Palavras-chave
Terapia de Substituição Renal
Sepse
Unidades de Terapia Intensiva
Cuidados Críticos
Como Citar
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Resumo
Objetivo: Identificar os fatores que influenciam os desfechos clínicos de pacientes adultos admitidos em Unidade de Terapia Intensiva com injúria renal aguda associada à sepse (IRA-SA). Métodos: Revisão de escopo. A busca foi realizada nas bases de dados LILACS, PubMed/MEDLINE, Scopus e Web of Science. A amostra contém 19 artigos publicados entre 2020 e 2024. Foram extraídos autores, ano, país, delineamento metodológico e resultados. Em seguida, foram selecionados por leitura de título e resumo e, posteriormente, por leitura completa, com categorização por desfechos clínicos. A síntese dos resultados ocorreu de forma descritiva. Resultados: Os estudos demonstraram que o início precoce da IRA-SA, a persistência da disfunção renal e a maior gravidade clínica se associam a piores desfechos clínicos. Fatores como distúrbios hemodinâmicos, balanço hídrico positivo, biomarcadores emergentes, doença renal crônica, obesidade e diferenças metabólicas influenciaram estes significativamente. Observou-se concentração de estudos asiáticos e ausência de brasileiros. Considerações finais: Os achados reforçam a relevância do reconhecimento precoce da IRA-SA e da estratificação contínua do risco renal. A escassez de estudos nacionais e a heterogeneidade metodológica constituem limitações importantes.
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