Clinical and etiological profile of acute kidney injury in cases attending a tertiary care center
DOI:
https://doi.org/10.18203/2349-3933.ijam20161843Keywords:
Acute kidney injury, Clinical, Etiological, Oliguric, ProfileAbstract
Background: Acute kidney injury or acute renal failure is a common problem in hospitalized patients. A large number of conditions can cause AKI which can present with different clinical features. The aim of present study was to analyze etiological and clinical features of AKI.
Methods: This study involved 68 patients of AKI admitted in a teaching hospital. The clinical and laboratory data were collected at admission and during follow up till the final outcome and these data were analyzed.
Results: 68 patients were studied. Largest no of patient was in the age group of 41-50 years and 55.88% of patients were male. The causes of AKI were medical (77.94%), surgical (11.76%) and obstetrical (10.29%). Sepsis was the most common medical cause (41.50%). Patients were treated either by conservative methods or by haemodialysis. Overall mortality was 20.58%.
Conclusions: Non-oliguric AKI was more common but oliguric AKI has high mortality. The mortality in dialysis treated patients is high than patients who are treated conservatively. The high mortality in dialysis treated patients is due to multi organ failure.
References
Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. ADQI Workgroup, Acute renal failure-Definition, outcome, measures, animal models fluid therapy and information technology needs, the second international consensus conference of the acute Dialysis Quality Iniative (ADQI) workgroup. Crit Care. 2004;8(4):R204-12.
Avathi G, Verpootes G. ARF in med and surgical ICU Renal failure. 2003;25:105-13.
Kidney International Supplements (KDIGO). 2012;2(1):8-12.
Brady HR, Brenner BM. Acute renal failure Harrison principle of internal medicine
Jones AJ. Acute renal failure: pathogenesis diagnosis and conservative treatment. Minnerva Med. 2002;93:85-93.
Morgera S, Kraft AK, Siebert G, Luft FC, Neumayer HH. Long term outcomes in Renal replacement therapy. Am J Kidney Dis. 2002;40:275-9.
Waikar SS, Bonventre JB. Acute kidney injury. Harrison principle of internal medicine. 18th ed. Fauci eds. MCGraw Hill; 2293-2308.
Hou SH, Broc ME. Hospital acquired renal insufficiency a prospective study. Am J Med. 1983;74:243-8.
Albright RC. Jr Acute renal failure. A practical update. Mayo Clinic Proc. 2001;76:67-74.
Barretti P, Soares VA. Acute renal failure clinical outcomes and causes of death renal failure. 1997;19:253-7.
Liano F. Acute renal failure causes and pathogenesis Schrier RW, ed. Atlas of kidney Philadelphia churchil. Livingstone; 2000:8.
Suxena S. Dialytic support in Acute Renal Failure. J Ind Med Association. 2001;99:378-81.
Naqvi R, Ahmed A, Akhtar F, Yazdani I, Jafar MN, Naqvi SAA, et al. J Pak Med Assoc. 1996;46:29-30.
Acute renal failure in the new millennium. Time to consider combination therapy. Semin Nephro. 2000;20:4-19.
Anderson RJ, Linas SL, Berns AS, Henrich WL. New Eng J Med. 1977;296(20):1134.
