Strategies for prevention and early identification of acute kidney injury in primary health care: an integrative review
DOI:
https://doi.org/10.55892/jrg.v7i15.1601Keywords:
Acute Kidney Injury, Disease Prevention, Early Diagnosis, Primary Prevention, Primary Health CareAbstract
Objective: to verify which prevention strategies are available for reducing the risk and early identification of acute kidney injury (AKI) for adults in primary health care. Method: integrative review carried out in five databases. The sample consisted of 14 studies. The Level of Evidence classification was identified in the Center for Evidence-Based Medicine. Data analysis and synthesis were performed descriptively. Results: electronic alerts or computer software, manual creatinine tracking, risk stratification, use of validated risk scores, and guidance from professionals to patients using cards or through dialogue were measures that impact risk reduction, as well as early identification of AKI in the primary health care setting. Conclusion: Different intervention strategies were identified in primary care that impacted identification, risk reduction, and early identification of acute kidney injury. The use of software and electronic alerts stood out, followed by guidance to suspend nephrotoxic medications during acute clinical conditions, in addition to manual monitoring of creatinine.
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References
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