INCIDENCE AND RISK FACTORS OF ACUTE KIDNEY INJURY IN THE ECUADORIAN TRAUMATOLOGICAL POPULATION: A PROSPECTIVE COHORT STUDY
Keywords:
acute kidney injury, aged, chronic kidney disease, contrast, risk factors, observational studyAbstract
The aim of this study was to determine the incidence and risk factors for acute kidney injury (AKI) in elderly trauma victims in Ecuador. A prospective observational study was conducted in an 8-bed intensive care unit of the Hospital Metropolitano in the city of Quito, involving 333 trauma patients over 18 years of age. The main outcome was the incidence of AKI in the 10 days after admission. Of the 333 patients, 66 (19.8%) suffered AKI, and the incidence of AKI was related to older age, male sex, higher number of transfusions, and underlying chronic kidney disease. Patients with AKI stayed in the ICU longer than those without AKI, and patients older than 65 years were more likely to develop AKI. There were no discernible differences in median ICU stay, hospital stay, or 28-day mortality between age groups. In conclusion, age is a factor in the development of AKI, which occurs in approximately 20% of trauma patients.
