tailieunhanh - Báo cáo y học: "Acute kidney injury in the intensive care unit: current trends in incidence and outcome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute kidney injury in the intensive care unit: current trends in incidence and outcome. | Available online http content 11 4 149 Commentary Acute kidney injury in the intensive care unit current trends in incidence and outcome Dinna N Cruz1 2 and Claudio Ronco1 1 Department of Nephrology Ospedale San Bortolo Vicenza Italy 2Section of Nephrology Department of Medicine St Luke s Medical Center Quezon City Philippines Corresponding author Dinna N Cruz dinnacruzmd@ Published 24 July 2007 Critical Care 2007 11 149 doi cc5965 This article is online at http content 11 4 149 2007 BioMed Central Ltd See related research by Bagshaw et al. http content 11 3 R68 Abstract Acute kidney injury AKI is a common clinical problem with significant clinical and economic consequences. A number of studies point to a rising incidence of AKI in the hospital and in the intensive care unit over the past several years and an increase in the degree of co-morbidity associated with it. Recent evidence suggests that there has been some improvement in outcomes over time. Nevertheless the mortality associated with AKI remains unacceptably high and further work is needed. Recently developed consensus definitions will be useful in this regard. Bagshaw and colleagues 1 report on the epidemiology and outcomes of acute kidney injury AKI in Australian intensive care units ICUs over a ten year period. It has been said that despite technological advances in nephrology there has been little improvement in the outcomes of patients with AKI 2 . The literature has been confounded by the use of varying definitions of AKI reliance on coding for AKI in administrative databases and lack of adjustment for severity of illness and co-morbidities. Nevertheless it is undisputed that there has been a notable increase in AKI incidence 3 4 and this has important economic implications. The work by Bagshaw and colleagues 1 confirms the rising AKI incidence but focuses on the critical care setting. Using a large multicenter ICU adult database they noted that .