{"id":9707,"date":"2019-06-20T04:07:59","date_gmt":"2019-06-20T02:07:59","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9707"},"modified":"2019-06-08T10:23:53","modified_gmt":"2019-06-08T08:23:53","slug":"nierenschaedigung-und-mortalitaet","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9707","title":{"rendered":"Nierensch\u00e4digung und Mortalit\u00e4t"},"content":{"rendered":"<p style=\"text-align: justify;\">Internationale Studien belegen, dass das Auftreten einer <strong>akuten Nierensch\u00e4digung (\u201eacute kidney injury\u201c, [AKI])<\/strong> bei\u00a0Krankenhauspatienten mit Mortalit\u00e4t und Morbidit\u00e4t assoziiert ist.<\/p>\n<p style=\"text-align: justify;\">Die <strong>Klassifikation und Stadieneinteilung eines AKI<\/strong>\u00a0wird aktuell nach den KDIGO-Leitlinien \u00fcber \u00c4nderungen\u00a0des Serum-Kreatinins und der Urinausscheidung\u00a0vorgenommen.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9708\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=9708\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?fit=2708%2C1368\" data-orig-size=\"2708,1368\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"AKI\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?fit=1024%2C517\" class=\"alignnone wp-image-9708\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?resize=667%2C338\" alt=\"\" width=\"667\" height=\"338\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?resize=300%2C152 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?resize=768%2C388 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?resize=1024%2C517 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?resize=750%2C379 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/Bildschirmfoto-2019-06-08-um-10.18.07.png?w=2340 2340w\" sizes=\"auto, (max-width: 667px) 100vw, 667px\" \/><\/p>\n<blockquote><p><strong>Khadzhynov D, et al. The incidence of acute kidney\u00a0injury and associated hospital mortality\u2014a retrospective cohort study of over 100 000 patients at Berlin\u2018s Charit\u00e9 hospital.\u00a0Dtsch Arztebl Int 2019; 116: 397\u2013 404. DOI: 10.3238\/arztebl.2019.0397<\/strong><\/p><\/blockquote>\n<p><strong>Wie h\u00e4ngen nun die AKI und die Krankenhausmortalit\u00e4t zusammen ?<\/strong><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9709\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=9709\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/AKI-e1559982043888.jpg?fit=300%2C159\" data-orig-size=\"300,159\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"AKI\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/AKI-e1559982043888.jpg?fit=1024%2C543\" class=\"alignnone wp-image-9709\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/AKI.jpg?resize=674%2C357\" alt=\"\" width=\"674\" height=\"357\" \/><\/p>\n<ul>\n<li style=\"text-align: justify;\">Retrospektive Untersuchung der Daten von 103 161 Patienten\u00a0der Charit\u00e9 \u00a0Universit\u00e4tsmedizin Berlin, die im Zeitraum\u00a0von 2014 bis 2017 f\u00fcr mindestens zwei Tage station\u00e4r\u00a0behandelt wurden.<\/li>\n<li style=\"text-align: justify;\">Episoden einer akuten Nierensch\u00e4digung (AKI) nach kreatininbasierten KDIGO- Kriterien traten bei \u00fcber 20 % aller Krankenhausaufenthalte auf.<\/li>\n<li style=\"text-align: justify;\">AKI-Episoden waren eng mit kurzfristiger und langfristiger Mortalit\u00e4t assoziiert, wobei ein schrittweiser Anstieg der Mortalit\u00e4t von AKI-Stadium 1 nach AKI-Stadium 3 beobachtet wurde (s. Abb).<\/li>\n<li style=\"text-align: justify;\">Die administrative Codierung eines AKI mit der Ziffer N17 erfasste nur einen geringen Anteil der AKI-Episoden.<\/li>\n<li style=\"text-align: justify;\">F\u00fcr alle drei Stadien fand sich eine erhebliche Untercodierung (&lt; 20 % Codierung bei AKI-Stadium 1, 60\u201370 % Codierung bei AKI-Stadium 3) als Hinweis auf unzureichende klinische Wahrnehmung.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Internationale Studien belegen, dass das Auftreten einer akuten Nierensch\u00e4digung (\u201eacute kidney injury\u201c, [AKI]) bei\u00a0Krankenhauspatienten mit Mortalit\u00e4t und Morbidit\u00e4t assoziiert ist. Die Klassifikation und Stadieneinteilung eines AKI\u00a0wird aktuell nach den KDIGO-Leitlinien [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9709,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[2],"tags":[1677,1678],"class_list":["post-9707","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","tag-aki","tag-niere"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/06\/AKI-e1559982043888.jpg?fit=300%2C159","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2wz","jetpack-related-posts":[{"id":16603,"url":"http:\/\/news-papers.eu\/?p=16603","url_meta":{"origin":9707,"position":0},"title":"KM bei Patienten mit vorbestehenden Nierensch\u00e4digung","author":"Michael Bernhard","date":"Februar 4, 2023","format":false,"excerpt":"Bei Patienten mit vorbestehender akuter Nierensch\u00e4digung (AKI) fehlt der Nachweis eines Zusammenhangs zwischen intraven\u00f6sem Kontrastmittel (KM) und persistierender Nierenfunktionsst\u00f6rung. In dieser Studie sollte der Zusammenhang zwischen intraven\u00f6ser CM-Verabreichung und persistierender AKI bei Patienten mit vorbestehender AKI untersucht werden. Ehmann MR, et al. Renal outcomes following intravenous\u00a0contrast administration in patients with\u2026","rel":"","context":"In &quot;Notaufnahme&quot;","block_context":{"text":"Notaufnahme","link":"http:\/\/news-papers.eu\/?cat=2083"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":16460,"url":"http:\/\/news-papers.eu\/?p=16460","url_meta":{"origin":9707,"position":1},"title":"Myokardsch\u00e4digung beim schweren Trauma","author":"Michael Bernhard","date":"Januar 18, 2023","format":false,"excerpt":"Ein schweres Trauma kann zu einer Sch\u00e4digung der Endorgane f\u00fchren, z. B. zu einer Myokardverletzung. Forschungsdaten deuten darauf hin, dass eine Myokardsch\u00e4digung mit einer erh\u00f6hten Sterblichkeit in dieser Kohorte verbunden ist, aber der Zusammenhang mit der Inzidenz von schwerwiegenden unerw\u00fcnschten kardialen Ereignissen (MACE) im Krankenhaus bleibt unklar. Stroda A et\u2026","rel":"","context":"In &quot;Trauma&quot;","block_context":{"text":"Trauma","link":"http:\/\/news-papers.eu\/?cat=6"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Herz.jpg?fit=1200%2C600&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Herz.jpg?fit=1200%2C600&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Herz.jpg?fit=1200%2C600&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Herz.jpg?fit=1200%2C600&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Herz.jpg?fit=1200%2C600&resize=1050%2C600 3x"},"classes":[]},{"id":3817,"url":"http:\/\/news-papers.eu\/?p=3817","url_meta":{"origin":9707,"position":2},"title":"Akutes Nierenversagen","author":"Michael Bernhard","date":"Februar 15, 2017","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern, Schweiz: Pickkers P et al: The intensive care medicine agenda on acute kidney injury. 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