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  1. Article ; Online: Challenges in COVID-19 medical response: a nephrology perspective.

    Betonico, Gustavo Navarro / Lima, Emerson Quintino / Tome, Ana Carolina Nakamura

    European journal of clinical investigation

    2020  , Page(s) e13328

    Abstract: The new coronavirus disease, named by World Health Organization (WHO) as COVID-19 brought great challenges to patients with end-stage renal disease (ESRD). In general, ESRD patients have higher number of comorbidities and are at age-risk for severe ... ...

    Abstract The new coronavirus disease, named by World Health Organization (WHO) as COVID-19 brought great challenges to patients with end-stage renal disease (ESRD). In general, ESRD patients have higher number of comorbidities and are at age-risk for severe pulmonary presentation of this disease. Another important issue is that hemodialysis (HD) clinics are usually not located in small towns, and these frail patients often travel to their dialysis center in groups and also cannot keep the 6-feet safe distance during their HD session.
    Keywords covid19
    Language English
    Publishing date 2020-06-20
    Publishing country England
    Document type Editorial
    ZDB-ID 186196-7
    ISSN 1365-2362 ; 0014-2972 ; 0960-135X
    ISSN (online) 1365-2362
    ISSN 0014-2972 ; 0960-135X
    DOI 10.1111/eci.13328
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    Zs.A 677: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Challenges in COVID-19 medical response: A nephrology perspective.

    Betônico, Gustavo Navarro / Lima, Emerson Quintino / Tome, Ana Carolina

    European journal of clinical investigation

    2020  Volume 50, Issue 7, Page(s) e13309

    MeSH term(s) Acute Kidney Injury/etiology ; Acute Kidney Injury/physiopathology ; Acute Kidney Injury/therapy ; Ambulatory Care Facilities/organization & administration ; Betacoronavirus ; Brazil ; COVID-19 ; Continuous Renal Replacement Therapy/methods ; Coronavirus Infections/complications ; Coronavirus Infections/physiopathology ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/therapy ; Nephrology ; Pandemics ; Peritoneal Dialysis ; Personal Protective Equipment ; Pneumonia, Viral/complications ; Pneumonia, Viral/physiopathology ; Renal Dialysis/methods ; SARS-CoV-2 ; Time Factors
    Keywords covid19
    Language English
    Publishing date 2020-07-05
    Publishing country England
    Document type Editorial
    ZDB-ID 186196-7
    ISSN 1365-2362 ; 0014-2972 ; 0960-135X
    ISSN (online) 1365-2362
    ISSN 0014-2972 ; 0960-135X
    DOI 10.1111/eci.13309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 677: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Impact of the development of acute kidney injury on patients admitted to the pediatric intensive care unit.

    Ferreira, Marina Catuta de Rezende / Lima, Emerson Quintino

    Jornal de pediatria

    2019  Volume 96, Issue 5, Page(s) 576–581

    Abstract: Objective: To identify the risk factors for the development of acute kidney injury and for short and long-term mortality of patients with acute kidney injury after admission to the Pediatric Intensive Care Unit.: Materials and methods: Retrospective ... ...

    Abstract Objective: To identify the risk factors for the development of acute kidney injury and for short and long-term mortality of patients with acute kidney injury after admission to the Pediatric Intensive Care Unit.
    Materials and methods: Retrospective analysis of patients admitted to the Pediatric Intensive Care Unit from January 2004 to December 2008. Acute kidney injury was defined by the KDIGO criterion. Risk factors for acute kidney injury, in-hospital, and long-term mortality were obtained through multivariate logistic regression analysis. Long-term mortality (up to 2011) was obtained by searching the institution's database and by telephone contact with patients' family members.
    Results: A total of 434 patients were evaluated and the incidence of acute kidney injury was 64%. Most acute kidney injury episodes (78%) occurred within the first 24hours after admission to the Pediatric Intensive Care Unit. The risk factors for the development of acute kidney injury were: low volume of diuresis, younger age, mechanical ventilation, vasoactive drugs, diuretics, and amphotericin. Lower weight, positive fluid balance, acute kidney injury, dopamine use and mechanical ventilation were independent risk factors for in-hospital mortality. Long-term mortality was 17.8%. Systolic blood pressure, PRISM score, low volume of diuresis, and mechanical ventilation were independent risk factors associated with long-term mortality after admission to the Pediatric Intensive Care Unit.
    Conclusion: Acute kidney injury was a frequent, early event, and was associated with in-hospital mortality and long-term mortality after admission to the Pediatric Intensive Care Unit.
    MeSH term(s) Acute Kidney Injury/epidemiology ; Acute Kidney Injury/etiology ; Child ; Hospital Mortality ; Humans ; Intensive Care Units ; Intensive Care Units, Pediatric ; Length of Stay ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2019-07-22
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731324-x
    ISSN 1678-4782 ; 0021-7557
    ISSN (online) 1678-4782
    ISSN 0021-7557
    DOI 10.1016/j.jped.2019.05.003
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    Zs.B 1265: Show issues Location:
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  5. Article: Challenges in COVID-19 medical response: a nephrology perspective

    Betonico, Gustavo Navarro / Lima, Emerson Quintino / Tome, Ana Carolina Nakamura

    Eur J Clin Invest

    Abstract: The new coronavirus disease, named by World Health Organization (WHO) as COVID-19 brought great challenges to patients with end-stage renal disease (ESRD). In general, ESRD patients have higher number of comorbidities and are at age-risk for severe ... ...

    Abstract The new coronavirus disease, named by World Health Organization (WHO) as COVID-19 brought great challenges to patients with end-stage renal disease (ESRD). In general, ESRD patients have higher number of comorbidities and are at age-risk for severe pulmonary presentation of this disease. Another important issue is that hemodialysis (HD) clinics are usually not located in small towns, and these frail patients often travel to their dialysis center in groups and also cannot keep the 6-feet safe distance during their HD session.1.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #607821
    Database COVID19

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  6. Article ; Online: Challenges in COVID‐19 medical response

    Betonico, Gustavo Navarro / Lima, Emerson Quintino / Tome, Ana Carolina Nakamura

    European Journal of Clinical Investigation ; ISSN 0014-2972 1365-2362

    a nephrology perspective

    2020  

    Keywords Clinical Biochemistry ; Biochemistry ; General Medicine ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1111/eci.13328
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Challenges in COVID‐19 medical response

    Betônico, Gustavo Navarro / Lima, Emerson Quintino / Tome, Ana Carolina

    European Journal of Clinical Investigation

    A nephrology perspective

    2020  Volume 50, Issue 7

    Keywords Clinical Biochemistry ; Biochemistry ; General Medicine ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 186196-7
    ISSN 1365-2362 ; 0014-2972 ; 0960-135X
    ISSN (online) 1365-2362
    ISSN 0014-2972 ; 0960-135X
    DOI 10.1111/eci.13309
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 677: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Acute kidney injury and renal replacement therapy: terminology standardization.

    Reis, Thiago / Colares, Vinicius Sardão / Rocha, Eduardo / Younes-Ibrahim, Mauricio / Lima, Emerson Quintino de / Andrade, Lucia da Conceição / Ponce, Daniela / Suassuna, José H Rocco / Yu, Luis

    Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia

    2022  Volume 44, Issue 3, Page(s) 434–442

    Abstract: The Department of Acute Kidney Injury (IRA) of the Brazilian Society of Nephrology prepared this document for the purpose of standardizing AKI terminology and dialysis modalities in the Portuguese language for Brazil. Several terms with similar meanings ... ...

    Abstract The Department of Acute Kidney Injury (IRA) of the Brazilian Society of Nephrology prepared this document for the purpose of standardizing AKI terminology and dialysis modalities in the Portuguese language for Brazil. Several terms with similar meanings have been used in AKI and its dialysis modalities, causing confusion and disparities among patients, nephrologists, health institutions, private care companies, insurance companies and government entities. These disparities can impact medical care, hospital organization and care, as well as the funding and reimbursement of AKI-related procedures. Thus, consensual nomenclature and definitions were developed, including the definitions of AKI, acute kidney disease (AKD) and chronic kidney disease (CKD). Additionally, we addressed all dialysis modalities and extracorporeal procedures related to AKI, currently approved and available in the country. The Brazilian Society of Nephrology hopes that this Consensus can standardize the terminology and provide technical support to all involved in AKI care in Brazil.
    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/therapy ; Humans ; Nephrology ; Reference Standards ; Renal Dialysis ; Renal Replacement Therapy
    Language Portuguese
    Publishing date 2022-05-17
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2057873-8
    ISSN 2175-8239 ; 2175-8239
    ISSN (online) 2175-8239
    ISSN 2175-8239
    DOI 10.1590/2175-8239-JBN-2021-0284en
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Impact of an Electronic Alert in Combination with a Care Bundle on the Outcomes of Acute Kidney Injury.

    Tome, Ana Carolina Nakamura / Ramalho, Rodrigo José / Dos Santos, Karise Fernandes / Ponte, Bianca / Agostinho, Helga / Machado, Mauricio Nassau / Lopes, Marcelo Barreto / Abbud-Filho, Mario / de Lima, Emerson Quintino

    Diagnostics (Basel, Switzerland)

    2022  Volume 12, Issue 12

    Abstract: Early diagnosis is essential for the appropriate management of acute kidney injury (AKI). We evaluated the impact of an electronic AKI alert together with a care bundle on the progression and mortality of AKI. This was a single-center prospective study ... ...

    Abstract Early diagnosis is essential for the appropriate management of acute kidney injury (AKI). We evaluated the impact of an electronic AKI alert together with a care bundle on the progression and mortality of AKI. This was a single-center prospective study that included AKI patients aged ≥ 18 years, whereas those in palliative care, nephrology, and transplantation departments were excluded. An AKI alert was issued in electronic medical records and a care bundle was suggested. A series of classes were administered to the multidisciplinary teams by nephrologists, and a clinical pharmacist audited prescriptions. Patients were categorized into pre-alert and post-alert groups. The baseline characteristics were comparable between the pre-alert (n = 1613) and post-alert (n = 1561) groups. The 30-day mortality rate was 33.6% in the entire cohort and was lower in the post-alert group (30.5% vs. 36.7%; p < 0.001). Age, pulmonary disease, malignancy, and ICU admission were associated with an increase in 30-day mortality. The electronic AKI alert together with a care bundle and a multidisciplinary education program was associated with a reduction in 30-day mortality in patients with AKI.
    Language English
    Publishing date 2022-12-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics12123121
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  10. Article ; Online: Extended hemodialysis in acute kidney injury.

    Custodio, Fabiano Bichuette / de Lima, Emerson Quintino

    Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia

    2013  Volume 35, Issue 2, Page(s) 142–146

    Abstract: About 10% of patients in the intensive care unit which develop acute renal failure will depend on renal replacement therapy. Although there are no data showing reduction in mortality when compared with intermittent therapy, continuous therapies provide ... ...

    Abstract About 10% of patients in the intensive care unit which develop acute renal failure will depend on renal replacement therapy. Although there are no data showing reduction in mortality when compared with intermittent therapy, continuous therapies provide higher cumulative doses of dialysis and greater hemodynamic stability. However, have high costs and are not available in many centers. In this context the Extended Hemodialysis gaining ground in clinical practice because it combines the hemodynamic tolerability, slow and sustained solute control and effective doses of continuous dialysis therapies associated with reduced costs and logistics facilities of intermittent therapy.
    MeSH term(s) Acute Kidney Injury/therapy ; Humans ; Renal Dialysis/methods
    Language Portuguese
    Publishing date 2013-04
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2057873-8
    ISSN 2175-8239 ; 0101-2800
    ISSN (online) 2175-8239
    ISSN 0101-2800
    DOI 10.5935/0101-2800.20130023
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