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Outpatient kidney recovery after acute kidney injury requiring dialysis: a systematic review protocol

机译:急性肾损伤后需要透析的门诊肾脏恢复:系统评价方案

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摘要

BackgroundAcute kidney injury requiring dialysis (AKI-D) during hospitalization is associated with both in-hospital and post-discharge mortality. Its incidence has risen over time in Canada and the USA. While the majority of AKI-D will recover to dialysis independence at the time of hospital discharge, 10–30% will transition to outpatient dialysis. The risk factors that determine dialysis independence after AKI-D and its optimal outpatient management remain unclear. Eliciting prognostic predictors of kidney recovery in patients who remain on dialysis after hospital discharge will guide subsequent clinical decision making. The objective of this study is to assess the association between patient- and treatment-related factors with short- and long-term outcomes in patients who remained dialysis-dependent after hospitalization with AKI-D.
机译:背景住院期间需要透析(AKI-D)的急性肾脏损伤与院内死亡率和出院后死亡率均相关。在加拿大和美国,其发病率随着时间的推移而上升。虽然大多数AKI-D在出院时可以恢复到透析独立性,但是10%到30%的患者可以过渡到门诊透析。决定AKI-D术后透析独立性的风险因素及其最佳门诊管理措施仍不清楚。出院后仍处于透析状态的患者中,肾脏恢复的预后预测指标将指导后续的临床决策。这项研究的目的是评估住院AKI-D后仍依赖透析的患者中与患者和治疗相关的因素与短期和长期结局之间的关联。

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