Nursing Activities Score and Acute Kidney Injury

Rev Bras Enferm. 2017 May-Jun;70(3):475-480. doi: 10.1590/0034-7167-2016-0266.
[Article in English, Portuguese]

Abstract

Objective:: to evaluate the nursing workload in intensive care patients with acute kidney injury (AKI).

Method:: A quantitative study, conducted in an intensive care unit, from April to August of 2015. The Nursing Activities Score (NAS) and Kidney Disease Improving Global Outcomes (KDIGO) were used to measure nursing workload and to classify the stage of AKI, respectively.

Results:: A total of 190 patients were included. Patients who developed AKI (44.2%) had higher NAS when compared to those without AKI (43.7% vs 40.7%), p <0.001. Patients with stage 1, 2 and 3 AKI showed higher NAS than those without AKI. A relationship was identified between stage 2 and 3 with those without AKI (p = 0.002 and p <0.001).

Conclusion:: The NAS was associated with the presence of AKI, the score increased with the progression of the stages, and it was associated with AKI, stage 2 and 3.

Objetivo:: avaliar a carga de trabalho de enfermagem em pacientes de terapia intensiva com lesão renal aguda (LRA).

Método:: estudo quantitativo, em Unidade de Terapia Intensiva, no período de abril a agosto de 2015. O Nursing Activities Score (NAS) e o Kidney Disease Improving Global Outcomes (KDIGO) foram utilizados para medir a carga de trabalho de enfermagem e classificar o estágio da LRA, respectivamente.

Resultados:: foram incluídos 190 pacientes. Os pacientes que desenvolveram LRA (44,2%) possuíam NAS superiores quando comparados aos sem LRA (43,7% vs 40,7%), p<0,001. Os pacientes com LRA nos estágios 1, 2 e 3 de LRA demonstraram NAS superiores aos sem LRA, houve relação entre os estágios 2 e 3 com os sem LRA, p=0,002 e p<0,001.

Conclusão:: o NAS apresentou associação com a existência de LRA, visto que seu valor aumenta com a progressão dos estágios, tendo associação com os estágios 2 e 3 de LRA.

MeSH terms

  • Acute Kidney Injury / classification*
  • Acute Kidney Injury / complications*
  • Adult
  • Aged
  • Brazil
  • Female
  • Humans
  • Intensive Care Units / organization & administration
  • Male
  • Middle Aged
  • Patient Acuity*
  • Workload / standards*