<?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>S2448-89092023000400320</article-id>
<article-id pub-id-type="doi">10.35366/112166</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alteración del índice resistivo renal como factor asociado a lesión renal aguda en pacientes con trauma múltiple severo en la Unidad de Cuidados Intensivos del Hospital General La Villa]]></article-title>
<article-title xml:lang="en"><![CDATA[Alteration of the renal resistive index as a factor associated with acute kidney injury in severe multiple trauma in the Intensive Care Unit of the Hospital General La Villa]]></article-title>
<article-title xml:lang="pt"><![CDATA[Alteração do índice de resistência renal como fator associado à lesão renal aguda em pacientes com trauma múltiplo grave na Unidade de Terapia Intensiva do hospital general de segundo nível]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Díaz]]></surname>
<given-names><![CDATA[Eloisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Rodríguez]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés Munguía]]></surname>
<given-names><![CDATA[José Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López González]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General La Villa  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>4</numero>
<fpage>320</fpage>
<lpage>329</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000400320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000400320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000400320&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el trauma múltiple severo es una patología de importancia epidemiológica. Una de las complicaciones que aumenta la mortalidad basal al ingreso a unidades de cuidados intensivos es la aparición de lesión renal aguda; sin embargo, en cuanto al primer y segundo nivel de atención hospitalaria, se cuenta con herramientas restringidas para su detección temprana, tales como creatinina sérica y cistatina C, limitándose a las nuevas determinaciones capaces de detectar daño glomerular temprano.  Objetivo:  conocer la asociación que existe entre la alteración, caracterizada por aumento del índice resistivo renal, con el diagnóstico de lesión renal aguda en pacientes con trauma múltiple severo apoyando a la toma de decisiones en el manejo oportuno de dicha patología.  Material y métodos:  se realizó un estudio clínico, observacional, descriptivo y prospectivo incluyendo pacientes con trauma múltiple severo que ingresaron a la Unidad de Cuidados Intensivos del Hospital General La Villa de la Ciudad de México, en donde se recolectan datos a través de la medición del índice resistivo renal, creatinina sérica, cistina C y tasa de uresis kilogramo hora, al ingreso, 24, 48 y 72 horas posteriores. Los datos obtenidos se analizaron mediante medidas de tendencia central, moda, media, mediana y asociación con la prueba p de Pearson.  Resultados:  la lesión renal aguda y la alteración del índice resistivo renal mostraron asociación y sensibilidad significativa. La asociación de Pearson entre pacientes con lesión renal aguda que mostraron alteraciones de índice resistivo renal y cistatina C fue de 0.475, comprobando sensibilidad similar entre los dos parámetros de evaluación clínica.  Conclusiones:  la cuantificación del índice resistivo renal en pacientes con diagnóstico de trauma múltiple severo es útil para la detección temprana de hipoperfusión renal y secundaria al mismo, desarrollo de lesión renal aguda, con misma sensibilidad que los reportes de marcadores como cistatina C, siendo útil en unidades con pocos recursos o nulos marcadores de lesión renal aguda temprana más específicos y sensibles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  severe multiple trauma is a pathology of epidemiological importance. One of the complications that increases baseline mortality on admission to intensive care units is the appearance of acute kidney injury. However, regarding the first and second level of hospital care, there are limited tools for its early detection, such as serum creatinine and cystatin C, limited to new determinations capable of detecting early glomerular damage.  Objective:  to know the association that exists between the alteration, characterized by an increase in the renal resistive index, with the diagnosis of acute kidney injury in patients with severe multiple trauma, supporting decision-making in the timely management of said pathology.  Material and methods:  a clinical, observational, descriptive and prospective study was carried out including patients with severe multiple trauma who were admitted to the ICU at Hospital General La Villa, CDMX, where data is collected through the measurement of the renal resistive index, serum creatinine, cystine C and the rate of uresis kilogram hour, at admission, 24, 48 and 72 hours later, analyzing the data obtained through measures of central tendency, mode, mean, median with association by p Pearson.  Results:  the association analysis using the Pearson&#8217;s p test as a test of association between acute kidney injury and alteration of the renal resistive index, showed significant association and sensitivity. Pearson&#8217;s association between patients with acute kidney injury who had alterations in IRR and Cystatin C was 0.475, showing similar sensitivity between the two clinical evaluation parameters.  Conclusions:  the quantification of the IRR in those patients with a diagnosis of severe multiple trauma is useful for the early detection of renal hypoperfusion and, secondary to it, the development of acute kidney injury, with the same sensitivity as the reports of markers such as cystatin C, being useful in units with few or no resources more specific and sensitive early acute kidney injury markers.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o politraumatismo grave é uma patologia de importância epidemiológica. Uma das complicações que aumenta a mortalidade basal na admissão em unidades de terapia intensiva é o aparecimento de lesão renal aguda. No entanto, em relação ao primeiro e segundo nível de atenção hospitalar, existem ferramentas limitadas para sua detecção precoce, como a creatinina sérica e a cistatina C, limitando-se às novas determinações capazes de detectar lesões glomerulares precoces.  Objetivo:  conhecer a associação que existe entre a alteração, caracterizada por aumento do índice de resistência renal, com o diagnóstico de lesão renal aguda em pacientes politraumatizados graves, apoiando a tomada de decisão no manejo oportuno dessa patologia.  Material e métodos:  realizou-se um estudo clínico, observacional, descritivo e prospectivo, incluindo pacientes politraumatizados graves internados na UTI do Hospital General La Villa CDMX, onde os dados são coletados por meio da medição do índice de resistência renal, creatinina sérica, cistina C e taxa de urese quilograma hora, na admissão, 24, 48 e 72 horas depois, analisando os dados obtidos por medidas de tendência central, moda, média, mediana com associação por p Pearson.  Resultados:  a análise de associação utilizando o teste p de Pearson como teste de associação entre lesão renal aguda e alteração do índice de resistência renal mostrou associação e sensibilidade significativas. A associação de Pearson entre pacientes com lesão renal aguda e alterações de IRR e cistatina C foi de 0.475, comprovando sensibilidade semelhante entre os dois parâmetros de avaliação clínica.  Conclusões:  a quantificação da IRR naqueles pacientes com diagnóstico de politraumatismo grave é útil para a detecção precoce de hipoperfusão renal e secundária a ela, o desenvolvimento de lesão renal aguda, com a mesma sensibilidade que os relatos de marcadores como a cistatina C, sendo útil em unidades com poucos ou nenhum recurso marcadores mais específicos e sensíveis de lesão renal aguda precoce.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[índice resistivo renal]]></kwd>
<kwd lng="es"><![CDATA[lesión renal aguda]]></kwd>
<kwd lng="es"><![CDATA[AKIN]]></kwd>
<kwd lng="es"><![CDATA[trauma múltiple severo]]></kwd>
<kwd lng="es"><![CDATA[ISS score]]></kwd>
<kwd lng="en"><![CDATA[renal resistive index]]></kwd>
<kwd lng="en"><![CDATA[acute kidney injury]]></kwd>
<kwd lng="en"><![CDATA[AKIN]]></kwd>
<kwd lng="en"><![CDATA[severe multiple trauma]]></kwd>
<kwd lng="en"><![CDATA[ISS score]]></kwd>
<kwd lng="pt"><![CDATA[índice de resistência renal]]></kwd>
<kwd lng="pt"><![CDATA[lesão renal aguda]]></kwd>
<kwd lng="pt"><![CDATA[AKIN]]></kwd>
<kwd lng="pt"><![CDATA[trauma múltiplo grave]]></kwd>
<kwd lng="pt"><![CDATA[ISS escore]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<volume>205</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>109-13</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
