在住院患者中,急性损伤的识别模式
Pasquale Esposito1,2, Francesca Cappadona1,2, Marita Marengo3
1Department of Internal Medicine, University of Genova, Genova, Italy.
Clinical kidney journal
|August 19, 2024
概括
急性损伤 (AKI) 的识别在医院中不一致,未被检测率很高. 即使未被诊断的AKI也会增加死亡风险,这凸显了改善诊断策略的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医院 医院 医疗 医疗 医疗 医疗
- 临床信息学 临床信息学
背景情况:
- 患有急性损伤 (AKI) 的住院患者面临增加的并发症和死亡率.
- 尽管有标准化努力,但目前对AKI的临床认可仍然有限.
研究的目的:
- 评估和描述住院成年患者中AKI诊断的各种模式.
- 评估AKI诊断时间对患者结果的影响.
主要方法:
- 使用的医院出院表 (HDF) 数据,包括临床信息和血清肌素 (sCr) 水平.
- 应用病:改善全球结果 (KDIGO) 标准,以根据sCr变异识别AKI.
- 根据行政编码和基于sCr的标准,以及发病时间分类AKI.
主要成果:
- 总体而言,AKI的发病率为24.5%,未被检测率相当于68%.
- 在AKI诊断中观察到显著的变化:全AKI (3.3%),HDF-AKI (4.4%) 和KDIGO-AKI (16.7%).
- 与完全诊断的AKI相比,未检测到的AKI (KDIGO-AKI) 与年轻的患者,较少的并发症和较低的死亡率有关,但总体死亡风险仍然增加.
结论:
- 在医院中,AKI的识别是异质的,经常有不足的诊断.
- 患者的特征,诊断方法和医院管理层都会影响AKI检测的可变性.
- 有效的AKI诊断至关重要,因为即使未被检测到的AKI也会带来严重的死亡风险.
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