44. INVESTIGATION OF ACUTE KIDNEY INJURY IN SEPSIS PATIENTS AT THE DEPARTMENT OF INFECTIOUS DISEASES IN THE MILITARY HOSPITAL 103 IN 2022
Main Article Content
Abstract
Objectives: Determine the incidence, stage and risk factors of acute kidney injury (AKI) in sepsis patients in the Military Hospital 103 in 2022.
Subjects and research methods: A cross-sectional descriptive study on 86 sepsis patients hospitalized at the Department of Infectious Diseases in the Military Hospital 103 from 11/2021 to 12/2022.
Results: The rate of AKI in sepsis patients accounted for 41.9%; the majority of stage I was 55.6%; stage III accounted for the lowest rate of 13.8%. Factors with prognostic significance to the risk of acute kidney injury in sepsis patients: SOFA score ≥ 5 points (OR = 4.83; CI95% 1.91 - 12.18, p < 0.01); Vasopressors used for hypotension (OR = 3.31; CI95% 1.32 – 8.29, p < 0.01); Procalcitonin ≥ 10 ng/ml (OR = 3.18; CI95% 1.28 -7.90, p < 0.05); Arterial blood lactate ≥ 5 mmol/l (OR = 2.76; CI95% 1.02 -7.51, p < 0.05).
Conclusion: Acute kidney injury was a common complication in patients with sepsis. High SOFA score, use of vasoactive drugs, increased procalcitonin and high blood lactate were risk factors predicting AKI in patients with sepsis.
Article Details
Keywords
Acute kidney injury (AKI), sepsis, the incidence, risk factors.
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