ArticleRevista Brasileira de terapia intensiva2018
Acute kidney injury and intra-abdominal hypertension in burn patients in intensive care.
Article in Revista Brasileira de terapia intensiva, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Intra-abdominal hypertension and increased acute kidney injury risk: a systematic review and meta-analysis.The Journal of international medical research · 2021Pooled it
- Acute kidney injury in burn patients admitted to the intensive care unit: a systematic review and meta-analysis.Critical care (London, England) · 2020Pooled it
- Survival and Associated Risk Factors in Mechanically Ventilated Burn Patients: A Cross-Sectional Study.Bulletin of emergency and trauma · 2025Article
- Analysis of Incidence, Risk Factors and Outcomes Associated With Abdominal Hypertension in Major Burn Patients.Annals of burns and fire disasters · 2023Article
- Acute kidney injury in burns in the intensive care unit: A retrospective research.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review.Life (Basel, Switzerland) · 2022Review
- Development of Early Abdominal Compartment Syndrome Leading to Emergent Decompressive Laparotomy in Full-Thickness Burn Injury.Journal of medical cases · 2022Article
- Elevated intra-abdominal pressure: A review of current knowledge.World journal of clinical cases · 2022Review
- Obese trauma patients have increased need for dialysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Reply to: Acute kidney injury and intra-abdominal hypertension in burn patients in intensive care.Revista Brasileira de terapia intensiva · 2019Article
- To: Acute kidney injury and intra-abdominal hypertension in burn patients in intensive care.Revista Brasileira de terapia intensiva · 2019Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the frequency of intra-abdominal hypertension in major burn patients and its association with the occurrence of acute kidney injury.
methodsThis was a prospective cohort study of a population of burn patients hospitalized in a specialized intensive care unit. A convenience sample was taken of adult patients hospitalized in the period from 1 August 2015 to 31 October 2016. Clinical and burn data were collected, and serial intra-abdominal pressure measurements taken. The significance level used was 5%.
resultsA total of 46 patients were analyzed. Of these, 38 patients developed intra-abdominal hypertension (82.6%). The median increase in intra-abdominal pressure was 15.0mmHg (interquartile range: 12.0 to 19.0). Thirty-two patients (69.9%) developed acute kidney injury. The median time to development of acute kidney injury was 3 days (interquartile range: 1 - 7). The individual analysis of risk factors for acute kidney injury indicated an association with intra-abdominal hypertension (p = 0.041), use of glycopeptides (p = 0.001), use of vasopressors (p = 0.001) and use of mechanical ventilation (p = 0.006). Acute kidney injury was demonstrated to have an association with increased 30-day mortality (log-rank, p = 0.009).
conclusionIntra-abdominal hypertension occurred in most patients, predominantly in grades I and II. The identified risk factors for the occurrence of acute kidney injury were intra-abdominal hypertension and use of glycopeptides, vasopressors and mechanical ventilation. Acute kidney injury was associated with increased 30-day mortality.
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