Falla renal aguda por rabdomiólisis en pacientes politraumatizados. Hospital Teodoro Maldonado Carbo, enero 2016 a junio 2017.

Abstract

Introduction: Rhabdomyolysis is injury to muscle causing nephrotoxicity associated with the presence of myoglobin causing tubular damage resulting in acute renal failure (ARF). It also presents elevated markers of muscle enzymes in the bloodstream, in addition to metabolic disorders such as hyperkalemia and hyperphosphatemia. The diagnosis is done with elevated creatinine phosphokinase (CPK) greater than 1000 IU / L and myoglobin. Rhabdomyolysis is common in patients with Polytrauma. Methods: Cross-sectional study using information from the Electronic Medical Records (RME) of Teodoro Maldonado Carbo Hospital (TMC). The study sample consists of adult patients (> 18 years), diagnosed with Politrauma and admitted between January 2016 and June 2017. Results: A total of 1331 electronic medical records (EMR) were obtained with the diagnosis of polytrauma. When we applied the ISS (Injury Severity Score)> 16 we obtained 188 patients with severe polytrauma. Of these, 17 were also diagnosed for rhabdomyolysis and consequent acute renal failure, with an incidence of 9%, during hospitalization. Conclusions: Hospital guidelines focused on collecting McMahon score criteria at admission in patients with polytrauma could help identify and give early treatment with fluid resuscitation to patients at risk of developing acute kidney injury from rhabdomyolysis.