Prognostic Scores for Acute Kidney Injury in Critically Ill Patients

• Published in: Nursing reports (Pavia, Italy) Italy), 2024-11, Vol.14 (4), p.3619-3630
• Main Authors: Sousa, Wisble Pereira, Magro, Marcia Cristina da Silva, Paiva, Alberto Augusto Martins, Vasconcelos, Ruth Silva Rodrigues, Dos Reis, Abraão Alves, Lima, Wellington Luiz de, Duarte, Tayse Tâmara da Paixão
• Format: Article
• Language: English
• Subjects: acute kidney injury; Creatinine; critical care; Data collection; Electrolytes; Epidemiology; Hemoglobin; Hospitalization; Hospitals; Intensive care; intensive care units; Kidney diseases; Kidney transplants; Laboratories; Medical research; Medicine, Experimental; Metabolism; Mortality; Normal distribution; Nursing; organ dysfunction scores; Patients; Physiological aspects; Physiology; predictive value; Renal replacement therapy; Sepsis; Womens health; Workloads
• ISSN: 2039-4403; 2039-439X; 2039-4403
• DOI: 10.3390/nursrep14040264

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. 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. 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 < 0.05. 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), < 0.001], SOFA [3.3 (2.26-5.00) vs. 0.66 (0.06-2.29), < 0.001] and NAS [90 (75-95) vs. 97 (91-103), < 0.001]-when compared to patients without kidney damage. 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.