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儿童急性损伤连续的结果
Flavia Chisavu1,2,3, Mihai Gafencu4,5, Ramona Stroescu1,2
1University of Medicine and Pharmacy 'Victor Babes' from Timisoara, Eftimie Murgu, rue nr. 2, Timisoara, Romania.
Journal of nephrology
|October 24, 2024
概括
急性损伤 (AKI) 进展为急性病增加了儿童的死亡风险. 内在原因,而不是严重程度,影响AKI后新发慢性病 (CKD) 的风险.
科学领域:
- 儿科脏病学 儿科脏病学
- 腎臟醫學 腎臟醫學
- 关键护理医学 关键护理医学
背景情况:
- 急性损伤 (AKI) 是儿童的重大健康问题,与高发病率和死亡率有关.
- 长期AKI的后果,特别是损伤的进展,在儿科患者中还不太清楚.
研究的目的:
- 调查急性损伤持续时间对儿童死亡率的影响.
- 评估AKI进展与发展新发性慢性病 (CKD) 风险之间的关联.
主要方法:
- 在9年的时间里,对2346名患有AKI的儿童进行了回顾性队列研究.
- 分析AKI持续时间 (过渡性,持续性和急性病) 以及其与死亡率和CKD发展的相关性.
主要成果:
- 急性脏疾病,AKI的连续性,与过渡性 (14.66%) 和持久性AKI (9.81%) 相比,与较高的死亡率 (16.42%) 相关.
- 损伤的进展与内在AKI原因的发病率增加相关.
- 贫血,血小板数量低,血清升等因素与较差的结果有关.
结论:
- AKI向急性病的进展显著增加了儿科患者的死亡风险.
- 在AKI后新发慢性病受到损伤的内在原因的影响,而不是AKI的严重程度.
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