Factors associated with mortality in a population with acute kidney injury undergoing hemodialysis in Peru
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 inju...
| Authors: | , , , |
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| Format: | article |
| Publication Date: | 2017 |
| Country: | Perú |
| Institution: | Universidad Peruana de Ciencias Aplicadas |
| Repository: | UPC-Institucional |
| Language: | English |
| OAI Identifier: | oai:repositorioacademico.upc.edu.pe:10757/622317 |
| Online Access: | https://doi.org/10.5935/0101-2800.20170029 http://hdl.handle.net/10757/622317 |
| Access Level: | Open access |
| Keyword: | Acute kidney injury Intensive Care Units Mortality Renal dialysis |
| Summary: | 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. |
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