Insuficiencia Renal Aguda en pacientes con trastornos hipertensivos del embarazo

Abstract

Objective: To determine the prevalence of acute renal failure in patients with hypertensive disorders during pregnancy. Research methodology: A search was made in Google Scholar for documents and guides published by different professional societies and associations both in Ecuador and in the international context using descriptors. Afterwards, a search of systematic reviews of the scientific literature was performed. Inclusion criteria: All types of gray literature, whether undergraduate or postgraduate, conference proceedings, research reports, as an example, on acute renal failure in patients with hypertensive disorders of pregnancy. Results: The prevalence in our country represents an average of 10.5%, < 20 years old with 44% and > 40 years old with a percentage of 16.7%. In addition, it was identified that the hypertensive disorder with the highest prevalence is severe preeclampsia with 8.7%. For diagnosis, creatinine is assessed in most countries and in some it is complemented with ultrasound and renal biopsy and the most common treatment used is hemodialysis. Conclusion: To sum up, hypertensive disorders in pregnancy associated with acute renal failure is a very important entity for both the fetus and the mother according to studies in several countries the prevalence is low, but the complications are severe enough to cause maternal-fetal death in the worst cases.