Produção Nacional
Revisado por pares
Acute kidney injury in Latin America: a view on renal replacement therapy resources
2014; Oxford University Press; Volume: 29; Issue: 7 Linguagem: Inglês
10.1093/ndt/gfu078
ISSN1460-2385
AutoresRaúl Lombardi, Guillermo Rosa-Díez, Alejandro Ferreiro, Gustavo Greloni, Luís Yu, Maurício Younes-Ibrahim, Emmanuel A. Burdmann, Raúl Plata-Cornejo, Rolando Claure‐Del Granado, A. C. A. e Silva, Alice Pignaton Naseri, André Luís Balbi, Alves Teixeira, A. Stein, A. E. Vieira, A. J. de Almeida Inda, Bruno Pereira, Carla Cortez, C. N. Fraga, Domingos Candiota Chula, D. O. d'Avila, Elen Almeida Romão, Emerson de Lima, Fabiano Klaus, Felipe R. Santos, Franklin Corrêa Barcellos, G. Herdoiza, Guaciara M. Santos, L. D. Lotaif, Luís Alberto Batista Peres, Luís Yu, Luiz Antônio Miorin, Marianna Cunha de Andrade, Maria Terezinha I. Vannucchi, Maria Luiza Cotrim Sartor de Oliveira, Maurício Younes-Ibrahim, M. Huehara, Oscar Pavão dos Santos, O. Vieira Neto, R. N. de Medeiros, Sandra Maria Rodrigues Laranja, Tania Duran Sobral, T. de Castro Santos, William Lautert Dutra, Alejandro Pacheco, A. Boltansky, Daniella Côrtes, Esther Soto Briones, E. Quintana, Eric Roessler, Helmuth Goecke, H. Hurtado, José Carlos Flores, J. C. Penaloza, M.A. Espinoza, Ma Teresa González Álvarez, Manuel Molina Núñez, Néstor Quintero, Paul Downey, Rodrigo Vugman Wainstein, Vitrinel Ayca, Estefany Garces, Manuel Cerdas Calderon, Aileen Almonte, Carmen Domínguez, Rocio Jimenez, Silvia Rodríguez, Constança Sampaio Cruz, Daniela Acosta, Francisco Molina, Nora Vivas, R Correa-Rotter, Alfonso M. Cueto–Manzano, Osvaldo Patiño, Diana Benitez, Elios Yuste Giménez, Rianne Brizuela, S. C. F. Bobadilla, A Hurtado, A.O. Kalugina, Ceslynn Ervitas Huaman, Carla Postigo, César Antonio Loza Munarriz, Engler Ramírez Maldonado, Gary D. Solis, G. Sakihara, J. Hernandez, Juana González, Juan J. Llibre Rodríguez, M. Fiestas, R. Hinojosa, Rafael Vasconcelos Barreto, Alejandro Ferreiro, A. Operti, Alessandro Maino, Antonio Álvarez, Beatriz Gelabert, B. Szpinak, C. Burgos, Cristina Verdaguer, E. Rugnitz, D. Tambucho, E. Gronros, Flora López González, Inés Olaizola, J. Panissa, Juan Fernández-Cean, M. García, Mariela Mautone, M. Odriozola, Mario Forselledo, Mariamália Newton Andrade, Msn Labella, Nelson Dibello, Orlando Canzani, Roberto Marchese, Teresita Llopart, V. Matonte, C. Maseda, Douglas Urbina Oteiza, L. O. Rumbos, María del Carmen Jerez Moreno,
Tópico(s)Chronic Kidney Disease and Diabetes
ResumoAcute kidney injury (AKI) has increasingly been recognized as an important public health issue due to its rising frequency, its associations with early and late adverse outcomes and its economic burden. Given the importance of determining the available resources to address this serious issue, the AKI Committee of SLANH conducted a survey to obtain information about infrastructure, human resources and equipment devoted to the treatment of AKI in Latin America A total of 246 units from 14 countries participated in the survey, the majority of them pertaining to nephrology divisions in teaching hospitals. Intermittent hemodialysis was universally performed by all of the units, and less frequently, slow extended dialysis (40%) and continuous renal replacement therapy (23%) were performed. Seventy-nine units (30%) perform peritoneal dialysis, but only 51 (19%) of them reported having treated at least 1 patient with this technique in the last 3 months pre-survey. The vast majority of the units reported adequate water treatment and use of modern filter membranes. Most of the patients received renal replacement therapy (RRT) in the intensive care unit. Specific causes of AKI were reported in different frequencies, with a heterogeneous pattern among the countries. Septic abortion, hemolytic-uremic syndrome, community-acquired diarrhea and leptospirosis were the etiologies most frequently associated with AKI. To our knowledge, this report was the first available study of the equipment and human resources utilized for RRT in AKI patients in Latin America.
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