Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO

56 Páginas.

Autores:: Arias Rodríguez, Juan Francisco

Tipo de recurso:

Fecha de publicación:: 2011

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: spa

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dc.title.es_CO.fl_str_mv	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
title	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
spellingShingle	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO Clínica SHAIO-Atención médica Insuficiencia renal crónica Corazón-Cirugía Respiración artificial Cuidados postoperatorios
title_short	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
title_full	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
title_fullStr	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
title_full_unstemmed	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
title_sort	Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO
dc.creator.fl_str_mv	Arias Rodríguez, Juan Francisco
dc.contributor.advisor.none.fl_str_mv	Buitrago Bernal, Ricardo Antonio Oliveros Rodríguez, Henry
dc.contributor.author.none.fl_str_mv	Arias Rodríguez, Juan Francisco
dc.subject.es_CO.fl_str_mv	Clínica SHAIO-Atención médica Insuficiencia renal crónica Corazón-Cirugía Respiración artificial Cuidados postoperatorios
topic	Clínica SHAIO-Atención médica Insuficiencia renal crónica Corazón-Cirugía Respiración artificial Cuidados postoperatorios
description	56 Páginas.
publishDate	2011
dc.date.created.none.fl_str_mv	2011
dc.date.issued.none.fl_str_mv	2011
dc.date.accessioned.none.fl_str_mv	2012-04-11T14:27:13Z
dc.date.available.none.fl_str_mv	2012-04-11T14:27:13Z
dc.type.none.fl_str_mv	bachelorThesis
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dc.type.local.none.fl_str_mv	Tesis de especialización
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dc.identifier.citation.none.fl_str_mv	Agraharkar M, Safirstein RL: Pathophysiology of acute renal failure. In: Greenberg A, Coffman T, eds. Primer on Kidney Diseases. 3rd ed. San Diego, Calif: Academic Press; 2001: 243-86. Lameire N: The pathophysiology of the acute renal failure. Crit Care Clin 21 (2005) 197– 210 Lopes JA, Jorge S, Neves FC, et al: An assessment of the rifle criteria for acute renal failure in severely burned patients. Nephrol DialTransplant 2007; 22:285. Abosaif N,, Tolba Y et al: The Outcome of Acute Renal Failure in the Intensive Care Unit According to RIFLE: Model Application, Sensitivity,and Predictability. American Journal of Kidney Diseases, Vol 46, No 6 (December), 2005: pp 1038-1048 Bellomo R et al:Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care August 2004 Vol 8 No 4 Hoste E, Kellum J: RIFLE criteria provide robust assessment of kidney dysfunction and correlate with hospital mortality. Crit Care Med 2006 Vol. 34, No. 7 Uchino S, Bellomo R, Goldsmith D, et al: An assessment of the RIFLE criteria for acute renal failure in hospitalized patients. CritCare Med 2006; 34:1913– 1917 Hoste E , Kellum J, Clermont G et al: RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Critical Care Vol 10 No 3(2006) Crowley S, Peixoto A. Acute Kidney Injury in the Intensive Care. Clin Chest Med 30 (2009) 29–43 Guerin C, Girard R, Selli JM, et al. Initial versus delayed acute renal failure in the intensive care unit. A multicenter prospective epidemiological study. Rhone-Alpes Area Study Group on Acute Renal Failure. Am J Respir Crit Care Med 2000;161(3 Pt 1):872–9. Mehta RL, Pascual MT, Soroko S, et al. Spectrum of acute renal failure in the intensive care unit: the PICARD experience. Kidney Int 2004;66(4):1613–21. . Barrantes F, Tian J, Vazquez R, et al. Acute kidney injury criteria predict outcomes of critically ill patients. Crit Care Med 2008;36(5):1397–403. Kuitunen A, Vento A, Acute Renal Failure After Cardiac Surgery: Evaluation of the RIFLE Classification. Ann Thorac Surg 2006;81:542– 6. Duke GJ. Renal protective agents: a review. Crit Care Resusc.1999;1:265-75. Hoste E. Six Truths about Acute Kidney Injury that the Intensivist should be Aware of. Yearbook of intensive care and emergency medicine.2008; IV: 551- 557 Sampath S, Moran JL, Graham PL, Rockliff S, Bersten AD, Abrams KR (2007) The efficacy of loop diuretics in acute renal failure: Assessment using Bayesian evidence synthesis techniques. Crit Care Med 35:2516–2524 Nash K, Hafeez A, Hou S. Hospital acquired renal insufficiency. Am J Kidney Dis 2002;39:930-6. Haveman JW, Gansevoort RT, Bongaerts AH, Nijsten MW. Low incidence of nephropathy in surgical ICU patients receiving intravenous contrast: a retrospective analysis. Intensive Care Med 2006: 32:1199–1205 Mueller C, Buerkle G, Buettner HJ, et al. Prevention of contrast mediaassociatednephropathy: randomized comparison of 2 hydration regimens in 1620 patients undergoingcoronary angioplasty. Arch Intern Med 2002: 162:329–336 Navaneethan SD, Singh S, Appasamy S. Sodium bicarbonate therapy for prevention of contrast-induced nephropathy: A systematic review and metaanalysys. 2009. Am J Kidney Dis 53:617-627 Marenzi G, Marana I, Lauri G, et al. The prevention of radiocontrast-agentinduced nephropathy by hemofiltration. N Engl J Med 2003: 349:1333–1340. Kellum JA, M Decker J. Use of dopamine in acute renal failure: a metaanalysis. CritCare Med 2001:29:1526–1531. Bagshaw SM, George C, Dinu I, Bellomo R. A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in the critically ill patients. Nephol Dial Transplant 2008; 23:1203-10. Seabra VF, Balk EM.Timing of Renal Replacement Therapy Initiation in Acute Renal Failure:A Meta-analysis. American Journal of Kidney Diseases, Vol 52, No 2 (August), 2008: pp 272-284 Englberger L, Suri RM, Zhuo Li, Casey ET.Clinical accuracy of RIFLE and Acute Kidney InjuryNetwork (AKIN) criteria for acute kidney injury inpatients undergoing cardiac surgery. Critical Care 2011, 15:R16 Nashef S.A, Roques F. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. European Journal of Cardio-thoracic Surgery 22 (2002) 101–105 Nashef S.A, Roques. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. European Journal of Cardio-thoracic Surgery 15 (1999) 816±823 Machado M, Miranda C. Acute Kidney Injury after On-pump Coronary Artery BypassGraft Surgery. Arq Bras Cardiol 2009; 93(3) : 230-235 Karkouti K, Wijeysundera DN. Acute Kidney Injury After Cardiac Surgery. Circulation February 3, 2009; 495-502 Doddakula K, Al-Sarraf N. Predictors of acute renal failure requiring renal replacement therapy post cardiac surgery in patients with preoperatively normal renal function. Interact CardioVasc Thorac Surg 2007;6:314-318 Stafford-Smith M, Shaw A, Swaminathan M. Cardiac surgery and acute kidney injury: emerging concepts. Current Opinion in Critical Care 2009,15:498–502 Robert A, Robert S.K, Dacey L. Cardiac Surgery-Associated Acute Kidney Injury: A Comparison of Two Consensus Criteria. Ann Thorac Surg 2010;90:1939–43 Maria R, Mazzoni M, Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart 2005; 91:779–784.
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identifier_str_mv	Agraharkar M, Safirstein RL: Pathophysiology of acute renal failure. In: Greenberg A, Coffman T, eds. Primer on Kidney Diseases. 3rd ed. San Diego, Calif: Academic Press; 2001: 243-86. Lameire N: The pathophysiology of the acute renal failure. Crit Care Clin 21 (2005) 197– 210 Lopes JA, Jorge S, Neves FC, et al: An assessment of the rifle criteria for acute renal failure in severely burned patients. Nephrol DialTransplant 2007; 22:285. Abosaif N,, Tolba Y et al: The Outcome of Acute Renal Failure in the Intensive Care Unit According to RIFLE: Model Application, Sensitivity,and Predictability. American Journal of Kidney Diseases, Vol 46, No 6 (December), 2005: pp 1038-1048 Bellomo R et al:Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care August 2004 Vol 8 No 4 Hoste E, Kellum J: RIFLE criteria provide robust assessment of kidney dysfunction and correlate with hospital mortality. Crit Care Med 2006 Vol. 34, No. 7 Uchino S, Bellomo R, Goldsmith D, et al: An assessment of the RIFLE criteria for acute renal failure in hospitalized patients. CritCare Med 2006; 34:1913– 1917 Hoste E , Kellum J, Clermont G et al: RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Critical Care Vol 10 No 3(2006) Crowley S, Peixoto A. Acute Kidney Injury in the Intensive Care. Clin Chest Med 30 (2009) 29–43 Guerin C, Girard R, Selli JM, et al. Initial versus delayed acute renal failure in the intensive care unit. A multicenter prospective epidemiological study. Rhone-Alpes Area Study Group on Acute Renal Failure. Am J Respir Crit Care Med 2000;161(3 Pt 1):872–9. Mehta RL, Pascual MT, Soroko S, et al. Spectrum of acute renal failure in the intensive care unit: the PICARD experience. Kidney Int 2004;66(4):1613–21. . Barrantes F, Tian J, Vazquez R, et al. Acute kidney injury criteria predict outcomes of critically ill patients. Crit Care Med 2008;36(5):1397–403. Kuitunen A, Vento A, Acute Renal Failure After Cardiac Surgery: Evaluation of the RIFLE Classification. Ann Thorac Surg 2006;81:542– 6. Duke GJ. Renal protective agents: a review. Crit Care Resusc.1999;1:265-75. Hoste E. Six Truths about Acute Kidney Injury that the Intensivist should be Aware of. Yearbook of intensive care and emergency medicine.2008; IV: 551- 557 Sampath S, Moran JL, Graham PL, Rockliff S, Bersten AD, Abrams KR (2007) The efficacy of loop diuretics in acute renal failure: Assessment using Bayesian evidence synthesis techniques. Crit Care Med 35:2516–2524 Nash K, Hafeez A, Hou S. Hospital acquired renal insufficiency. Am J Kidney Dis 2002;39:930-6. Haveman JW, Gansevoort RT, Bongaerts AH, Nijsten MW. Low incidence of nephropathy in surgical ICU patients receiving intravenous contrast: a retrospective analysis. Intensive Care Med 2006: 32:1199–1205 Mueller C, Buerkle G, Buettner HJ, et al. Prevention of contrast mediaassociatednephropathy: randomized comparison of 2 hydration regimens in 1620 patients undergoingcoronary angioplasty. Arch Intern Med 2002: 162:329–336 Navaneethan SD, Singh S, Appasamy S. Sodium bicarbonate therapy for prevention of contrast-induced nephropathy: A systematic review and metaanalysys. 2009. Am J Kidney Dis 53:617-627 Marenzi G, Marana I, Lauri G, et al. The prevention of radiocontrast-agentinduced nephropathy by hemofiltration. N Engl J Med 2003: 349:1333–1340. Kellum JA, M Decker J. Use of dopamine in acute renal failure: a metaanalysis. CritCare Med 2001:29:1526–1531. Bagshaw SM, George C, Dinu I, Bellomo R. A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in the critically ill patients. Nephol Dial Transplant 2008; 23:1203-10. Seabra VF, Balk EM.Timing of Renal Replacement Therapy Initiation in Acute Renal Failure:A Meta-analysis. American Journal of Kidney Diseases, Vol 52, No 2 (August), 2008: pp 272-284 Englberger L, Suri RM, Zhuo Li, Casey ET.Clinical accuracy of RIFLE and Acute Kidney InjuryNetwork (AKIN) criteria for acute kidney injury inpatients undergoing cardiac surgery. Critical Care 2011, 15:R16 Nashef S.A, Roques F. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. European Journal of Cardio-thoracic Surgery 22 (2002) 101–105 Nashef S.A, Roques. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. European Journal of Cardio-thoracic Surgery 15 (1999) 816±823 Machado M, Miranda C. Acute Kidney Injury after On-pump Coronary Artery BypassGraft Surgery. Arq Bras Cardiol 2009; 93(3) : 230-235 Karkouti K, Wijeysundera DN. Acute Kidney Injury After Cardiac Surgery. Circulation February 3, 2009; 495-502 Doddakula K, Al-Sarraf N. Predictors of acute renal failure requiring renal replacement therapy post cardiac surgery in patients with preoperatively normal renal function. Interact CardioVasc Thorac Surg 2007;6:314-318 Stafford-Smith M, Shaw A, Swaminathan M. Cardiac surgery and acute kidney injury: emerging concepts. Current Opinion in Critical Care 2009,15:498–502 Robert A, Robert S.K, Dacey L. Cardiac Surgery-Associated Acute Kidney Injury: A Comparison of Two Consensus Criteria. Ann Thorac Surg 2010;90:1939–43 Maria R, Mazzoni M, Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart 2005; 91:779–784. 151981 TE00217
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spelling	Buitrago Bernal, Ricardo AntonioOliveros Rodríguez, HenryArias Rodríguez, Juan FranciscoEspecialista en Medicina Crítica y Cuidado Intensivo2012-04-11T14:27:13Z2012-04-11T14:27:13Z20112011Agraharkar M, Safirstein RL: Pathophysiology of acute renal failure. In: Greenberg A, Coffman T, eds. Primer on Kidney Diseases. 3rd ed. San Diego, Calif: Academic Press; 2001: 243-86.Lameire N: The pathophysiology of the acute renal failure. Crit Care Clin 21 (2005) 197– 210Lopes JA, Jorge S, Neves FC, et al: An assessment of the rifle criteria for acute renal failure in severely burned patients. Nephrol DialTransplant 2007; 22:285.Abosaif N,, Tolba Y et al: The Outcome of Acute Renal Failure in the Intensive Care Unit According to RIFLE: Model Application, Sensitivity,and Predictability. American Journal of Kidney Diseases, Vol 46, No 6 (December), 2005: pp 1038-1048Bellomo R et al:Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care August 2004 Vol 8 No 4Hoste E, Kellum J: RIFLE criteria provide robust assessment of kidney dysfunction and correlate with hospital mortality. Crit Care Med 2006 Vol. 34, No. 7Uchino S, Bellomo R, Goldsmith D, et al: An assessment of the RIFLE criteria for acute renal failure in hospitalized patients. CritCare Med 2006; 34:1913– 1917Hoste E , Kellum J, Clermont G et al: RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Critical Care Vol 10 No 3(2006)Crowley S, Peixoto A. Acute Kidney Injury in the Intensive Care. Clin Chest Med 30 (2009) 29–43Guerin C, Girard R, Selli JM, et al. Initial versus delayed acute renal failure in the intensive care unit. A multicenter prospective epidemiological study. Rhone-Alpes Area Study Group on Acute Renal Failure. Am J Respir Crit Care Med 2000;161(3 Pt 1):872–9.Mehta RL, Pascual MT, Soroko S, et al. Spectrum of acute renal failure in the intensive care unit: the PICARD experience. Kidney Int 2004;66(4):1613–21.. Barrantes F, Tian J, Vazquez R, et al. Acute kidney injury criteria predict outcomes of critically ill patients. Crit Care Med 2008;36(5):1397–403.Kuitunen A, Vento A, Acute Renal Failure After Cardiac Surgery: Evaluation of the RIFLE Classification. Ann Thorac Surg 2006;81:542– 6.Duke GJ. Renal protective agents: a review. Crit Care Resusc.1999;1:265-75.Hoste E. Six Truths about Acute Kidney Injury that the Intensivist should be Aware of. Yearbook of intensive care and emergency medicine.2008; IV: 551- 557Sampath S, Moran JL, Graham PL, Rockliff S, Bersten AD, Abrams KR (2007) The efficacy of loop diuretics in acute renal failure: Assessment using Bayesian evidence synthesis techniques. Crit Care Med 35:2516–2524Nash K, Hafeez A, Hou S. Hospital acquired renal insufficiency. Am J Kidney Dis 2002;39:930-6.Haveman JW, Gansevoort RT, Bongaerts AH, Nijsten MW. Low incidence of nephropathy in surgical ICU patients receiving intravenous contrast: a retrospective analysis. Intensive Care Med 2006: 32:1199–1205Mueller C, Buerkle G, Buettner HJ, et al. Prevention of contrast mediaassociatednephropathy: randomized comparison of 2 hydration regimens in 1620 patients undergoingcoronary angioplasty. Arch Intern Med 2002: 162:329–336Navaneethan SD, Singh S, Appasamy S. Sodium bicarbonate therapy for prevention of contrast-induced nephropathy: A systematic review and metaanalysys. 2009. Am J Kidney Dis 53:617-627Marenzi G, Marana I, Lauri G, et al. The prevention of radiocontrast-agentinduced nephropathy by hemofiltration. N Engl J Med 2003: 349:1333–1340.Kellum JA, M Decker J. Use of dopamine in acute renal failure: a metaanalysis. CritCare Med 2001:29:1526–1531.Bagshaw SM, George C, Dinu I, Bellomo R. A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in the critically ill patients. Nephol Dial Transplant 2008; 23:1203-10.Seabra VF, Balk EM.Timing of Renal Replacement Therapy Initiation in Acute Renal Failure:A Meta-analysis. American Journal of Kidney Diseases, Vol 52, No 2 (August), 2008: pp 272-284Englberger L, Suri RM, Zhuo Li, Casey ET.Clinical accuracy of RIFLE and Acute Kidney InjuryNetwork (AKIN) criteria for acute kidney injury inpatients undergoing cardiac surgery. Critical Care 2011, 15:R16Nashef S.A, Roques F. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. European Journal of Cardio-thoracic Surgery 22 (2002) 101–105Nashef S.A, Roques. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. European Journal of Cardio-thoracic Surgery 15 (1999) 816±823Machado M, Miranda C. Acute Kidney Injury after On-pump Coronary Artery BypassGraft Surgery. Arq Bras Cardiol 2009; 93(3) : 230-235Karkouti K, Wijeysundera DN. Acute Kidney Injury After Cardiac Surgery. Circulation February 3, 2009; 495-502Doddakula K, Al-Sarraf N. Predictors of acute renal failure requiring renal replacement therapy post cardiac surgery in patients with preoperatively normal renal function. Interact CardioVasc Thorac Surg 2007;6:314-318Stafford-Smith M, Shaw A, Swaminathan M. Cardiac surgery and acute kidney injury: emerging concepts. Current Opinion in Critical Care 2009,15:498–502Robert A, Robert S.K, Dacey L. Cardiac Surgery-Associated Acute Kidney Injury: A Comparison of Two Consensus Criteria. Ann Thorac Surg 2010;90:1939–43Maria R, Mazzoni M, Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart 2005; 91:779–784.http://hdl.handle.net/10818/1516151981TE0021756 Páginas.La falla renal aguda (FRA) después de cirugía cardiovascular es un factor de riesgo y pese al aumento de cardioprotección su incidencia es alta. En el estudio se identifica la correlación entre la morbimortalidad y la FRA en cirugía cardiovascular. Realizamos un estudio de Corte trasversal, 142 pacientes intervenidos de cirugía cardiovascular en la Clínica Shaio entre octubre 2009 a abril 2010. Se observó asociación entre RIFLE y la severidad renal con la creatinina. La ventilación mecánica y la estancia en UCI, presentan asociación (p < 0,05) con RIFLE. La FRA se asocia con mayor riesgo de mortalidad (p=0,000). Los resultados confirman la relación entre FRA post quirúrgica definida por RIFLE y mortalidad a 28 días.spaUniversidad de La SabanaEspecialización en Medicina Crítica y Cuidado IntensivoFacultad de MedicinaUniversidad de La SabanaIntellectum Repositorio Universidad de La SabanaClínica SHAIO-Atención médicaInsuficiencia renal crónicaCorazón-CirugíaRespiración artificialCuidados postoperatoriosDescripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIObachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/access_right/c_abf2ORIGINALJUAN FRANCISCO ARIAS RODRIGUEZ.pdfJUAN FRANCISCO ARIAS RODRIGUEZ.pdfVer documento en PDFapplication/pdf335083https://intellectum.unisabana.edu.co/bitstream/10818/1516/1/JUAN%20FRANCISCO%20ARIAS%20RODRIGUEZ.pdf51fa4497dad3ed3d193469faba90687dMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/1516/2/license.txtf52a2cfd4df262e08e9b300d62c85cabMD52TEXTJUAN FRANCISCO ARIAS RODRIGUEZ.pdf.txtJUAN FRANCISCO ARIAS RODRIGUEZ.pdf.txtExtracted Texttext/plain73808https://intellectum.unisabana.edu.co/bitstream/10818/1516/3/JUAN%20FRANCISCO%20ARIAS%20RODRIGUEZ.pdf.txt0c08771806dfccd42664cad54fe0860aMD5310818/1516oai:intellectum.unisabana.edu.co:10818/15162020-02-12 10:31:21.951Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.coPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy1uZC8zLjAvIj48aW1nIGFsdD0iTGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyIgc3R5bGU9ImJvcmRlci13aWR0aDowIiBzcmM9Imh0dHA6Ly9pLmNyZWF0aXZlY29tbW9ucy5vcmcvbC9ieS1uYy1uZC8zLjAvODh4MzEucG5nIiAvPjwvYT48YnIgLz5Fc3RlIDxzcGFuIHhtbG5zOmRjdD0iaHR0cDovL3B1cmwub3JnL2RjL3Rlcm1zLyIgaHJlZj0iaHR0cDovL3B1cmwub3JnL2RjL2RjbWl0eXBlL1RleHQiIHJlbD0iZGN0OnR5cGUiPm9icmE8L3NwYW4+IGVzdMOhIGJham8gdW5hIDxhIHJlbD0ibGljZW5zZSIgaHJlZj0iaHR0cDovL2NyZWF0aXZlY29tbW9ucy5vcmcvbGljZW5zZXMvYnktbmMtbmQvMy4wLyI+bGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyBSZWNvbm9jaW1pZW50by1Ob0NvbWVyY2lhbC1TaW5PYnJhRGVyaXZhZGEgMy4wIFVucG9ydGVkPC9hPi4K

Descripción de las características clínicas de los pacientes con insuficiencia renal aguda en el post operatorio de cirugía cardiovascular, en la Clínica SHAIO

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