Título:	Prognostic scores for acute kidney injury in critically ill patients
Autor(es):	Sousa, Wisble Pereira Magro, Marcia Cristina da Silva Paiva, Alberto Augusto Martins Vasconcelos, Ruth Silva Rodrigues Reis, Abraão Alves dos Lima, Wellington Luiz de Duarte, Tayse Tâmara da Paixão
ORCID:	https://orcid.org/0000-0002-4566-3217 https://orcid.org/0000-0002-2223-4516 https://orcid.org/0000-0002-7023-7244 https://orcid.org/0000-0003-1608-618X
Afiliação do autor:	University of Brasília, Faculty of Health Sciences and Technology University of Brasília, Faculty of Health Sciences and Technology University of Brasília, Postgraduate Program in Nursing University of Brasília, Faculty of Health Sciences and Technology University of Brasília, Faculty of Health Sciences and Technology Health Department of the Federal District, Brasília, Brazil University of Brasília, Faculty of Health Sciences and Technology
Assunto:	Cuidados críticos Enfermagem Lesão renal aguda Pacientes críticos Unidade de terapia intensiva Prognóstico
Data de publicação:	20-Nov-2024
Editora:	MDPI AG
Referência:	SOUSA, Wisble Pereira; MAGRO, Marcia Cristina da Silva; PAIVA, Alberto Augusto Martins; VASCONCELOS, Ruth Silva Rodrigues; DOS REIS, Abraão Alves; LIMA, Wellington Luiz de; DUARTE, Tayse Tâmara da Paixão. Prognostic scores for acute kidney injury in critically ill patients. Nursing Reports, [S. l.], v. 14, n. 4, p. 3619-3630, 2024. DOI: https://doi.org/10.3390/nursrep14040264. Disponível em: https://www.mdpi.com/2039-4403/14/4/264. Acesso em: 8 jun. 2026.
Abstract:	Background: Numerous prognostic scores have been developed and used in intensive care; however, the applicability and effectiveness of these scores in critically ill patients with acute kidney injury may vary due to the characteristics of this population. Objective: To assess the predictive capacity of the Simplified Acute Physiology Score III (SAPS III), Sequential Sepsis-related Organ Failure Assessment (SOFA) and Nursing Activities Score (NAS) prognostic scoring systems for acute kidney injury in critically ill patients. Methods: Cohort, prospective and quantitative study with follow-up of 141 critical patients in intensive care. A questionnaire was used to collect information about the capacity of prognostic scoring systems to predict AKI. Mann–Whitney, Kruskal–Wallis and Bonferroni-corrected Mann–Whitney tests were used and the statistical significance was considered to be at two-sided p < 0.05. Results: It was revealed that 41.85% of patients developed acute kidney injury during their stay in the Intensive Care Unit and indicated greater severity assessed by the medians of prognostic scoring systems—SAPS III [55 (42–65 vs. 38 (32–52), p < 0.001], SOFA [3.3 (2.26–5.00) vs. 0.66 (0.06–2.29), p < 0.001] and NAS [90 (75–95) vs. 97 (91–103), p < 0.001]—when compared to patients without kidney damage. Conclusions: The SAPS III, SOFA and NAS prognostic scoring systems showed good predictive capacity for acute kidney injury in critically ill patients. This study was not registered.
Licença:	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
DOI:	https://doi.org/10.3390/nursrep14040264
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