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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 90 - 95 (6page)
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초록· 키워드
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Purpose: Acute kidney injury (AKI) is an uncommon but serious complication after trauma. Theobjective of this study was to evaluate the clinical characteristics, risk factors, and outcomes of AKIafter trauma. Methods: A retrospective cohort study of 386 trauma patients who visited the emergencydepartment at the Asan Medical Center between January 2012 and December 2013 was performed. There were 322 patients included in this study. Patients were assigned into the AKI group and no AKIgroup. Regression analysis was performed to identify the factors associated with development of AKIfollowing trauma. Results: The overall incidence of AKI following trauma was 6%. There was no difference in patients`age, sex, and body weight between groups. Whereas there was a significant difference in InjurySeverity Score, Glasgow Coma Scale, presence of shock, need for a transfusion, lactic acid levels, andsevere rhabdomyolysis. In multivariate analysis, the independent risk factors associated with AKIafter trauma included the Injury Severity Score [odds ratio (OR) = 1.065, p < 0.01], presence of shock(OR = 3.949, p = 0.012), and severe rhabdomyolysis (OR = 4.475, p < 0.01). Patients in the AKI groupwere classified (according to the RIFLE criteria) as at Risk in 9 cases (43%), Injury present in 3 (14%),Failure in 7 (33%), Loss in 0 (0%) and End-stage in 2 (10%). Renal replacement therapy was requiredfor 10 patients (47%) in the AKI group and 4 of them (40%) underwent successful weaning. Hospitalmortality rate was higher in the AKI group (5/21, 23%) than the no AKI group (3/301, 1% ; p < 0.01). Conclusion: The development of AKI was associated with the severity of trauma, and traumaincreased mortality rates.
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참고문헌 (20)
참고문헌 신청
Lozano R / 2012 / Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010 : A systematic analysis for the Global Burden of Disease Study 2010 / Lancet 380(9859):2095~2128
Uchino S / 2005 / Acute renal failure in critically ill patients: A multinational, multicenter study / JAMA 294(7):813~818
Skinner DL / 2013 / The incidence and outcomes of acute kidney injury amongst patients admitted to a level I trauma unit / Injury 45(1):259~264
Bagshaw SM / 2008 / A multi-center evaluation of early acute kidney injury in critically ill trauma patients / Ren Fail 30(6):581~589
Podoll AS / 2013 / Incidence and outcome of early acute kidney injury in critically-ill trauma patients / PLoS One 8(10):e77376
Uchino S / 2005 / Acute renal failure in critically ill patients: A multinational, multicenter study / JAMA 294(7):813~818
Skinner DL / 2013 / The incidence and outcomes of acute kidney injury amongst patients admitted to a level I trauma unit / Injury 45(1):259~264
Bagshaw SM / 2008 / A multi-center evaluation of early acute kidney injury in critically ill trauma patients / Ren Fail 30(6):581~589
Podoll AS / 2013 / Incidence and outcome of early acute kidney injury in critically-ill trauma patients / PLoS One 8(10):e77376
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