Your browser doesn't support javascript.
loading
Severe traumatic brain injury and acute kidney injury patients: factors associated with in-hospital mortality and unfavorable outcomes.
de Cássia Almeida Vieira, Rita; de Barros, Gabriela Lima; Paiva, Wellingson Silva; de Oliveira, Daniel Vieira; de Souza, Camila Pedroso Estevam; Santana-Santos, Eduesley; de Sousa, Regina Marcia Cardoso.
Afiliación
  • de Cássia Almeida Vieira R; CAPES Foundation, Ministry of Brazil, Brasilia, Brazil.
  • de Barros GL; School of Nursing, University of Sao Paulo, Sao Paulo, Brazil.
  • Paiva WS; School of Nursing, University of Sao Paulo, Sao Paulo, Brazil.
  • de Oliveira DV; Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
  • de Souza CPE; Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
  • Santana-Santos E; Department of Statistical and Actuarial Sciences, University of Western Ontario, London, Canada.
  • de Sousa RMC; Department of Nursing, University of Sergipe, Aracaju, Sergipe, Brazil.
Brain Inj ; 38(2): 108-118, 2024 01 28.
Article en En | MEDLINE | ID: mdl-38247393
ABSTRACT

OBJECTIVE:

The purpose of this study was to identify the occurrence of AKI, and factors associated with in-hospital mortality and unfavorable outcomes in patients with severe traumatic brain injury (TBI) and acute kidney injury (AKI) severity.

METHOD:

A retrospective cohort study which analyzed data with severe TBI between 2013 and 2017. We examined demographic and clinical information, and outcome by in-hospital mortality, and the Glasgow Outcome Scale six months after TBI. We associated factors to in-hospital mortality and unfavorable outcome in severe TBI and AKI with an association test.

RESULTS:

A total of 219 patients were selected, 39.3% had an AKI, and several factors associated with AKI occurrence after severe TBI. Stage 2 or 3 of AKI (OR 12.489; 95% CI = 4.45-37.94) were independent risk for both outcomes in multivariable models, severity injury by the New Trauma Injury Severity Score (OR 0.97; 95% CI = 0.96-0.99) for mortality, and the New Injury Severity Score (OR1.07; 95% CI = 1.04-1.10) and Trauma and Injury Severity Score (OR = 0.98; 95% CI = 0.965-0.997) for unfavorable outcome.

CONCLUSION:

The findings of our study confirmed that AKI severity and severity of injury was also related to increased mortality and unfavorable outcome after severe TBI.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesión Renal Aguda / Lesiones Traumáticas del Encéfalo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Brain Inj Asunto de la revista: CEREBRO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesión Renal Aguda / Lesiones Traumáticas del Encéfalo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Brain Inj Asunto de la revista: CEREBRO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido