Repository logo
 
Publication

Lesão Renal Aguda Após Implantação Percutânea de Válvula Aórtica: Incidência, Fatores de Risco e Impacto na Mortalidade

2020-10-01Journal article Open access
Simple item page
dc.contributor.authorMartins, A
dc.contributor.authorCastro, L
dc.contributor.authorFragata, I
dc.date.accessioned2021-07-14T14:01:52Z
dc.date.available2021-07-14T14:01:52Z
dc.date.issued2020-10-01
dc.description.abstractIntroduction: Acute kidney injury is a frequent complication after transcatheter aortic valve implantation with great impact on morbidity and mortality. It is important to identify modifiable risk factors in order to develop preventive strategies. The aim of the study is to determine acute kidney injury incidence, risk factors and impact in patients that underwent transcatheter aortic valve implantation. Material and methods: Retrospective study in 149 consecutive patients that underwent transcatheter aortic valve implantation at Santa Marta Hospital. The data was collected from the periprocedural records and stratified by the occurrence of acute kidney injury according to the AKIN classification. Results: A total of 149 patients, 43.0% male with median age 82.00 [77.50 - 85.00] years were included in the study. Incidence of acute kidney injury was 14.8% (n = 22). Female patients (OR 0.138, CI 95%; 0.022 - 0.854; p = 0.033) had a higher risk of that complication. Patients with acute kidney injury had longer hospitalizations (OR 1.043, CI 95%; 1.001 - 1.085; p = 0.043); acute kidney injury was associated with increased 30 day mortality (OR 13.889, 95% CI; 2.371 - 81.363; p = 0.004). Discussion: Acute kidney injury is associated with preprocedural variables and is a determinant of morbimortality. However, the retrospective character and the reduced sample size didn't allow the determination of the precise weight of each factor. Conclusion: Acute kidney injury is a complication after transcatheter aortic valve implantation which played a significant role in morbimortality justifying its prevention.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2020 Oct 1;33(10):664-674.pt_PT
dc.identifier.doi10.20344/amp.11308pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3764
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.subjectHSM ANSpt_PT
dc.subjectAcute Kidney Injury / epidemiologypt_PT
dc.subjectAcute Kidney Injury / etiology*pt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectAortic Valve / surgery*
dc.subjectAortic Valve Stenosis / surgery*
dc.subjectFemale
dc.subjectMale
dc.subjectHumans
dc.subjectIncidence
dc.subjectPortugal / epidemiology
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.subjectTranscatheter Aortic Valve Replacement / adverse effects*
dc.subjectTreatment Outcome
dc.titleLesão Renal Aguda Após Implantação Percutânea de Válvula Aórtica: Incidência, Fatores de Risco e Impacto na Mortalidadept_PT
dc.title.alternativeAcute Kidney Injury After Transcatheter Aortic Valve Implantation: Incidence, Risk Factors and Impact on Mortalitypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage674pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage664pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume33pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AMP 2020.pdf
Size:
577.82 KB
Format:
Adobe Portable Document Format
Download

Collections

ANS - Artigos