Acute kidney injury in hospitalized patients who underwent percutaneous kidney biopsy for histological diagnosis of their renal disease

Autor(es)

Konigsfeld, Henrique Pinheiro ^[1] ; Viana, Tatiana Garcia ^[1] ; Pereira, Suzy Cristine ^[1] ; Claizoni Dos Santos, Thais Oliveira ^[1] ; Kirsztajn, Gianna Mastroianni ^[1] ; Tavares, Agostinho ^[1] ; Durao Junior, Marcelino de Souza ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo, Nephrol Div, Sao Paulo, SP - Brazil

^[2] Hosp Israelita Albert Einstein, Kidney Transplant Unit, Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BMC Nephrology; v. 20, n. 1 AUG 13 2019.
• Citações Web of Science: 0

Resumo

Background Performing a kidney biopsy is necessary to accurately diagnose diseases such as glomerulonephritis and tubulointerstitial nephritis, among other such conditions. These conditions predispose patients to chronic kidney disease, as well as acute kidney injury (AKI). Notably, most epidemiological studies describing AKI have not investigated this patient population. Methods Included patients admitted to the nephrology ward of a tertiary hospital who underwent percutaneous kidney biopsy. AKI was diagnosed based on the Kidney Disease: Improving Global Outcomes criteria. Results Of the 223 patients investigated, 140 (62.8%) showed AKI. Of these, 91 (65%), 19 (13.6%), and 30 (21.4%) presented with AKI classified as stages 1, 2, and 3, respectively. The primary indication for performing biopsy was nephrotic syndrome or nephrotic proteinuria (73 {[}52.1%] in the AKI vs. 51 {[}61.4%] in the non-AKI group, p = 0.048). Focal segmental glomerulosclerosis was the most prevalent primary disease (24 {[}17.1%] in the AKI vs. 15 {[}18.0%] in the non-AKI group, p = 0.150). Multivariate analysis of risk factors associated with AKI showed hemoglobin levels (odds ratio {[}OR] 0.805, 95% confidence interval {[}CI] 0.681-0.951, p = 0.011), serum high-density lipoprotein cholesterol levels (HDL-c, OR 0.970, 95% CI 0.949-0.992, p = 0.008), and baseline serum creatinine levels (OR 2.703, 95% CI 1.471-4.968, p = 0.001) were significantly associated with AKI. Conclusions We observed a high prevalence of AKI in hospitalized patients who underwent kidney biopsy to investigate their renal disease, particularly glomerulonephritis. Higher levels of hemoglobin and serum HDL-c were associated with a lower risk of AKI. (AU)

• Processo FAPESP: 14/20605-7 - Análise histológica, ultrassonográfica e laboratorial dos indivíduos internados e submetidos à realização de biópsia de rim primitivo
• Beneficiário: Marcelino de Souza Durão Junior
• Modalidade de apoio: Auxílio à Pesquisa - Regular