VExUS protocol as a predictor of acute kidney injury in a patient in septic shock, Hospital Clínico Viedma, Cochabamba, Bolivia
DOI:
https://doi.org/10.52428/20756208.v17i43.268Keywords:
Sepsis, septic shock, acute kidney injury, congestionAbstract
Determining which method is the most appropriate to assess venous congestion continues to be an unresolved enigma; This increases venous pressure and counterpressure, leading to decreased renal blood flow, alteration of intrarenal and hepatic venous flow. Which has been associated with acute kidney injury (AKI) in patients with septic shock.
Observational, analytical, prospective and longitudinal study, which included patients with a diagnosis of septic shock, ultrasound measurements were made, using the VExUS protocol, where the inferior vena cava and the hepatic vein Doppler were measured. , portal and renal, during the first 48 hours of admission. KDIGO (Kidney Disease: Improving Global Outcomes) parameters were applied for the diagnosis of AKI.
Thirty-six patients were recruited for the study. The mean age was 48 ± 12, with 58% male. The association analysis and VExUS score with the degree of AKI, in the three days of assessment with the Pearson index was (0.636; 0.551; 0.779 with P= <0.05), supporting the VExUS protocol as a predictor of AKI, with risk relative of RR=3.87 (95% CI, 0.664-22.575) on the third day. Signs of fluid overload did not correlate with AKI.
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