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Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

The incidence of acute kidney injury in patients with traumatic brain injury

  • 1,
  • 1,
  • 1 and
  • 1
Intensive Care Medicine Experimental20153 (Suppl 1) :A263

https://doi.org/10.1186/2197-425X-3-S1-A263

  • Published:

Keywords

  • High Risk
  • Intensive Care Unit
  • Renal Function
  • Traumatic Brain Injury
  • Acute Kidney Injury

Intr

There are a few researches that investigated non-neurological complications in traumatic brain injury (TBI) and reported a low incidence of acute kidney injury(AKI). Probably most of them did not use the scores validated for AKI ,likely only identify patients with severe AKI.

Objectives

The aim of this study was to determine the incidence of AKI using a reliable score as classified by the RIFLE criteria.

Methods

We study all patients, 16 years and over ,with moderate or severeTBI (Glasgow score < 13) and admitted to the intensive care unit (ICU) in a Trauma Intensive Care Unit Level III (Hospital Cullen) in Santa Fe, Argentina from 1 January 2014 to 31 December 2014.

Prospectively collected data of AKI from the ICU trauma registry and pathology database was analyzed retrospectively(Hardinero Quality). Risk injury failure loss end (RIFLE) criteria were used to categorize renal function.

Results

The incidence of AKI was 17 % (29/169). RIFLE (F10,I5,R13) Patients who developed AKI were older, had higher severity of illness scores, and a lower GCS. ICU mortality : AKI group 58% compared with 30% in patients without AKI.

Conclusions

In patients with TBI the incidente of AKI is relatively common and identifies patients with a high risk of death. Age, APACHE II and lower Glasgow score identify patients with high risk of AKI.

Authors’ Affiliations

(1)
Hospital Cullen, Santa Fe, Argentina

References

  1. Moore Elizabeth M, Bellomo Rinaldo, Nichol Alistair, Harley Nerina:Google Scholar
  2. MacIsaac Christopher, Cooper D. James: The incidence of acute kidney injury in patients with traumatic brain injury. Renal Failure. 2010, 32 (9): 1060-1065. 10.3109/0886022X.2010.510234.PubMedView ArticleGoogle Scholar
  3. Zygun D, Kortbeek J, Fick G, Laupland KB, Doig CJ: Nonneurologic organ dysfunction in severe traumatic brain injury. Crit Care Med. 2005, 33: 654-660. 10.1097/01.CCM.0000155911.01844.54.PubMedView ArticleGoogle Scholar

Copyright

© Avila et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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