Estratégias de prevenção e identificação precoce da injúria renal aguda na atenção primária à saúde: revisão integrativa
DOI:
https://doi.org/10.55892/jrg.v7i15.1601Palavras-chave:
: Injúria Renal Aguda, Prevenção de Doenças, Diagnóstico Precoce, Prevenção Primária, Atenção Primária à SaúdeResumo
Objetivo: verificar quais são as estratégias de prevenção para redução do risco e identificação precoce da injúria renal aguda (IRA) para adultos na atenção primária à saúde. Método: revisão integrativa realizada em cinco bases de dados. A amostra foi composta por 14 estudos. A classificação do Nível de Evidência foi identificada no Center for evidence-Based Medicine. A análise e síntese dos dados foram realizadas de maneira descritiva. Resultados: alerta eletrônico ou software de informática, rastreamento manual por creatinina, estratificação de risco, uso de escore de risco validado e orientação dos profissionais aos pacientes com uso de cartões ou por meio do diálogo foram medidas que impactam na redução de risco, assim como para identificação precoce da IRA no cenário da atenção primária à saúde. Conclusão: Foram identificadas diferentes estratégias de intervenção na atenção primária que impactaram na identificação na redução de risco e identificação precoce injúria renal aguda, destacaram-se o uso de softwares e alertas eletrônicos, seguidos de orientações para suspender medicações nefrotóxicas durante quadros clínicos agudos, além do acompanhamento manual da creatinina.
Downloads
Referências
AIYEGBUSI, O. et al. Impact of introducing electronic acute kidney injury alerts in primary care. Clinical Kidney Journal, v. 12, n. 2, p. 253–257, 2018.
ALMEIDA, S. L. M.; SILVA, K. G. N.; MAGRO, M. C. S. Risk of acute kidney injury in hypertensives and diabetics in the primary health care. Rev. enferm. UFPE on line, v. 10, n. 9, p. 3197–3202, 2016.
BARKER, J. et al. Electronic alerts for acute kidney injury across primary and secondary care. BMJ Open Quality, v. 10, n. 2, p. e000956, 2021.
BARTON, A. L.; MALLARD, A. S.; PARRY, R. G. One Year’s Observational Study of Acute Kidney Injury Incidence in Primary Care; Frequency of Follow-Up Serum Creatinine and Mortality Risk. Nephron, v. 130, n. 3, p. 175–181, 2015.
BELL, S. et al. Development and external validation of an acute kidney injury risk score for use in the general population. Clinical Kidney Journal, v. 13, n. 3, p. 402–412, 2020.
BENDALL, A. C. et al. Community-acquired versus hospital-acquired acute kidney injury at a large Australian metropolitan quaternary referral centre: incidence, associations and outcomes. Internal Medicine Journal, v. 53, n. 8, p. 1366–1375, 2023.
BLAKEMAN, T. et al. Development of guidance on the timeliness in response to acute kidney injury warning stage test results for adults in primary care: an appropriateness ratings evaluation. BMJ open, v. 6, n. 10, p. e012865, 2016.
DAMLUJI, A. A. et al. Management of Acute Coronary Syndrome in the Older Adult Population: A Scientific Statement from the American Heart Association. Circulation, v. 147, n. 3, p. e32-e62, 2023.
DIAMANTIDIS, Cl. J. et al. Epidemiology of Community-Acquired Acute Kidney Injury Among US Veterans. American Journal of Kidney Diseases, v. 82, n. 3, p. 300–310, 2023.
DUONG, H. et al. Hospitalisation Due to Community-Acquired Acute Kidney Injury and the Role of Medications: A Retrospective Audit. Journal of Clinical Medicine, v. 12, n. 9, p. 3347, 2023.
GUPTA, K. L.; BHARATI, J. Community-acquired AKI and its management. Journal of Clinical Nephrology, v. 6, n. 1, p. 026–029, 2022.
HIGGINS, J. P.T. et al. Cochrane handbook for systematic reviews of interventions, 2024. Disponível em: https://training.cochrane.org/handbook/current
HOLMES, J. et al. Acute Kidney Injury in the Era of the AKI E-Alert. Clin J Am Soc Nephrol, v. 11, n. 12, p. 2123–2131, 2016.
KARIMZADEH, I. et al. Moving toward a contemporary classification of drug-induced kidney disease. Critical Care, v. 27, n. 1, p. 1–13, 2023.
KELLUM, John A. et al. Kidney disease: Improving global outcomes (KDIGO) acute kidney injury work group. Kidney Internetional, v. 2, 2012. Disponível em: https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2012-AKI-Guideline-English.pdf
MARTINDALE, A. M. et al. Understanding the implementation of “sick day guidance” to prevent acute kidney injury across a primary care setting in England: a qualitative evaluation. BMJ open, v. 7, n. 11, p. e017241, 2017.
MORRIS, R. L. et al. Preventing Acute Kidney Injury: A qualitative study exploring “sick day rules” implementation in primary care. BMC Family Practice, v. 17, n. 1, p. 91, 2016.
OCBM. Levels of Evidence Working Group. The Oxford 2011 Levels of Evidence. Centre of Evidence-Based Medicine, v. 11, n. 2, p. 1–38, 2011. Disponível em: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence.
PAGE, M. J. et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ Publishing Group, 2021.
PICKKERS, P. et al. Acute kidney injury in the critically ill: an updated review on pathophysiology and management. Intensive Care Med, v. 47, n. 8, p.835-850.
POLLOCK, D. et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, v. 21, n. 3, p. 520–532, 2023.
RAHIMI, A.; NKOMBUA, L. Hypertensive patients’ knowledge and practices on lifestyle modification in Extension 6, Middelburg. South African Family Practice, [, v. 64, n. 1, p. 1–8, 2022.
RIGONATTO, M. C. L.; MAGRO, M. C. S. Risk for acute kidney injury in primary health care. Revista brasileira de enfermagem, v. 71, n. 1, p. 20–25, 2018.
SAWHNEY, S. et al. KDIGO-based acute kidney injury criteria operate differently in hospitals and the community - Findings from a large population cohort. Nephrology Dialysis Transplantation, v. 31, n. 6, p. 922–929, 2016.
SOUZA, C. D. F. et al. Primary care performance measurement in Brazil (Previne Brasil Program), 2022–2023. BMC Health Services Research, v. 24, n. 1, 2024.
THINK KIDNEYS. Acute Kidney Injury Best practise guidance: responding to AKI warning stage test results for adults in primary care, 2018. Disponível em: https://www.thinkkidneys.nhs.uk/aki/wp-content/uploads/sites/2/2016/10/RespondingtoAKI-Warning-Stage-Test-Results-for-Adults-in-Primary-Care.pdf
TOLLITT, J. et al. Improved management of acute kidney injury in primary care using e-alerts and an educational outreach programme. Family Practice, v. 35, n. 6, p. 684–689, 2018.
TOSO, B. R. G. O.; FILIPPON, J.; GIOVANELLA, L. Nurses’ performance on primary care in the National Health Service in England. Revista brasileira de enfermagem, v. 69, n. 1, p. 169–177, 2016.
TRICCO, A. C. et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, v. 169, n. 7, p. 467–473, 2018.
VICARY, D.; HUTCHISON, C.; ASPDEN, T.. Avoiding acute kidney injury in primary care: Attitudes and behaviours of general practitioners and community pharmacists in Hawke’s Bay. Journal of Primary Health Care, v. 12, n. 3, p. 244–256, 2020.
XU, G. et al. Identifying acute kidney injury in the community—a novel informatics approach. Journal of Nephrology, v. 29, n. 1, p. 93–98, 2016.
Downloads
Publicado
Como Citar
Edição
Seção
ARK
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
