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Your search keyword '"Lombardi, Raúl"' showing total 5 results
Start Over Author "Lombardi, Raúl" Topic nephrology
5 results on '"Lombardi, Raúl"'

2. International Society of Nephrology's 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): a human rights case for nephrology.

Author

Mehta RL, Cerdá J, Burdmann EA, Tonelli M, García-García G, Jha V, Susantitaphong P, Rocco M, Vanholder R, Sever MS, Cruz D, Jaber B, Lameire NH, Lombardi R, Lewington A, Feehally J, Finkelstein F, Levin N, Pannu N, Thomas B, Aronoff-Spencer E, and Remuzzi G

Subjects
Humans, Acute Kidney Injury prevention & control, Nephrology trends
Published
2015
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3. Nephrology in Uruguay

Author

Gadola, Liliana, Noboa, Oscar, Rios, Pablo, Ferreiro, Alejandro, Gonzalez-Bedat, María Carlota, Chifflet, Liliana, Bengochea, Milka, Orihuela, Sergio, Rebori, Anabella, Sola, Laura, Mizraji, Raúl, Lombardi, Raúl, Halty, Margarita, Gonzalez-Martinez, Francisco, Moura-Neto, José A., editor, Divino-Filho, José Carolino, editor, and Ronco, Claudio, editor

Published
2021
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4. An assessment of the Acute Kidney Injury Network creatinine-based criteria in patients submitted to mechanical ventilation

Author

Lombardi, Raúl, Nin, Nicolás, Lorente, José A, Frutos-Vivar, Fernando, Ferguson, Niall D, Hurtado, Javier, Apezteguia, Carlos, Desmery, Pablo, Raymondos, Konstantinos, Tomicic, Vinko, Cakar, Nahit, González, Marco, Elizalde, José, Nightingale, Peter, Abroug, Fekri, Jibaja, Manuel, Arabi, Yaseen, Moreno, Rui, Matamis, Dimitros, Anzueto, Antonio, Esteban, Andrés, VENTILA Group, Malbrain, Manu, Supporting clinical sciences, Intensive Care, Lombardi, R, Nin, N, Lorente, J, Frutos Vivar, F, Ferguson, N, Hurtado, J, Apezteguia, C, Desmery, P, Raymondos, K, Tomicic, V, Cakar, N, González, M, Elizalde, J, Nightingale, P, Abroug, F, Jibaja, M, Arabi, Y, Moreno, R, Matamis, D, Anzueto, A, Esteban, A, and Pesenti, A

Subjects
Male, Time Factors, Epidemiology, medicine.medical_treatment, Predictive Value of Test, Critical Care and Intensive Care Medicine, Severity of Illness Index, law.invention, chemistry.chemical_compound, Acute Kidney Injury, blood/diagnosis/mortality/therapy, Adult, Aged, Analysis of Variance, Biological Markers, blood, Canada, Chi-Square Distribution, Creatinine, blood, Europe, Female, Health Status Indicators, Hospital Mortality, Humans, Intensive Care Units, Length of Stay, Logistic Models, Male, Middle Aged, Odds Ratio, Predictive Value of Tests, Prospective Studies, Respiration, Artificial, Risk Assessment, Risk Factors, Saudi Arabia, Severity of Illness Index, South America, Time Factors, Treatment Outcome, United States, law, Risk Factors, Odds Ratio, Medicine, Health Status Indicators, Health Status Indicator, Hospital Mortality, Prospective Studies, Prospective cohort study, Medicine(all), education.field_of_study, Respiration, Research Support, Non-U.S. Gov't, Acute kidney injury, Middle Aged, Intensive care unit, Multicenter Study, Europe, Intensive Care Units, Treatment Outcome, Nephrology, Predictive value of tests, Anesthesia, Creatinine, Artificial, Biological Markers, Female, Human, Cohort study, United State, Adult, medicine.medical_specialty, Canada, Time Factor, Logistic Model, Intensive Care Unit, Population, Saudi Arabia, behavioral disciplines and activities, Risk Assessment, evaluation studies, blood, Predictive Value of Tests, Humans, education, blood/diagnosis/mortality/therapy, Aged, Mechanical ventilation, Transplantation, Analysis of Variance, Chi-Square Distribution, business.industry, Risk Factor, Length of Stay, South America, medicine.disease, Respiration, Artificial, United States, Surgery, Prospective Studie, Logistic Models, chemistry, business, Biomarkers
Abstract

Summary Background and objectives The aim of our study was to assess the new diagnostic criteria of acute kidney injury (AKI) proposed by the Acute Kidney Injury Network (AKIN) in a large cohort of mechanically ventilated patients. Design, setting, participants, & measurements This is a prospective observational cohort study enrolling 2783 adult intensive care unit patients under mechanical ventilation (MV) with data on serum creatinine concentration (SCr) in the first 48 hours. The absolute and the relative AKIN diagnostic criteria (changes in SCr 0.3 mg/dl or 50% over the first 48 hours of MV, respectively) were analyzed separately. In addition, patients were classified into three groups according to their change in SCr (SCr) over the first day on MV (SCr): group 1, SCr 0.3 mg/dl; group 2, SCr between 0.3 and 0.29 mg/dl; and group 3, SCr 0.3 mg/dl). The primary end point was in-hospital mortality, and secondary end points were intensive care unit and hospital length of stay, and duration of MV. Results Of 2783 patients, 803 (28.8%) had AKI according to both criteria: 431 only absolute (AKI A), 362 both relative and absolute (AKIRA), and 10 only relative. The relative criterion identified more patients when baseline SCr (SCr0) was 0.9 mg/dl and the absolute when SCr0 was 1.5 mg/dl. The diagnosis of AKI was associated with mortality. Conclusions Our study confirms the validity of the AKIN criteria in a population of mechanically patients and the criteria’s relationship with the baseline SCr. Clin J Am Soc Nephrol 6: 1547–1555, 2011. doi: 10.2215/CJN.09531010

Published
2011

5. Recognition and management of acute kidney injury in the International Society of Nephrology 0by25 Global Snapshot: a multinational cross-sectional study.

Author

Mehta, Ravindra L., Burdmann, Emmanuel A., Cerdá, Jorge, Feehally, John, Finkelstein, Fredric, García-García, Guillermo, Godin, Melanie, Jha, Vivekanand, Lameire, Norbert H., Levin, Nathan W., Lewington, Andrew, Lombardi, Raúl, Macedo, Etienne, Rocco, Michael, Aronoff-Spencer, Eliah, Tonelli, Marcello, Jing Zhang, Remuzzi, Giuseppe, and Zhang, Jing

Subjects
*KIDNEY injuries, *KIDNEY disease diagnosis, *NEPHROLOGY, *RENAL intensive care, *PUBLIC health, *SOCIETIES, *ACUTE kidney failure, *COMPARATIVE studies, *HOSPITAL care, *LONGITUDINAL method, *RESEARCH methodology, *MEDICAL cooperation, *RESEARCH, *WORLD health, *EVALUATION research, *TREATMENT effectiveness, *CROSS-sectional method, TREATMENT of acute kidney failure
Abstract

Background: Epidemiological data for acute kidney injury are scarce, especially in low-income countries (LICs) and lower-middle-income countries (LMICs). We aimed to assess regional differences in acute kidney injury recognition, management, and outcomes.Methods: In this multinational cross-sectional study, 322 physicians from 289 centres in 72 countries collected prospective data for paediatric and adult patients with confirmed acute kidney injury in hospital and non-hospital settings who met criteria for acute kidney injury. Signs and symptoms at presentation, comorbidities, risk factors for acute kidney injury, and process-of-care data were obtained at the start of acute kidney injury, and need for dialysis, renal recovery, and mortality recorded at 7 days, and at hospital discharge or death, whichever came earlier. We classified countries into high-income countries (HICs), upper-middle-income countries (UMICs), and combined LICs and LMICs (LLMICs) according to their 2014 gross national income per person.Findings: Between Sept 29 and Dec 7, 2014, data were collected from 4018 patients. 2337 (58%) patients developed community-acquired acute kidney injury, with 889 (80%) of 1118 patients in LLMICs, 815 (51%) of 1594 in UMICs, and 663 (51%) of 1241 in HICs (for HICs vs UMICs p=0.33; p<0.0001 for all other comparisons). Hypotension (1615 [40%] patients) and dehydration (1536 [38%] patients) were the most common causes of acute kidney injury. Dehydration was the most frequent cause of acute kidney injury in LLMICs (526 [46%] of 1153 vs 518 [32%] of 1605 in UMICs vs 492 [39%] of 1260 in HICs) and hypotension in HICs (564 [45%] of 1260 vs 611 [38%%] of 1605 in UMICs vs 440 [38%] of 1153 LLMICs). Mortality at 7 days was 423 (11%) of 3855, and was higher in LLMICs (129 [12%] of 1076) than in HICs (125 [10%] of 1230) and UMICs (169 [11%] of 1549).Interpretation: We identified common aetiological factors across all countries, which might be amenable to a standardised approach for early recognition and treatment of acute kidney injury. Study limitations include a small number of patients from outpatient settings and LICs, potentially under-representing the true burden of acute kidney injury in these areas. Additional strategies are needed to raise awareness of acute kidney injury in community health-care settings, especially in LICs.Funding: International Society of Nephrology. [ABSTRACT FROM AUTHOR]

Published
2016
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