0248/2024 - FATORES ASSOCIADOS À INJÚRIA RENAL AGUDA EM PESSOAS IDOSAS HOSPITALIZADAS: REVISÃO INTEGRATIVA FACTORS ASSOCIATED WITH ACUTE KIDNEY INJURY IN HOSPITALIZED ELDERLY: INTEGRATIVE REVIEW
Objetivo: Identificar os fatores associados à injúria renal aguda em pessoas idosas hospitalizadas. Método: Realizou-se uma revisão integrativa nas bases PubMed, LILACS, Web of Science, Embase e Scopus, sem restrição temporal ou de idioma, utilizando a chave de busca \"Aged\" OR \"Aged, 80 and over\" AND \"Acute Kidney Injury\" AND \"Hospitalization\". Resultados: Foram selecionados 20 artigos para compor a amostra final, após a aplicação dos critérios de elegibilidade. Predominaram estudos de coorte (n=18) e caso-controle (n=2), de nível de evidência IV. Os fatores associados à injúria renal aguda em pessoas idosas hospitalizadas incluíram sexo masculino, faixa etária entre 70 e 80 anos, hipertensão arterial sistêmica, doença cardiovascular/insuficiência cardíaca, perda sanguínea estimada/sangramento maior, hemotransfusão peri-procedimento, taxa de filtração glomerular estimada < 70 e baixa albumina sérica peri-operatória. Conclusão: A injúria renal aguda em pessoas idosas hospitalizadas é uma síndrome multifatorial associada a fatores sociodemográficos, clínicos, cirúrgicos e laboratoriais, exigindo estratégias personalizadas e preventivas para mitigar os riscos associados à sua ocorrência. Isso é essencial para promover uma abordagem holística e eficaz no cuidado desses indivíduos vulneráveis.
Palavras-chave:
Injúria renal aguda; Fatores de risco; Idoso; Hospitalização; Revisão
Abstract:
Objective: To identify factors associated with acute kidney injury in hospitalized elderly people. Method: An integrative review was carried out in the PubMed, LILACS, Web of Science, Embase and Scopus databases, without temporal or language restrictions, using the search key “Aged” OR “Aged, 80 and over” AND “Acute Kidney Injury” AND “Hospitalization”. Results: 20 articles were ed to compose the final sample, after applying the eligibility criteria. Cohort (n=18) and case-control (n=2) studies with level of evidence IV predominated. Factors associated with acute kidney injury in hospitalized elderly people included male gender, age group between 70 and 80 years, systemic arterial hypertension, cardiovascular disease/heart failure, estimated blood loss/major bleeding, peri-procedural blood transfusion, estimated glomerular filtration rate < 70 and low perioperative serum albumin. Conclusion: acute kidney injury in hospitalized elderly people is a multifactorial syndrome associated with sociodemographic, clinical, surgical and laboratory factors, requiring personalized and preventive strategies to mitigate the risks associated with its occurrence. This is essential to promote a holistic and effective approach to caring of these vulnerable individuals.
FACTORS ASSOCIATED WITH ACUTE KIDNEY INJURY IN HOSPITALIZED ELDERLY: INTEGRATIVE REVIEW
Resumo (abstract):
Objective: To identify factors associated with acute kidney injury in hospitalized elderly people. Method: An integrative review was carried out in the PubMed, LILACS, Web of Science, Embase and Scopus databases, without temporal or language restrictions, using the search key “Aged” OR “Aged, 80 and over” AND “Acute Kidney Injury” AND “Hospitalization”. Results: 20 articles were ed to compose the final sample, after applying the eligibility criteria. Cohort (n=18) and case-control (n=2) studies with level of evidence IV predominated. Factors associated with acute kidney injury in hospitalized elderly people included male gender, age group between 70 and 80 years, systemic arterial hypertension, cardiovascular disease/heart failure, estimated blood loss/major bleeding, peri-procedural blood transfusion, estimated glomerular filtration rate < 70 and low perioperative serum albumin. Conclusion: acute kidney injury in hospitalized elderly people is a multifactorial syndrome associated with sociodemographic, clinical, surgical and laboratory factors, requiring personalized and preventive strategies to mitigate the risks associated with its occurrence. This is essential to promote a holistic and effective approach to caring of these vulnerable individuals.
Maciel, C. G., Vasconcelos, E.M.R., Cavalcanti, B. R. V. S., Lins, E. N. P., Borba, A.K.O.T. FATORES ASSOCIADOS À INJÚRIA RENAL AGUDA EM PESSOAS IDOSAS HOSPITALIZADAS: REVISÃO INTEGRATIVA. Cien Saude Colet [periódico na internet] (2024/jun). [Citado em 05/12/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-injuria-renal-aguda-em-pessoas-idosas-hospitalizadas-revisao-integrativa/19296
