Depuração da creatinina na recuperação renal e mortalidade
DOI:
https://doi.org/10.55892/jrg.v7i14.930Palavras-chave:
Taxa de Filtração Glomerular, Hospitalização, Mortalidade, Recuperação de Função, Injúria Renal AgudaResumo
Objetivo: verificar a associação da taxa de filtração glomerular baseada na estimativa da depuração de creatinina com a ocorrência de recuperação renal e mortalidade em pacientes hospitalizados com injúria renal aguda adquirida no hospital. Método: coorte prospectiva de 202 pacientes acompanhados entre 2017 e 2019. Para a análise estatística foram empregados os testes Mann-Whitney, Qui-quadrado e Exato de Fisher. O método Backward por meio de regressão logística foi utilizado para a análise multivariada. Resultados com p≤0,05 foram considerados significativos. Resultados: constatou-se que a mediana da taxa de filtração glomerular estimada de 39,83 ml/min/1,73 m2 (de 29,15 para 61,64) esteve associada a óbitos hospitalares (p=0,032) e à recuperação da função renal em longo prazo (6 meses) (AUC 0,756). Conclusão: As variações estimadas na depuração da creatinina estiveram associadas à recuperação renal em longo prazo e a óbitos hospitalares. Além disso, foi encontrada associação entre depuração de creatinina e função renal com óbito durante a internação dos pacientes na enfermaria com injúria renal aguda adquirida em ambiente hospitalar.
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