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Volume 3 Supplement 1

ESICM LIVES 2015

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

References

  1. 1.

    Moore Elizabeth M, Bellomo Rinaldo, Nichol Alistair, Harley Nerina:

  2. 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.

  3. 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.

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Author information

Correspondence to R Avila.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Keywords

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