Frecuencia de aparición de lesión renal aguda mediante Escala de Prifle en pacientes pediátricos de 1 mes a 18 años ingresados en el área de cuidados intensivos pediátricos del Hospital Roberto Gilbert Elizalde. Julio 2016 - junio 2017.

Abstract

Background: Acute kidney injury (AKI) is a clinical syndrome characterized by a sudden loss of renal function. There has been an increase in the incidence of AKI in intensive care units (ICU), with a prevalence ranging from 1% - 44%. In 2007, the pediatric version was made for DRA (pRIFLE) for classification and staging. Objectives: To know the incidence of acute kidney injury using the pRIFLE scale in patients hospitalized in the PICU of the HRGE Materials and Methods:A series of cases was obtained through surveillance during a period of twelve months (July 1, 2016 to June 30, 2017) in patients older than 30 days and under 18 years of age who entered the Intensive Therapy Unit. Pediatric in the HRGE. Patients with a previous diagnosis of chronic renal failure were excluded. The new pRIFLE scale was used for its classification. Results:190 patients with AKI were detected, with a higherincidence in the age group of children under one year with 42.6%. The incidence of ARD according to pRIFLE was 25.29% of the admissions in PICU. ThepRIFLE scale at admission was: Risk: 110 patients (14.6%), Injury: 55 (7.3%), Failure: 25 (3.3%). The main etiology was pneumonia 68 patients (35.8%), followed by septic shock 26 (13.7%) and postoperative management 23 (12.1%).In patients with pneumonia, 24.7% were at the risk level. A greater incidence of ARD was evidenced in the patients who required mechanical ventilation (87.4%). Conclusions:We recommend the pRIFLE scale for the early diagnosis of ARD in all PICUs. Education in the pRIFLE scale is recommended to develop early interventions to prevent and treat AKI in critically ill children.