Prognostic Scores for Acute Kidney Injury in Critically Ill Patients
Background: Numerous prognostic scores have been developed and used in intensive care; however, the applicability and effectiveness of these scores in critically ill patients with acute kidney injury may vary due to the characteristics of this population. Objective: To assess the predictive capacity...
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MDPI AG
2024-11-01
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| Series: | Nursing Reports |
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| Online Access: | https://www.mdpi.com/2039-4403/14/4/264 |
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| author | Wisble Pereira Sousa Marcia Cristina da Silva Magro Alberto Augusto Martins Paiva Ruth Silva Rodrigues Vasconcelos Abraão Alves dos Reis Wellington Luiz de Lima Tayse Tâmara da Paixão Duarte |
| author_facet | Wisble Pereira Sousa Marcia Cristina da Silva Magro Alberto Augusto Martins Paiva Ruth Silva Rodrigues Vasconcelos Abraão Alves dos Reis Wellington Luiz de Lima Tayse Tâmara da Paixão Duarte |
| author_sort | Wisble Pereira Sousa |
| collection | DOAJ |
| description | Background: Numerous prognostic scores have been developed and used in intensive care; however, the applicability and effectiveness of these scores in critically ill patients with acute kidney injury may vary due to the characteristics of this population. Objective: To assess the predictive capacity of the Simplified Acute Physiology Score III (SAPS III), Sequential Sepsis-related Organ Failure Assessment (SOFA) and Nursing Activities Score (NAS) prognostic scoring systems for acute kidney injury in critically ill patients. Methods: Cohort, prospective and quantitative study with follow-up of 141 critical patients in intensive care. A questionnaire was used to collect information about the capacity of prognostic scoring systems to predict AKI. Mann–Whitney, Kruskal–Wallis and Bonferroni-corrected Mann–Whitney tests were used and the statistical significance was considered to be at two-sided <i>p</i> < 0.05. Results: It was revealed that 41.85% of patients developed acute kidney injury during their stay in the Intensive Care Unit and indicated greater severity assessed by the medians of prognostic scoring systems—SAPS III [55 (42–65 vs. 38 (32–52), <i>p</i> < 0.001], SOFA [3.3 (2.26–5.00) vs. 0.66 (0.06–2.29), <i>p</i> < 0.001] and NAS [90 (75–95) vs. 97 (91–103), <i>p</i> < 0.001]—when compared to patients without kidney damage. Conclusions: The SAPS III, SOFA and NAS prognostic scoring systems showed good predictive capacity for acute kidney injury in critically ill patients. This study was not registered. |
| format | Article |
| id | doaj-art-bd7706eff6464157bd7776648fc47406 |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-bd7706eff6464157bd7776648fc474062024-12-27T14:44:17ZengMDPI AGNursing Reports2039-439X2039-44032024-11-011443619363010.3390/nursrep14040264Prognostic Scores for Acute Kidney Injury in Critically Ill PatientsWisble Pereira Sousa0Marcia Cristina da Silva Magro1Alberto Augusto Martins Paiva2Ruth Silva Rodrigues Vasconcelos3Abraão Alves dos Reis4Wellington Luiz de Lima5Tayse Tâmara da Paixão Duarte6Faculty of Health Sciences and Technology, University of Brasília/UnB, Brasília 72220-275, BrazilFaculty of Health Sciences and Technology, University of Brasília/UnB, Brasília 72220-275, BrazilPostgraduate Program in Nursing, University of Brasília, Brasília 70910-900, BrazilFaculty of Health Sciences and Technology, University of Brasília/UnB, Brasília 72220-275, BrazilFaculty of Health Sciences and Technology, University of Brasília/UnB, Brasília 72220-275, BrazilHealth Department of the Federal District, Brasília 72215-270, BrazilFaculty of Health Sciences and Technology, University of Brasília/UnB, Brasília 72220-275, BrazilBackground: Numerous prognostic scores have been developed and used in intensive care; however, the applicability and effectiveness of these scores in critically ill patients with acute kidney injury may vary due to the characteristics of this population. Objective: To assess the predictive capacity of the Simplified Acute Physiology Score III (SAPS III), Sequential Sepsis-related Organ Failure Assessment (SOFA) and Nursing Activities Score (NAS) prognostic scoring systems for acute kidney injury in critically ill patients. Methods: Cohort, prospective and quantitative study with follow-up of 141 critical patients in intensive care. A questionnaire was used to collect information about the capacity of prognostic scoring systems to predict AKI. Mann–Whitney, Kruskal–Wallis and Bonferroni-corrected Mann–Whitney tests were used and the statistical significance was considered to be at two-sided <i>p</i> < 0.05. Results: It was revealed that 41.85% of patients developed acute kidney injury during their stay in the Intensive Care Unit and indicated greater severity assessed by the medians of prognostic scoring systems—SAPS III [55 (42–65 vs. 38 (32–52), <i>p</i> < 0.001], SOFA [3.3 (2.26–5.00) vs. 0.66 (0.06–2.29), <i>p</i> < 0.001] and NAS [90 (75–95) vs. 97 (91–103), <i>p</i> < 0.001]—when compared to patients without kidney damage. Conclusions: The SAPS III, SOFA and NAS prognostic scoring systems showed good predictive capacity for acute kidney injury in critically ill patients. This study was not registered.https://www.mdpi.com/2039-4403/14/4/264critical carenursingorgan dysfunction scoresacute kidney injuryintensive care unitspredictive value |
| spellingShingle | Wisble Pereira Sousa Marcia Cristina da Silva Magro Alberto Augusto Martins Paiva Ruth Silva Rodrigues Vasconcelos Abraão Alves dos Reis Wellington Luiz de Lima Tayse Tâmara da Paixão Duarte Prognostic Scores for Acute Kidney Injury in Critically Ill Patients Nursing Reports critical care nursing organ dysfunction scores acute kidney injury intensive care units predictive value |
| title | Prognostic Scores for Acute Kidney Injury in Critically Ill Patients |
| title_full | Prognostic Scores for Acute Kidney Injury in Critically Ill Patients |
| title_fullStr | Prognostic Scores for Acute Kidney Injury in Critically Ill Patients |
| title_full_unstemmed | Prognostic Scores for Acute Kidney Injury in Critically Ill Patients |
| title_short | Prognostic Scores for Acute Kidney Injury in Critically Ill Patients |
| title_sort | prognostic scores for acute kidney injury in critically ill patients |
| topic | critical care nursing organ dysfunction scores acute kidney injury intensive care units predictive value |
| url | https://www.mdpi.com/2039-4403/14/4/264 |
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