Please use this identifier to cite or link to this item: https://ninho.inca.gov.br/jspui/handle/123456789/9623
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dc.contributor.authorCarvalho, Juliana Ribeiro de-
dc.contributor.authorNogueira, Cristiane Alves Villela-
dc.contributor.authorLuiz, Ronir Raggio-
dc.contributor.authorGuzzo, Paula Lustosa-
dc.contributor.authorRosa, Juliana Maria da Silva-
dc.contributor.authorRocha, Eduardo-
dc.contributor.authorCoelho, Henrique Sérgio Moraes-
dc.contributor.authorPerez, Renata de Mello-
dc.date.accessioned2022-07-28T18:10:59Z-
dc.date.available2022-07-28T18:10:59Z-
dc.date.issued2012-
dc.identifier.citationCARVALHO, Juliana Ribeiro de et al. Acute Kidney Injury Network Criteria as a Predictor of Hospital Mortality in Cirrhotic Patients With Ascites. Journal of Clinical Gastroenterology, v. 46, n. 3, p. e21-e26, mar. 2012.-
dc.identifier.issn1539-2031-
dc.identifier.urihttp://sr-vmlxaph03:8080/jspui/handle/123456789/9623-
dc.descriptionp. e21-e26.: tab. p&b.-
dc.description.abstractAcute kidney injury (AKI) is frequent in cirrhotic patients but its best definition is unclear. Recently, the Acute Kidney Injury Network (AKIN) proposed criteria to define AKI. The aims of this study were to apply AKIN criteria to cirrhotic patients with ascites and to evaluate its association to hospital mortality. Study: In this retrospective study, cirrhotic patients with ascites admitted to a university hospital in Brazil between November 2003 and December 2007 were included. AKIN criteria were applied in the first 48 hours of hospitalization, considering 2 values of creatinine in this period. Association of AKI at admission and hospital mortality was analyzed. Results: Of the 198 patients in the study, 91 (46%) presented AKI at hospital admission. Overall hospital mortality was 40.4%. Patients without AKI had a hospital mortality rate of 29.9%, whereas the same rate for patients with this complication was 52.7% (odds ratio= 2.6; 95% confidence interval, 1.5-4.7; P= 0.001). In a logistic regression analysis, 4 variables were independently associated to hospital mortality: infection, hepatic encephalopathy, Child score, and AKI. A receiver operating characteristic curve analysis revealed that the variation in creatinine proposed by AKIN had the best combination of sensitivity and specificity in relation to hospital mortality. Conclusions: In cirrhotic patients with ascites, prevalence of AKI at hospital admission is high. Patients with renal dysfunction defined by AKIN have significant higher hospital mortality. AKIN criteria are useful in cirrhotic patients with ascites, as it identifies earlier patients with worse prognosis.-
dc.publisherJournal of Clinical Gastroenterologypt_BR
dc.subjectInjúria Renal Agudapt_BR
dc.subjectAcute Kidney Injurypt_BR
dc.subjectAscitept_BR
dc.subjectAscitespt_BR
dc.subjectMortalidade Hospitalarpt_BR
dc.subjectHospital Mortalitypt_BR
dc.subjectCirrose Hepáticapt_BR
dc.subjectLiver Cirrhosispt_BR
dc.subjectInsuficiência Renalpt_BR
dc.subjectRenal Insufficiencypt_BR
dc.titleAcute Kidney Injury Network Criteria as a Predictor of Hospital Mortality in Cirrhotic Patients With Ascitespt_BR
dc.TypeArticlept_BR
Appears in Collections:Artigos de Periódicos da área de Pronto Atendimento Interno



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