Analysis Of Epidemiological Survey And Prognosis In Critically Ill Patients With Acute Kidney Injury

Objective:This study Investigates the clinical material of patients with acute kidney injury(AKI) in ICU in our hospital. Composing of the cause of AKI patients and risk factorswhich may affect prognostic by reviewing and analyzing those Etiology, clinicalfeatures, complications of the situation, and prognostic factors are discussed, in orderto provide help to early detection, early prevention and improving the prognosis ofAKI patients.Method:Patients who are received and cured in ICU of The Second Hospital of JilinUniversity from November1,2010to December31,2012are collected.200patientswith AKI who meet the criterion are finally selected after strict screening. Analysis ofrelated risk epidemiological characteristics and mortality rate of AKI factors incritically ill patients.Result:(1)65years of age or older increased the risk of mortality in AKI patients withnosocomial.(2) The etiology of critically ill patients of AKI with prerenal, renal factors,including prerenal factors caused AKI to insufficient effective blood volume is themain reason, renal factors to infection was the main cause of AKI. The prognosis ofAKI patients with poor renal.(3) Given blood purification treatment can improve the prognosis of the patients. (4) Single factor analysis of AKI in patients with various clinical factors, resultsshow:death group and survival group had significant difference in the combined CPR,hypoproteinemia, cardiac electrophysiological abnormalities, peritonitis (P<0.05) interms of. Multiple logistic regression analysis showed CPR, hypoproteinemia wereindependent risk factors of AKI patients with hospital mortality (P<0.05).Conclusion:1、65years of age or older increased the risk of mortality in AKI patients withnosocomial.2、Critically ill patients with AKI etiology for renal factors, followed by pre-renal.The prognosis of AKI patients with poor renal.3、Given blood purification treatment can improve the prognosis of the patients.4、 In patients with AKI, patients with CPR, hypoproteinemia, cardiacelectrophysiological abnormalities, peritonitis and its mortality rate is high. CPR,hypoproteinemia were independent risk factors of prognosis in patients with severeacute kidney injury effect.