Epidemiology, patterns of care and prognosis of acute kidney injury in critically ill patients: A multicenter study in Argentina (The EPIRA study)

J Crit CarePublished Prospective cohort study

Authors' conclusion

ICU-acquired AKI has high incidence, complications and mortality. Risk factors for AKI and RRT utilization were similar to those described in other epidemiological studies. AKIadm was more frequent than AKIhosp, but had equal prognosis.

Study context

Population
Critically ill patients in 35 intensive care unit (ICUs) in Argentina, 6 months in 2018
Participants
1,466 patients · 35 ICUs
Exposure
Acute kidney injury (AKI) vs non-AKI; AKI on admission vs AKI developed during hospitalization
  • AKIn = 900
Outcome
Epidemiology (incidence), prognosis and treatment of AKI
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

AKI incidence

Observational data: associations, not effects.

Further findings

OutcomeAKInon-AKIAKIadmAKIhospP value
Hospital mortality, AKI vs non-AKI38.7%23.3%— not stated in the abstract— not stated in the abstractP < 0.001
Hospital mortality, AKIadm vs AKIhosp— not stated in the abstract— not stated in the abstract41.2%37.8%P = 0.53

— not stated in the abstract

Renal replacement therapies (RRT) requirement in AKI patients
14.8%

Original publication

Epidemiology, patterns of care and prognosis of acute kidney injury in critically ill patients: A multicenter study in Argentina (The EPIRA study). J Crit Care. Published 27 July 2023. doi:10.1016/j.jcrc.2023.154382

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