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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1797984881978900480 |
---|---|
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. |
first_indexed | 2024-04-11T07:09:55Z |
format | Article |
id | doaj.art-38273b1064644dc2865e24bac14d023a |
institution | Directory Open Access Journal |
issn | 0886-022X 1525-6049 |
language | English |
last_indexed | 2024-04-11T07:09:55Z |
publishDate | 2022-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Renal Failure |
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 |
work_keys_str_mv | AT faridsamaan medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil AT daniloaoike medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil AT ricardopagrionneto medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil AT thiagocesarpons medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil AT rafaelabraccilisboa medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil AT emmanuelaburdmann medicalstudentsandhealthprofessionalsknowledgeregardingacutekidneyinjuryacrosssectionalstudyinthecityofsaopaulobrazil |