| dc.contributor | Fernández Sarmiento, Jaime | |
| dc.contributor | Reyes Casas, Martha Cecilia | |
| dc.creator | Alcalá Lozano, Silvia Catalina | |
| dc.creator | Erazo Vargas, Sofia Camila | |
| dc.creator | Gómez Cortes, Laura Bibiana | |
| dc.date.accessioned | 2019-08-27T12:26:26Z | |
| dc.date.available | 2019-08-27T12:26:26Z | |
| dc.date.created | 2019-08-27T12:26:26Z | |
| dc.date.issued | 2018 | |
| dc.identifier | http://repository.urosario.edu.co/handle/10336/20167 | |
| dc.description.abstract | Objective. To establish the association between the administration of balanced an unbalanced crystalloid with different results such as acute kidney injury, metabolic acidosis and hyperchloremia, in children with severe sepsis and septic shock hospitalized in the PICU and in the cardiovascular PICU of the Fundación CardioInfantil. Type of study. Retrospective observational cohort. Patients. A cohort of patients from 1 month to 17 years of age, with severe sepsis and septic shock, who are hospitalized in the PICU and in the C-PICU of the Fundación CardioInfantil, from April 1/2018 to April 30/2019, and that received balanced and unbalanced crystalloids for hemodynamic stabilization, was collected. The association between the crystalloid type (balanced and unbalanced) and different outcome (acute kidney injury metabolic acidosis and hyperchloremia) was evaluated. Interventions. None. Results. Of 1074 patients hospitalized in the PICU and the C-PICU in the observation period, were included 103 patients with severe sepsis and septic shock, with an average age of 15 months old and a greater percentage of males. The mean length of stay in the PICU was 7.5 days. The most frequent infections were the respiratory, and secondly, the gastrointestinal ones (54.4% and 24.3%, respectively). It was found that 47.2% of patients who received unbalanced crystalloids developed acute renal injury (p<0.003), and of them, 16.7% required extracorporeal renal support (p<0.002). The mortality to the day 28 was significantly lower (7.6% vs 25.7%; p=0.02 respectively). There were no differences in the development of metabolic acidosis (p=0.84) and hyperchloremia (p=0.12) between the groups. Conclusion. The administration of balanced crystalloids was associated with a lower rate of acute kidney injury in children with severe sepsis and septic shock, and secondly, with a lower need for extracorporeal renal support and mortality rate. | |
| dc.language | spa | |
| dc.publisher | Universidad del Rosario | |
| dc.publisher | Especialización en Cuidado Intensivo Pediátrico | |
| dc.publisher | Facultad de medicina | |
| dc.rights | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
| dc.rights | info:eu-repo/semantics/embargoedAccess | |
| dc.rights | Restringido (Temporalmente bloqueado) | |
| dc.rights | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | |
| dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | |
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| dc.source | instname:Universidad del Rosario | |
| dc.source | reponame:Repositorio Institucional EdocUR | |
| dc.subject | Sepsis severa | |
| dc.subject | Solución balanceada | |
| dc.subject | Aacidosis metabólica | |
| dc.subject | Hipercloremia | |
| dc.subject | Lesión renal | |
| dc.subject | Niños | |
| dc.title | Asociación entre uso de soluciones balanceadas y lesión renal durante la reanimación hídrica en niños con sepsis | |
| dc.type | masterThesis | |
