Hospital Mortality in the United States following Acute Kidney Injury.
Hospital Mortality in the United States following Acute Kidney Injury.
复制标题
DOI：
10.1155/2016/4278579
复制
发表时间：
2016
影响因子：
--
通讯作者：
Matheny ME
中科院分区：
文献类型：
--
作者：
Brown JR;Rezaee ME;Marshall EJ;Matheny ME
急性肾损伤(AKI)是住院的常见原因，也是许多住院手术的并发症。急性KI的暂时性发病率以及AKI入院与住院死亡率之间的关系是当今世界一个日益严重的问题。在这篇综述中，我们讨论了AKI的流行病学及其与美国住院死亡率的关系。自2001年以来，Aki一直以每年14%的速度增长。然而，与急性KI相关的住院死亡率从2001年的21.9%下降到2011年的9.1%，尽管与AKI相关的住院死亡人数增加了近两倍，从147,943人增加到285,768人。我们讨论了美国住院患者AKI相关死亡率降低71%的重要性，并讨论了这是否是医院计费(编码)现象或AKI管理的改进。
Acute kidney injury (AKI) is a common reason for hospital admission and complication of many inpatient procedures. The temporal incidence of AKI and the association of AKI admissions with in-hospital mortality are a growing problem in the world today. In this review, we discuss the epidemiology of AKI and its association with in-hospital mortality in the United States. AKI has been growing at a rate of 14% per year since 2001. However, the in-hospital mortality associated with AKI has been on the decline starting with 21.9% in 2001 to 9.1 in 2011, even though the number of AKI-related in-hospital deaths increased almost twofold from 147,943 to 285,768 deaths. We discuss the importance of the 71% reduction in AKI-related mortality among hospitalized patients in the United States and draw on the discussion of whether or not this is a phenomenon of hospital billing (coding) or improvements to the management of AKI.