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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versión impresa ISSN 2448-8909
Resumen
AGUILAR ARCIGA, Themis Gwendolyne y ESTRADA GUTIERREZ, Alfonso. Evolution of patients with acute kidney injury secondary to obstetric complications treated with continuous renal replacement therapy. Med. crít. (Col. Mex. Med. Crít.) [online]. 2022, vol.36, n.5, pp.272-279. Epub 02-Jun-2023. ISSN 2448-8909. https://doi.org/10.35366/106508.
Introduction:
Acute kidney injury associated with pregnancy or obstetric complications (PR-AKI) is a disease that occurs due to multiple etiologies of which little has been studied, with an estimated mortality of 4.3%.
Objective:
To analyze the evolution of patients with acute kidney injury secondary to obstetric complications (PR-AKI) who received continuous renal replacement therapy (CRRT) in the Intensive Care Unit of the Hospital de la Mujer de Morelia, Michoacán.
Material and methods:
Retrospective, longitudinal, descriptive study. A review of the records of patients who required CRRT secondary to obstetric complications was carried out during January 2013-December 2019. The Student’s t test was applied, considering the statistically significant results if p < 0.05.
Results:
Thirteen patients who required CRRT were included. The mean age of the patients was 26.18 years. The CRRT criteria were: AKI grade 2 or 3 and RIFLE stage injury or failure and potassium ≥ 6.5 mEq/L; urea ≥ 150 mg/dL; urinary index ≤ 0.5 mL; pH < 7.10 and HCO3 ≤ 20 mEq/L; SCr ≥ 2.4 mg/dL; water overload > 10%; BUN > 30 mg/dL.
Conclusions:
The incidence of women requiring CRRT is 3.2 cases/100 obstetric complications. Ninety-two percent of the patients had recovery of renal function while the progression to chronic kidney disease dependent on other modalities of renal replacement therapy was 8%.
Palabras llave : Continuous renal replacement therapy; acute kidney injury; obstetric complication; preeclampsia; HELLP syndrome.