García-Muñoz MG, Sosa-Medellín MÁ, Fernández-Mancilla RK

Language: Spanish
References: 13
Page: 312-317
PDF size: 192.30 Kb.

ABSTRACT

Background: The resident doctor of emergency medicine is exposed to long hours of work during his training, exposing himself to situations such as dehydration and stress.
Objective: To determine the frequency of acute kidney injury in emergency medicine physicians after a 24-hour guard.
Material and Method: A prospective, longitudinal, observational and prevalence study was conducted during November 2018, studying residents of the emergency department of the General Hospital of Zone no. 2 of the city of Monterrey, Nuevo Leon, Mexico. After informed consent, anthropometric measurements and a medical history were taken, blood samples were taken at the entrance of the guard and 24 hours after the inspection.
Results: A sample of 18 residents was obtained, with a mean age of 29 years, 50% were male, presenting a maximum creatinine elevation of 0.17 mg/dL, but without meeting criteria for acute renal injury after 24 hours on call. There were observed significant changes in the elevation of blood pressure (p = 0.003), decrease in temperature (p = 0.003) and increase in heart rate (p = 0.025).
Conclusions: Resident doctors do not develop acute kidney injury after a 24-hour guard. However, they do present a series of considerable clinical and biochemical changes during their academic activities.

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