Acute Renal Injury and Critical Care: Advances in Early Detection.

Abstract

Introduction: Acute renal injury, defined as a sharp deterioration of glomerular filtration, in hours or days, which is manifested by an increase in the blood of nitrogenates such as urea and creatinine, is a frequent complication in intensive care unit, Its early prediction is urgent and is a major diagnostic challenge. Objectives: Review literature on acute kidney injury and critical care: advances in early detection. Materials and Methods: A descriptive study was carried out, 42 articles from the last 5 years were selected, clinical cases, review studies, meta-analysis, systematic literature review, guidelines, observational studies, Descriptive, retrospective and expert opinions on: acute renal injury and critical care: advances in early detection. Results: Acute renal injury in critical care is associated with poor short- and long-term outcomes, so early detection is paramount, although 10% to 30% of LRA survivors may still need dialysis after hospital discharge. Conclusions: Early prediction of acute renal injury with biomarkers, renal ultrasound studies and development of nomogram models, represent an alternative for patients at high risk of developing acute renal injury and who can be diagnosed early