Severity and lenght of hospitalization of non-critical patients with acute kidney injury

Authors

DOI:

https://doi.org/10.19175/recom.v13i1.4838

Keywords:

Hospitalização, Enfermagem, Lesão Renal Aguda, Mortalidade

Abstract

Objective: To assess severity and length of hospitalization of non-critical patients with acute kidney injury (AKI). Methods: Prospective observational study conducted with 137 patients, with data collected by a structured questionnaire. Statistical analysis was performed using chi-square, Fisher’s exact and Mann-Whitney tests, with significance set as p≤0.05. The research was approved by the Research Ethics Committee. Results: Oxygen therapy by macro-nebulization resulted in higher mortality during hospitalization (p=0.001) and after discharge (p=0.02), as well as high levels of sodium (p=0.0001 vs. p=0.005) and the occurrence of kidney injury or failure (p=0.02 vs. p=0.02). Need for ventilatory support increased by 3.02 times the length of hospitalization (p=0.02). Conclusion: Acute kidney injury was frequent in more than half of the patients, with KDIGO 2 and 3 levels of severity that were associated with inpatient and post-discharge mortality. Most severe patients (KDIGO 3) remained hospitalized for a longer time. Macro-nebulization in patients with tracheostomy tripled the length of hospitalization.

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Author Biographies

Tayse Tâmara da Paixão Duarte, Universidade de Brasília

Doutora em Enfermagem. Professora Adjunta da Faculdade de Ceilândia. Universidade de Brasília (UnB).

Handson Marque Silva, Universidade de Brasilia

Enfermeiro. Faculdade de Ceilândia, Universidade de Brasília (UnB). Brasília, Brasil.

Josiane Maria Oliveira Souza, Universidade de Brasilia

Enfermeira. Doutora em Enfermagem. Professora Adjunta da Faculdade de Ceilândia. Universidade de Brasília (UnB). Brasília, Brasil.

Marcia Cristina da Silva Magro, Universidade de Brasilia

Enfermeira. Doutora em Enfermagem. Professora Associada da Faculdade de Ceilândia. Universidade de Brasília. Brasília, Brasil.

Published

2023-06-05

How to Cite

Duarte, T. T. da P., Silva, H. M., Souza, J. M. O., & Magro, M. C. da S. (2023). Severity and lenght of hospitalization of non-critical patients with acute kidney injury. Revista De Enfermagem Do Centro-Oeste Mineiro, 13. https://doi.org/10.19175/recom.v13i1.4838