TY  - JOUR
PY  - 2020//
TI  - Associated risk factors and outcomes of acute kidney injury in severe trauma: results from the Spanish trauma ICU registry (RETRAUCI)
JO  - Anaesthesia, critical care and pain medicine
A1  - Chico-Fernández, Mario
A1  - Barea-Mendoza, Jesús Abelardo
A1  - Ormazabal-Zabala, Txoan
A1  - Moreno-Muñoz, Gerard
A1  - Pastor-Marcos, Diego
A1  - Bueno-González, Ana
A1  - Iglesias-Santiago, Alberto
A1  - Ballesteros-Sanz, María Ángeles
A1  - Pérez-Bárcena, Jon
A1  - Llompart-Pou, Juan Antonio
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Acute kidney injury (AKI) constitutes a common complication after severe trauma. Our objective was to analyse the associated risk factors and outcomes of AKI in a large, multicenter sample of trauma ICU patients. <br><br>MATERIALS AND METHODS: Observational, prospective and multicenter nationwide registry (RETRAUCI). We included all patients admitted to the participating ICUs from November 2013 to May 2017. We analysed the impact of AKI evaluated by the Risk, Injury, Failure, Loss of kidney function and End-stage kidney disease (RIFLE) definition. Comparison of groups was performed using Wilcoxon test, Chi-Square Test or Fisher's exact test as appropriate. A multiple logistic regression analysis was performed to analyse associated factors to the development of AKI. Logistic regression was used to calculate AKI-related mortality. A p value < 0.05 was considered significant. <br><br>RESULTS: During the study period, 5882 trauma patients were admitted. Complete data were available for 5740 patients. Among them, 871 had AKI (15.17%), distributed by RIFLE R 458 (7.98%), RIFLE I 234 (4.08%) and RIFLE F 179 (3.12%). Associated risk factors were: age (OR 3.05), haemodynamic instability (OR 2.90 to OR 8.34 depending on the severity of hypotension), coagulopathy (OR 1.82), rhabdomyolysis (OR 4.67) and AIS abdomen (OR 1.54). AKI was associated with mortality (crude OR 1.93 (1.59-2.36)), even after adjusting by potential confounders (adjusted OR 1.40 (1.13-1.73)). <br><br>CONCLUSION: In our large sample of trauma ICU patients we found an incidence of AKI of 15%, which was associated with an increased mortality.<br><br>Copyright © 2020. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 2352-5568
UR  - http://dx.doi.org/10.1016/j.accpm.2019.11.003
ID  - ref1
ER  -