety percent of patients were admitted through emergency services (EMG). Patients were hospitalized in the intensive care unit (ICU), EMG rooms and other hospitalization areas in 40%, 27% and 33% of cases, respectively. The most frequent causes of AKI were sepsis (58%), heart failure (8%) and obstructive uropathy. In-hospital mortality rate was 55% (n = 100). The deceased patients showed a higher frequency of sepsis (71 vs. 38; p = 0,001) and multiorgan failure (90 vs. 56; p <0,001) compared to alive patients. Conclusions: Patients with AKI had a mean age of 59 years and most were hospitalized in the ICU. The most frequent cause of AKI was sepsis. In-hospital mortality was 55% and was significantly associated with the presence of sepsis and multiorgan failure.

Keywords : Acute Kidney Injury; Dialysis; Hospital Mortality; Sepsis.

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