Factors associated with acute kidney injury in the Helsinki Burn Centre in 2006-2015

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http://hdl.handle.net/10138/287690

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Rakkolainen , I , Lindbohm , J V & Vuola , J 2018 , ' Factors associated with acute kidney injury in the Helsinki Burn Centre in 2006-2015 ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 26 , 105 . https://doi.org/10.1186/s13049-018-0573-3

Titel: Factors associated with acute kidney injury in the Helsinki Burn Centre in 2006-2015
Författare: Rakkolainen, I.; Lindbohm, J. V.; Vuola, J.
Upphovmannens organisation: Department of Public Health
Clinicum
University of Helsinki
Plastiikkakirurgian yksikkö
HUS Musculoskeletal and Plastic Surgery
HUS Neurocenter
Datum: 2018-12-13
Språk: eng
Sidantal: 10
Tillhör serie: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
ISSN: 1757-7241
DOI: https://doi.org/10.1186/s13049-018-0573-3
Permanenta länken (URI): http://hdl.handle.net/10138/287690
Abstrakt: BackgroundAcute kidney injury (AKI) is a common complication in severe burns and can lead to significantly poorer outcomes. Although the prognosis has improved in recent decades, the mortality of AKI remains considerable. We investigated the factors that increase the risk of AKI and death after severe burn injury.MethodsIntensive care patients with 20% burned total body surface area (TBSA%) between January 2006 and December 2015 treated in Helsinki Burn Centre were enrolled retrospectively. Patients who arrived >36h after burn injury or died 80. Multivariate logistic regression model detected age, TBSA%, sepsis, and rhabdomyolysis as independent risk factors for AKI. Age (per 10yrs. OR 1.99), TBSA% (per 10% OR 1.64), and AKI predicted mortality during hospital stay; AKI had an odds ratio of (OR) of 5.97 (95% confidence interval [CI] 2.2-16.2).ConclusionsAge, TBSA%, and AKI were the strongest independent factors in predicting outcome in severe burns. Even a major burn (>50% TBSA) has a relatively good prognosis without simultaneous AKI. Prognosis is poorer even in minor burns for patients with AKI.
Subject: Burn injury
Acute kidney injury
Renal replacement therapy
ACUTE-RENAL-FAILURE
REVISED BAUX SCORE
RETROSPECTIVE-COHORT
MORTALITY
CARE
RHABDOMYOLYSIS
PREDICTION
EPIDEMIOLOGY
MORBIDITY
RISK
3126 Surgery, anesthesiology, intensive care, radiology
Referentgranskad: Ja
Licens: cc_by
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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