Factors associated with mortality in a population with acute kidney injury undergoing hemodialysis in Peru
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2017xmlui.metadata.dc.contributor.email
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Fatores associados à mortalidade em uma população com lesão renal aguda submetidos a hemodiálise no PeruCitation
Factors associated with mortality in a population with acute kidney injury undergoing hemodialysis in Peru 2017, 39 (2) Jornal Brasileiro de NefrologiaPublisher
Brazilian Society of NephrologyJournal
Jornal Brasileiro de NefrologiaDOI
10.5935/0101-2800.20170029Additional Links
http://www.gnresearch.org/doi/10.5935/0101-2800.20170029http://www.jbn.org.br/details/1936/pt-BR/fatores-associados-a-mortalidade-em-uma-populacao-com-lesao-renal-aguda-submetidos-a-hemodialise-no-peru
Abstract
Introduction: Patients with acute kidney injury (AKI) in developing countries are described in a profile of young age, with less comorbidities, with unifactorial, and with a lower mortality compared to patients in developed countries. Objective: To assess mortality in patients with acute kidney injury undergoing hemodialysis (HD) and its associated factors in a developing country setting. Methods: Retrospective study. Demographic, clinical, and mortality variables were collected from patients who presented AKI and underwent HD between January 2014 and December 2015 at a national reference hospital in Lima, Peru. Risk ratios (RR) and 95% confidence intervals (95%CI) were estimated through Poisson regressions. Results: Data from 72 patients with AKI that underwent HD were analyzed, 66.7% of them were < 64 years old, and 40.2% of all patients died undergoing HD. Crude analysis showed higher mortality among those who used vasopressors, but lower mortality among those with creatinine values > 8.9 mg/ dL. The adjusted analysis showed that having had a creatinine level of > 8.9 mg/ dL, compared to a creatinine level of < 5.2 mg/dL at the time of initiating HD, was associated with 74% less probability of death. Conclusion: Four out of every ten AKI patients undergoing HD die. Higher levels of creatinine were associated with lower probability of mortality.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/openAccessLanguage
engISSN
0101-2800ae974a485f413a2113503eed53cd6c53
10.5935/0101-2800.20170029
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