Risk factors and prognosis analysis of acute kidney injury in traumatic brain injury patients
XV Lian-sheng
LI Wen-hui
Abstract：Objective To observe acute kidney injury ( AKI ) and its relationship with prognosis in moderate and severe traumatic brain injury ( TBI) patients and find out the risk factors of acute renal dysfunction in patients with TBI .Methods From January 2013 to December 2014 , a total of 31 TBI patients with brain injury , Glasgow Coma Scale ( GCS ) score <13 and age over 16 were treated.General information and renal function classified by the RIFLE standard were collected and the data were retrospectively analyzed.Results The incidence rate of AKI was 9.2% (19/207).The hospital mortality of AKI patients was 42.1%while the mortality of non -AKI patient was 18.1%.By multivariate analysis we found that the incidence rate of AKI were collected with age (P<0.001) about APACHEⅢ, and higher APACHEⅢ score companied with higher AKI incidence ( P =0.016 ). Conclusion AKI is more common in TBI patients , and renal function damage is often the initial factor of multiple organ failure and mortality in patients with TBI .TBI patients complicated with AKI show a higher mortality, so it is necessary for treatment of traumatic brain injury to maintain the normal function of the kidney .
Keywords：Brain injuryRenal functionRisk factors
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 623-627 )