Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil

Background Acute kidney injury (AKI) is a worldwide public health problem and is often treated by non-nephrologists. The objective of this study was to evaluate the knowledge of non-nephrologists, undergraduate medical students and health professionals regarding AKI.Methods An unsupervised and close...

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Main Authors: Farid Samaan, Danilo Aoike, Ricardo Pagrion-Neto, Thiago Cesar Pons, Rafaela Bracci Lisboa, Emmanuel A. Burdmann
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Renal Failure
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2022.2131575
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author Farid Samaan
Danilo Aoike
Ricardo Pagrion-Neto
Thiago Cesar Pons
Rafaela Bracci Lisboa
Emmanuel A. Burdmann
author_facet Farid Samaan
Danilo Aoike
Ricardo Pagrion-Neto
Thiago Cesar Pons
Rafaela Bracci Lisboa
Emmanuel A. Burdmann
author_sort Farid Samaan
collection DOAJ
description Background Acute kidney injury (AKI) is a worldwide public health problem and is often treated by non-nephrologists. The objective of this study was to evaluate the knowledge of non-nephrologists, undergraduate medical students and health professionals regarding AKI.Methods An unsupervised and closed-response electronic questionnaire was sent to sixth-year medical students and non-nephrologist health professionals working in the city of São Paulo, Brazil.Results A total of 424 responses were returned from 650 invitations (40.1% males, 39.2% physicians, 34.0% senior medical students or resident physicians, 16.3% nurses and 10.6% pharmacists). The knowledge of medical students and health professionals about the prevalence and lethality of AKI in hospitals ranged from 40.8% to 59.2%. The most recognized susceptibilities and risk factors for AKI were sepsis/septic shock (95.0%) and diabetes mellitus (91.3%); the less-recognized susceptibilities and risk factors were exposure to gadolinium-based contrast (23.3%) and chronic liver disease (55.7%). The study participants’ rate of knowledge regarding the diagnosis of AKI was 50.9–73.6%, and their rate of knowledge regarding the criteria of increased serum creatinine and reduced urine volume was 52.6%. The most-recognized nephrotoxic medications were vancomycin (82.3%) and diclofenac (80.4%), and the least-recognized were acyclovir (34.0%) and cotrimoxazole (30.4%). The indications for emergency renal replacement therapy that were recognized by the study respondents were metabolic acidosis (82.3%), uremic syndrome (81.6%), hyperkalemia unresponsive to clinical treatment (78.1%) and acute pulmonary edema (71.6%).Conclusion The study showed knowledge gaps that can impact patient care and can be used to guide professional training programs.
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spelling doaj.art-38273b1064644dc2865e24bac14d023a2022-12-22T04:38:15ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492022-12-014411660166810.1080/0886022X.2022.2131575Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, BrazilFarid Samaan0Danilo Aoike1Ricardo Pagrion-Neto2Thiago Cesar Pons3Rafaela Bracci Lisboa4Emmanuel A. Burdmann5Instituto Dante Pazzanese de Cardiologia, São Paulo, BrazilDisciplina de Nefrologia, Universidade Federal de São Paulo, BrazilUniversidade Nove de Julho, São Paulo, BrazilUniversidade Nove de Julho, São Paulo, BrazilUniversidade Nove de Julho, São Paulo, BrazilLIM 12, Disciplina de Nefrologia, Universidade de São Paulo, São Paulo, BrazilBackground Acute kidney injury (AKI) is a worldwide public health problem and is often treated by non-nephrologists. The objective of this study was to evaluate the knowledge of non-nephrologists, undergraduate medical students and health professionals regarding AKI.Methods An unsupervised and closed-response electronic questionnaire was sent to sixth-year medical students and non-nephrologist health professionals working in the city of São Paulo, Brazil.Results A total of 424 responses were returned from 650 invitations (40.1% males, 39.2% physicians, 34.0% senior medical students or resident physicians, 16.3% nurses and 10.6% pharmacists). The knowledge of medical students and health professionals about the prevalence and lethality of AKI in hospitals ranged from 40.8% to 59.2%. The most recognized susceptibilities and risk factors for AKI were sepsis/septic shock (95.0%) and diabetes mellitus (91.3%); the less-recognized susceptibilities and risk factors were exposure to gadolinium-based contrast (23.3%) and chronic liver disease (55.7%). The study participants’ rate of knowledge regarding the diagnosis of AKI was 50.9–73.6%, and their rate of knowledge regarding the criteria of increased serum creatinine and reduced urine volume was 52.6%. The most-recognized nephrotoxic medications were vancomycin (82.3%) and diclofenac (80.4%), and the least-recognized were acyclovir (34.0%) and cotrimoxazole (30.4%). The indications for emergency renal replacement therapy that were recognized by the study respondents were metabolic acidosis (82.3%), uremic syndrome (81.6%), hyperkalemia unresponsive to clinical treatment (78.1%) and acute pulmonary edema (71.6%).Conclusion The study showed knowledge gaps that can impact patient care and can be used to guide professional training programs.https://www.tandfonline.com/doi/10.1080/0886022X.2022.2131575Acute kidney injuryknowledgeearly diagnosisdisease prevention
spellingShingle Farid Samaan
Danilo Aoike
Ricardo Pagrion-Neto
Thiago Cesar Pons
Rafaela Bracci Lisboa
Emmanuel A. Burdmann
Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
Renal Failure
Acute kidney injury
knowledge
early diagnosis
disease prevention
title Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
title_full Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
title_fullStr Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
title_full_unstemmed Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
title_short Medical students’ and health professionals’ knowledge regarding acute kidney injury: a cross-sectional study in the city of São Paulo, Brazil
title_sort medical students and health professionals knowledge regarding acute kidney injury a cross sectional study in the city of sao paulo brazil
topic Acute kidney injury
knowledge
early diagnosis
disease prevention
url https://www.tandfonline.com/doi/10.1080/0886022X.2022.2131575
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