<?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>S2448-89092024000600503</article-id>
<article-id pub-id-type="doi">10.35366/119240</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Angina renal modificado como predictor de lesión renal aguda en pacientes críticamente enfermos en la Unidad de Terapia Intensiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Modified renal angina as a predictor of acute kidney injury in critically ill patients in the Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Angina renal modificada como preditor de lesão renal aguda em pacientes em estado crítico na Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha Botello]]></surname>
<given-names><![CDATA[Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Queb Pech]]></surname>
<given-names><![CDATA[Nadia Melisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaytán García]]></surname>
<given-names><![CDATA[Cristhian Josué]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre Sánchez]]></surname>
<given-names><![CDATA[Janet Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Díaz]]></surname>
<given-names><![CDATA[Braulia Aurelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>6</numero>
<fpage>503</fpage>
<lpage>509</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000600503&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000600503&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000600503&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La lesión renal aguda (LRA) se define por una pérdida repentina de la función renal excretora, su manejo en entornos de cuidados críticos es un desafío, teniendo un mal pronóstico. El índice de angina renal (IAR) es una herramienta que incorpora parámetros clínicos dentro del primer día de ingreso, agrupados en dos categorías: riesgo y lesión. Ha sido validada en la población pediátrica para ayudar a la estratificación del riesgo de LRA a los tres días después del ingreso a Unidad de Cuidados Intensivos. En un subanálisis de estudios clínicos se realizaron modificaciones en la categoría de riesgo para su aplicabilidad.  Objetivos:  Determinar el índice de angina renal modificado (IARm) como factor predictor de LRA en el paciente críticamente enfermo ingresado a la Unidad de Cuidados Intensivos (UCI).  Material y métodos:  Estudio cohorte, retrospectivo y unicéntrico. Se realizó en pacientes que ingresaron a terapia intensiva sin LRA, se tomó creatinina basal y 24 horas posteriores. Se calculó el IARm, el análisis estadístico incluyó porcentajes, promedios, prueba de &#967;2, riesgo relativo, intervalo de confianza para riesgo relativo, cálculo de sensibilidad, especificidad y área bajo la curva (AUC).  Resultados:  El IARm mostró un buen desempeño con la aparición de LRA con AUC de 0.88 (IC95%: 0.80 a 0.95)., la prevalencia de LRA fue de 75.5% en el grupo con IARm &gt; 7 y de 15.4% en el grupo con IARm &lt; 7 (p = 0.001). Por cada 4.90 pacientes con índice de angina renal mayor a 7 que presentan LRA, hay un paciente con índice de angina renal menor a 7 que también presenta LRA.  Conclusiones:  En nuestro estudio, encontramos que el IARm &gt; 7, como se reporta en la literatura, es un predictor de LRA, es un índice útil, sencillo, aplicable y económico, que permite anticipar desenlaces fatales y complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Acute kidney injury (AKI) is defined by a sudden loss of excretory renal function, its management in critical care settings is challenging, with a poor prognosis. The renal angina index (RAI) is a tool that incorporates clinical parameters within the first day of admission, grouped into two categories: risk and injury. It has been validated in the pediatric population to help stratify the risk of AKI at three days after admission to the intensive care unit. In a subanalysis of clinical studies, modifications were made to the risk category for its applicability.  Objectives:  To determine the modified renal angina index (mRAI) as a predictor of AKI in critically ill patients admitted to the Intensive Care Unit (ICU).  Material and methods:  A retrospective, single-center cohort study. It was carried out in patients who were admitted to intensive care without AKI, baseline creatinine and 24 hours later were taken. The mRAI was calculated, and statistical analysis included percentages, means, chi-square test, relative risk, confidence interval for relative risk, calculation of sensitivity, specificity, and area under the curve.  Results:  The mRAI showed good performance with the occurrence of AKI with AUC of 0.88 (95%CI: 0.80 to 0.95). In the group with mRAI greater than 7, the prevalence of acute kidney injury was 75.5%, and in the group with mRAI less than 7, the prevalence of acute kidney injury was 15.4% (p = 0.001). For every 4.90 patients with a renal angina index greater than 7 who present acute kidney injury, there is one patient with a renal angina index less than 7 who also presents AKI.  Conclusions:  In our study, we found that an mRAI greater than 7, as reported in the literature, is a predictor of AKI, being a useful, simple, applicable and economical index, allowing to anticipate fatal outcomes and complications.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A lesão renal aguda (LRA) é definida por uma perda súbita da função renal excretora e seu manejo em ambientes de cuidados intensivos é desafiador, tendo um prognóstico ruim. O índice de angina renal (IAR) é uma ferramenta que incorpora parâmetros clínicos no primeiro dia de internação, agrupados em duas categorias: risco e lesão. Foi validado na população pediátrica para ajudar a estratificar o risco de LRA aos 3 dias após a admissão na unidade de terapia intensiva. Em uma subanálise de estudos clínicos, foram feitas modificações na categoria de risco para sua aplicabilidade.  Objetivos:  Determinar o índice de angina renal modificado (IARm) como preditor de LRA em pacientes em estado crítico internados em unidade de terapia intensiva (UTI).  Material e métodos:  Estudo de coorte, retrospectivo e unicêntrico. Foi realizado em pacientes internados em terapia intensiva sem LRA; a creatinina basal foi medida no início e 24 horas depois. Foi calculado o IARm, a análise estatística incluiu porcentagens, médias, teste &#967;2, risco relativo, intervalo de confiança para risco relativo, cálculo de sensibilidade, especificidade e área sob a curva.  Resultados:  O IARm apresentou bom desempenho com ocorrência de LRA com AUC de 0.88 (IC 95%: 0.80 a 0.95). No grupo com IARm maior que 7, a prevalência de lesão renal aguda foi de 75.5%, e no grupo com IARm menor que 7, a prevalência de lesão renal aguda foi de 15.4% (p= 0.001). Para cada 4.90 pacientes com índice de angina renal maior que 7 que apresentam lesão renal aguda, há 1 paciente com índice de angina renal menor que 7 que também apresenta LRA.  Conclusões:  No nosso estudo, verificamos que o IARm superior a 7, conforme relatado na literatura, é um preditor de LRA, sendo um índice útil, simples, aplicável e económico, permitindo-nos antecipar resultados fatais e complicações.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lesión renal aguda]]></kwd>
<kwd lng="es"><![CDATA[índice de angina renal modificada]]></kwd>
<kwd lng="es"><![CDATA[creatinina]]></kwd>
<kwd lng="en"><![CDATA[acute kidney injury]]></kwd>
<kwd lng="en"><![CDATA[modified renal angina index]]></kwd>
<kwd lng="en"><![CDATA[creatinine]]></kwd>
<kwd lng="pt"><![CDATA[lesão renal aguda]]></kwd>
<kwd lng="pt"><![CDATA[índice de angina renal modificado]]></kwd>
<kwd lng="pt"><![CDATA[creatinina]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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