OBJECTIVES

To evaluate the incidence and economic impact of AKI among critically ill patients among five ICU’s of Mexico City Social Security Network.

METHODS

: 1,285 critically AKI patients were analyzed: 2018 medical records of five ICU’s (Belisario Domínguez Hospital, Ruben Leñero General Hospital (G.H.), La Villa G.H, Xoco G.H) were included.

Incidence (Following AKIN II criteria, causes of AKI and mortality were collected in overall records; for patients in Xoco´s G.H., Length of Stay (LOS), Days on Mechanical Ventilation, Renal Replacement Provision and Costs per group of patients were reported.

A hypothesis test was performed to compare the statistical difference between the incidence reported by international multicenter sources such as Susantitaphong and the local report of Mexico City Healthcare Network.

RESULTS

: After analyzing 1,285 records, the average incidence of AKI in 5 ICU’s is reported in 28% of all cases (366 cases) with overall mortality of 35.5% (130 cases); sepsis results as the main cause of AKI (38.3%) followed by Trauma, Rhabdomyolysis, Intoxications and Other Causes.

Xoco´s General Data Base was analyzed separately; Patients that developed AKI and the need for Renal Replacement Therapy (RRT) increased the need for mechanical ventilation from 1.7 to 2.9 higher (compared to patients that did not developed AKI or AKI without RRT), LOS from 1.8 to 2.7 times higher and daily hospital resources costs from 1.3 to 1.5 times higher (US $3,011.16-$4,560.27).

Hypothesis test performed shows that results from [2] and Xoco´s G.H. no statistical differences are shown (p=0.496)

CONCLUSIONS

: AKI stands as a constant condition in hospital admissions that increases morbimortality and cost per patient. In Mexico still stands a lack of infrastructure and equal access to manage this disease, specially in low income population, continuous education, growth and strength of infrastructure can revert the continuous path that AKI represent in hospitals around the globe.