Stručni rad

CHRONIC KIDNEY DISEASE AFTER ACUTE RENAL INJURY

ITA JELIĆ PRANJIĆ orcid.org/0000-0003-0594-6113 ; Sveučilište u Rijeci, Medicinski fakultet i Klinički bolnički centar Rijeka, Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Rijeka, Hrvatska
LORI SRDOČ ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
IGOR RUBINIĆ ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
IVAN BUBIĆ ; Sveučilište u Rijeci, Medicinski fakultet i Klinički bolnički centar Rijeka, Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Rijeka, Hrvatska
BOSILJKA DEVČIĆ ; Klinički bolnički centar Rijeka, Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Rijeka, Hrvatska
SANJIN RAČKI ; Sveučilište u Rijeci, Medicinski fakultet i Klinički bolnički centar Rijeka, Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Rijeka, Hrvatska

Sažetak

Development of acute renal injury (AKI) requiring renal replacement therapy (RRT) in hospitalized patients increases the risk of mortality by more than 50%. Surviving patients are at an increased risk of long-term complications. With this study, we wanted to determine development of chronic kidney disease (CKD) in patients treated with RRT at Rijeka UHC over a twoyear follow-up period. The study included 429 patients (299 men and 130 women) treated with RRT at Rijeka UHC during the period from January 2010 to June 2016. The mean age of patients was 66.61±16.26 years. Thirty-one patients were treated using CVVH, 295 by CVVHD, 99 by CVVHDF and 4 patients by HD. The indication for initiation was sepsis in 57%, worsening of chronic heart failure in 31.7% and cardiac surgery in 11.3% of patients. The mean serum creatinine value before hospitalization in these patients was 101±39.12 μmol/L. A total of 270 patients died during hospitalization and 159 survived. The mean serum creatinine at discharge was 143.82±45.96 μmol/L. One month after discharge, the mean serum creatinine value was 177.38±110.36 μmol/L, after 3 months 122.29±64.26 μmol/L, after 6 months 126.63±54.27 μmol/L, after one year 142.25±133.02 μmol/L, and after two years 116.40±39.57 μmol/L. Only 32 of these patients were referred for nephrologist check up one month after discharge, 21 after three months, 7 after 6 months, 19 after one year, and 14 after two years. Our study showed that patients surviving an episode of AKI or worsening of preexisting CKD during follow up had the mean serum creatinine values higher than those before hospitalization. Most patients were not referred for regular nephrologist check-ups.

Ključne riječi

acute renal injury; chronic kidney disease; nephrologist check-up

Hrčak ID:

230099

URI

https://hrcak.srce.hr/230099

Datum izdavanja:

5.12.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.906 *