<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092021000200079</article-id>
<article-id pub-id-type="doi">10.35366/99527</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Subdiagnóstico de la lesión renal aguda en pacientes obstétricas complicadas en la Unidad de Cuidados Intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Underdiagnosis of acute kidney injury in complicated obstetric patients in the Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Subdiagnóstico da lesão renal aguda em pacientes obstétricas complicadas na Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Gutiérrez]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maya-Contreras]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Arciga]]></surname>
<given-names><![CDATA[Themis Gwendolyne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Gómez]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barriga-Ferreyra]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de la Mujer  ]]></institution>
<addr-line><![CDATA[ Michoacán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Innova Médica  ]]></institution>
<addr-line><![CDATA[ Michoacán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General «Dr. Miguel Silva»  ]]></institution>
<addr-line><![CDATA[ Michoacán]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<fpage>79</fpage>
<lpage>83</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092021000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092021000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092021000200079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Definir la prevalencia y factores asociados de lesión renal aguda en el embarazo en la Unidad de Cuidados Intensivos del Hospital de la Mujer, Morelia, Michoacán, México.  Material y métodos:  Estudio retrospectivo, transversal y descriptivo de enero de 2013 a agosto de 2018. Pacientes: 213 expedientes de pacientes obstétricas complicadas. Criterios de inclusión: pacientes obstétricas complicadas que ingresaron a la UCI, pacientes que cumplieron criterios para lesión renal aguda. Criterios de exclusión: pacientes con lesión renal crónica, expediente clínico no disponible. Sólo 154 cumplieron con los criterios de selección.  Resultados:  Se incluyeron 154 pacientes obstétricas complicadas; un promedio de 25.6p ± 1.6 por año. Treinta y seis por ciento tuvo diagnóstico de eclampsia; 35.3% preeclampsia; 29.3% síndrome de HELLP; 19.3% hemorragia obstétrica, 10% sepsis. Se demostró asociación de PR-AKI con síndrome de HELLP (p = 0.0003) y preeclampsia (p = 0.01). Se encontró un subdiagnóstico de 36.7% al buscar PR-AKI utilizando los criterios RIFLE y AKI (p = 0.000007). De las pacientes con PR-AKI grado 3, sólo 20% requirió terapia de reemplazo renal continua.  Conclusiones:  La lesión renal asociada al embarazo complicado tiene una prevalencia de 6.7%. Las complicaciones asociadas a PR-AKI son síndrome de HELLP y preeclampsia. La PR-AKI está subdiagnosticada hasta en 36.7%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To define the prevalence and associated factors of acute renal injury in pregnancy (PR-AKI) in the Intensive Care Unit (ICU) of the Women&#8217;s Hospital, Morelia, Michoacán, Mexico.  Material and methods:  Retrospective, cross-sectional and descriptive study from January 2013-August 2018. Ambit: Intensive Care Unit of the Women&#8217;s Hospital. Patients: We reviewed 213 files of complicated obstetric patients. Inclusion criteria: complicated obstetric patients that merit admission to the ICU, patients who met criteria for LRA. Exclusion criteria: patients with chronic. Main variables of interest: Complicated obstetric patients (preeclampsia, eclampsia, HELLP syndrome, hemorrhagic shock and sepsis). It was investigated if they developed PR-AKI.  Results:  154 complicated obstetric patients were included; an average of 25.6p ± 1.6 per year. 36% had a diagnosis of eclampsia; 35.3% pre-eclampsia; 29.3% HELLP syndrome; 19.3% obstetric hemorrhage, 10% sepsis. Association of PR-AKI with HELLP syndrome (p = 0.0003) and pre-eclampsia (p = 0.01) was demonstrated. A subdiagnosis of 36.7% was found when searching for PR-AKI using the RIFLE and AKI criteria (p = 0.000007). Of the patients with PR-AKI grade 3, 20% required continuous renal replacement therapy.  Conclusions:  Renal injury associated with complicated pregnancy has a prevalence of 6.7%. The complications that most develop PR-AKI are HELLP syndrome and preeclampsia. PR-AKI is underdiagnosed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Objetivo:  Definir a prevalência e os fatores associados à Lesão Renal Aguda na gravidez na Unidade de Terapia Intensiva do Hospital de la Mujer, Morelia, Michoacán, México.  Material e métodos:  Estudo retrospectivo, transversal e descritivo de janeiro de 2013 a agosto de 2018. Pacientes: 213 prontuários obstétricos complicados. Critérios de inclusão: pacientes obstétricas complicadas admitidas na UTI, pacientes que preencheram os critérios para Lesão Renal Aguda. Critérios de exclusão: pacientes com Lesão Renal Crônica, ficha clínica não disponível. Apenas 154 atenderam aos critérios de seleção.  Resultados:  154 pacientes obstétricas complicadas foram incluídas; uma média de 25.6p ± 1.6 por ano. 36% tiveram diagnóstico de eclâmpsia; 35.3% pré-eclâmpsia; 29.3% síndrome HELLP; 19.3% hemorragia obstétrica, 10% sepse. Foi demonstrada uma associação de PR-AKI com síndrome HELLP (p = 0.0003) e pré-eclâmpsia (p = 0.01). Foi encontrado subdiagnóstico de 36.7% na busca de PR-AKI pelos critérios RIFLE e AKI (p = 0.000007). Dos pacientes com PR-AKI grau 3, 20% necessitaram de terapia de reposição renal contínua.  Conclusões:  Lesões renais associadas à gravidez complicada apresentam prevalência de 6.7%. As complicações associadas à PR-AKI são a síndrome HELLP e a pré-eclâmpsia. PR-AKI é subdiagnosticado em até 36.7%.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesión renal aguda]]></kwd>
<kwd lng="es"><![CDATA[terapia de reemplazo renal]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[eclampsia]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[síndrome de HELLP]]></kwd>
<kwd lng="en"><![CDATA[Acute kidney injury]]></kwd>
<kwd lng="en"><![CDATA[renal replacement therapy]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[eclampsia]]></kwd>
<kwd lng="en"><![CDATA[preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[HELLP syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Lesão renal aguda]]></kwd>
<kwd lng="pt"><![CDATA[terapia renal substitutiva]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Terapia Intensiva]]></kwd>
<kwd lng="pt"><![CDATA[eclâmpsia]]></kwd>
<kwd lng="pt"><![CDATA[pré-eclâmpsia]]></kwd>
<kwd lng="pt"><![CDATA[síndrome HELLP]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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