Insuficiencia renal aguda: diagnóstico, manejo y actualización en COVID-19. Revisión narrativa
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La insuficiencia renal aguda es un síndrome clínico caracterizado por una disminución abrupta y severa, de la función renal, en donde se produce un daño o lesión estructural que se manifiesta con la elevación de azoados y disminución de la producción de orina. La historia clínica es fundamental al momento de la evaluación, para poder determinar el tiempo de evolución. En caso de que el paciente presente infección por COVID-19, será importante evaluar si es asintomático o no y sus comorbilidades. La insuficiencia renal aguda debe ser identificada por todos los médicos, ya que el abordaje temprano es un determinante importante en la evolución y la duración de la enfermedad y puede evitar las complicaciones renales, como la enfermedad renal crónica, que se produce en un 5 % de los pacientes con insuficiencia renal aguda.
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1. Makris K, Spanou L. Acute Kidney Injury: Definition, Pathophysiology and Clinical Phenotypes. Clin Biochem Rev. 2016;37(2):85-98.
2. Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area [published correction appears in JAMA. 2020 May 26;323(20):2098]. JAMA. 2020;323(20):2052- 2059. doi:10.1001/jama.2020.6775
3. Ronco C, Bellomo R, Kellum JA. Acute kidney injury. Lancet. 2019;394(10212):1949-1964. doi:10.1016/ S0140-6736(19)32563-2
4. Moore PK, Hsu RK, Liu KD. Management of Acute Kidney Injury: Core Curriculum 2018. Am J Kidney Dis. 2018;72(1):136-148. doi: 10.1053/j.ajkd.2017.11.021.
5. Rahman M, Shad F, Smith MC. Acute kidney injury: a guide to diagnosis and management. Am Fam Physician. 2012; 86(7):631-9.
6. Tenorio M, Galeano C, Rodríguez N, Liaño F. Diagnóstico diferencial de la insuficiencia renal aguda. Nefrología. 2010; 3(2), 16-32. DOI: 10.3265/NefroPlus.pre2010. Jul.10548
7. Meola M, Nalesso F, Petrucci I, Samoni S, Ronco C. Clinical Scenarios in Acute Kidney Injury: Pre-Renal Acute Kidney Injury. Contrib Nephrol. 2016; 188:21-32. doi: 10.1159/000445462.
8. Bruchfeld A. The COVID-19 pandemic: consequences for nephrology. Nat Rev Nephrol. 2021; 17(2):81-82. doi: 10.1038/s41581-020-00381-4.
9. Ronco C, Reis T. Kidney involvement in COVID-19 and rationale for extracorporeal therapies. Nat Rev Nephrol. 2020;16(6):308-310. doi:10.1038/s41581-020-0284-7
10. Sharfuddin AA, Weisbord SD, Palevsky P, et al. Acute kidney injury. In: Skoreck K, Chertow GM, Marsden PA, et al. eds Brenner and Rector´s The Kidney 10th ed. Elsevier, 2016; 958-1011.
11. Caicedo A, Méndez Y, Larrotta L, Díaz L, Forero M, Cortés H, Acosta Á. Pandemia de COVID-19 y enfermedad renal: ¿Qué sabemos actualmente? Rev Colomb Nefrol. 2020; 7: 221-248
12. Basile DP, Anderson MD, Sutton TA. Pathophysiology of acute kidney injury. Compr Physiol. 2012; 2(2):1303-53. doi: 10.1002/cphy.c110041.
13. Kidney Disease Improving Global Outcomes. KDIGO clinical practice guideline for acute kidney injury. Kidney Int. 2012;2(Suppl. 1):1–138.
14. Kellum JA, Sileanu FE, Murugan R, Lucko N, Shaw AD, Clermont G. Classifying AKI by Urine Output versus Serum Creatinine Level. J Am Soc Nephrol. 2015;26(9):2231-8. doi: 10.1681/ASN.2014070724.
15. Miyahira J. Insuficiencia renal aguda. Rev Med Hered. 2003; 14(1): 36-43.
16. Batlle D, Soler MJ, Sparks MA, Hiremath S, South AM, Welling PA, Swaminathan S; COVID-19 and ACE2 in Cardiovascular, Lung, and Kidney Working Group. Acute Kidney Injury in COVID-19: Emerging Evidence of a Distinct Pathophysiology. J Am Soc Nephrol. 2020; 31(7):1380-1383. doi: 10.1681/ASN.2020040419.
17. Cottam D, Nadim MK, Forni LG. Management of acute kidney injury associated with Covid-19: what have we learned? Curr Opin Nephrol Hypertens. 2021; 30(6):563- 570. doi: 10.1097/MNH.0000000000000742.
18. Mercado MG, Smith DK, Guard EL. Acute Kidney Injury: Diagnosis and Management. Am Fam Physician. 2019;100(11):687-694. PMID: 31790176.
19. Sharfuddin AA, Molitoris BA. Pathophysiology of ischemic acute kidney injury. Nat Rev Nephrol. 2011;7(4):189-200. doi: 10.1038/nrneph.2011.16.
20. Bonventre JV, Yang L. Cellular pathophysiology of ischemic acute kidney injury. J Clin Invest. 2011 Nov;121(11):4210-21. doi: 10.1172/JCI45161.
21. Bonventre JV. Pathophysiology of AKI: injury and normal and abnormal repair. Contrib Nephrol. 2010; 165:9-17. doi: 10.1159/000313738.
22. Asfar P, Meziani F, Hamel JF, Grelon F, Megarbane B, Anguel N, et al; SEPSISPAM Investigators. High versus low blood-pressure target in patients with septic shock. N Engl J Med. 2014;370(17):1583-93. doi: 10.1056/NEJMoa1312173.
23. Perner A, Prowle J, Joannidis M, Young P, Hjortrup PB, Pettilä V. Fluid management in acute kidney injury. Intensive Care Med. 2017;43(6):807-815. doi: 10.1007/ s00134-017-4817-x.
24. Semler MW, Wanderer JP, Ehrenfeld JM, Stollings JL, Self WH, Siew ED, et al; SALT Investigators * and the Pragmatic Critical Care Research Group; SALT Investigators. Balanced Crystalloids versus Saline in the Intensive Care Unit. The SALT Randomized Trial. Am J Respir Crit Care Med. 2017;195(10):1362-1372. doi: 10.1164/rccm.201607-1345OC.
25. Chowdhury AH, Cox EF, Francis ST, Lobo DN. A randomized, controlled, double-blind crossover study on the effects of 2-L infusions of 0.9% saline and plasma-lyte® 148 on renal blood flow velocity and renal cortical tissue perfusion in healthy volunteers. Ann Surg. 2012 l;256(1):18-24. doi: 10.1097/ SLA.0b013e318256be72.
26. Singh S, Kerndt CC, Davis D. Ringer’s Lactate. [Updated 2022 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500033/
27. Steele A, Gowrishankar M, Abrahamson S, Mazer CD, Feldman RD, Halperin ML. Postoperative hyponatremia despite near-isotonic saline infusion: a phenomenon of desalination. Ann Intern Med. 1997;126(1):20-5.
28. Saner FH, Bienholz A, Tyczynski B, Kribben A, Feldkamp T. Überwässerung und Dialyse beim akuten Nierenversagen [Hyperhydration and dialysis in acute kidney failure]. Dtsch Med Wochenschr. 2015;140(10):744-9. German. doi: 10.1055/s-0041- 102253.
29. Goldstein SL, Mottes T, Simpson K, Barclay C, Muething S, Haslam DB, et al. A sustained quality improvement program reduces nephrotoxic medication-associated acute kidney injury. Kidney Int. 2016;90(1):212-21. doi: 10.1016/j.kint.2016.03.031.
30. Luque Y, Louis K, Jouanneau C, Placier S, Esteve E, Bazin D, et al. Vancomycin-Associated Cast Nephropathy. J Am Soc Nephrol. 2017;28(6):1723-1728. doi: 10.1681/ ASN.2016080867.
31. Lameire N, Kellum JA; KDIGO AKI Guideline Work Group. Contrast-induced acute kidney injury and renal support for acute kidney injury: a KDIGO summary (Part 2). Crit Care. 2013; 4;17(1):205. doi: 10.1186/cc11455
32. Waikar SS, McMahon GM. Expanding the Role for Kidney Biopsies in Acute Kidney Injury. Semin Nephrol. 2018 Jan;38(1):12-20. doi: 10.1016/j. semnephrol.2017.09.001.
33. Augusto JF, Lassalle V, Fillatre P, Perrotin D, Meziani F, Schenck-Dhif M, et al. Safety and diagnostic yield of renal biopsy in the intensive care unit. Intensive Care Med. 2012; 38(11):1826-33. doi: 10.1007/s00134-012- 2634-9.
34. Alvarez G, Chrusch C, Hulme T, Posadas-Calleja JG. Renal replacement therapy: a practical update. Can J Anaesth. 2019;66(5):593-604. English. doi: 10.1007/ s12630-019-01306-x
35. Meraz-Muñoz AY, Bagshaw SM, Wald R. Timing of kidney replacement therapy initiation in acute kidney injury. Curr Opin Nephrol Hypertens. 2021;30(3):332- 338. doi: 10.1097/MNH.0000000000000707.
36. Cullis B, Al-Hwiesh A, Kilonzo K, McCulloch M, Niang A, Nourse P, et al. ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 update (adults). Perit Dial Int. 2021;41(1):15-31. doi: 10.1177/0896860820970834.
37. Tolwani A. Continuous renal-replacement therapy for acute kidney injury. N Engl J Med 2013; 368: 1160-1.
38. Ng JH, Hirsch JS, Hazzan A, Wanchoo R, Shah HH, Malieckal DA, et al; Northwell Nephrology COVID-19 Research Consortium. Outcomes Among Patients Hospitalized With COVID-19 and Acute Kidney Injury. Am J Kidney Dis. 2021;77(2):204-215.e1. doi: 10.1053/j.ajkd.2020.09.002.