Acute Kidney Injury in the Elderly

2019 ◽  
pp. 123-131
Author(s):  
Myrto Giannopoulou ◽  
Stefanos Roumeliotis ◽  
Theodoros Eleftheriadis ◽  
Vassilios Liakopoulos
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
The Elderly

ACUTE KIDNEY INJURY IN ELDERLY PATIENTS

2019 ◽  
Vol 72 (8) ◽  
pp. 1466-1472
Author(s):  
Grażyna Kobus ◽  
Jolanta Małyszko ◽  
Hanna Bachórzewska-Gajewska
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Elderly Patients ◽  
Older Patients ◽  
Age Groups ◽  
Kidney Injury ◽  
The Elderly ◽  
Younger Patients ◽  
Common Cause

Introduction: In the elderly, impairment of kidney function occurs. Renal diseases overlap with anatomic and functional changes related to age-related involutionary processes. Mortality among patients with acute renal injury is approximately 50%, despite advances in treatment and diagnosis of AKI. The aim: To assess the incidence of acute kidney injury in elderly patients and to analyze the causes of acute renal failure depending on age. Materials and methods: A retrospective analysis included medical documentation of patients hospitalized in the Nephrology Clinic during the 6-month period. During this period 452 patients were hospitalized in the clinic. A group of 77 patients with acute renal failure as a reason for hospitalization was included in the study. Results: The prerenal form was the most common cause of AKI in both age groups. In both age groups, the most common cause was dehydration; in the group of patients up to 65 years of age, dehydration was 29.17%; in the group of people over 65 years - 43.39%. Renal replacement therapy in patients with AKI was used in 14.29% of patients. In the group of patients up to 65 years of age hemodialysis was 16.67% and above 65 years of age. -13.21% of patients. The average creatinine level in the group of younger patients at admission was 5.16 ± 3.71 mg / dl, in the group of older patients 3.14 ± 1.63 mg / dl. The size of glomerular filtration GFR in the group of younger patients at admission was 21.14 ± 19.54 ml / min, in the group of older patients 23.34 ± 13.33 ml / min. Conclusions: The main cause of acute kidney injury regardless of the age group was dehydration. Due to the high percentage of AKI in the elderly, this group requires more preventive action, not only in the hospital but also at home.

Acute kidney injury in the elderly patients of Thai-surgical intensive care units (Thai-SICU) study

2017 ◽  
Vol 30 (2) ◽  
pp. 131
Author(s):  
Konlawij Trongtrakul ◽  
Sujaree Poopipatpab ◽  
Ploynapas Limphunudom ◽  
Chawika Pisitsak ◽  
Kaweesak chittawatanarat ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Intensive Care ◽  
Elderly Patients ◽  
Intensive Care Units ◽  
Kidney Injury ◽  
The Elderly ◽  
Surgical Intensive Care

Acute kidney injury in the elderly

2018 ◽  
Author(s):  
Dinna N. Cruz ◽  
Anna Clementi ◽  
Mitchell H. Rosner
Keyword(s):  
Elderly Patient ◽  
Acute Kidney Injury ◽  
Urinary Tract Obstruction ◽  
Kidney Injury ◽  
The Elderly ◽  
Careful Analysis ◽  
Volume Depletion ◽  
Age Related ◽  
Short And Long Term ◽  
Aggressive Care

Acute kidney injury (AKI) is largely a disease of the elderly patient. As described in this chapter, age-related changes in the kidney as well as the accumulated co-morbid conditions and polypharmacy associated with ageing greatly increase the susceptibility to the development of AKI. The aetiologies of AKI in the elderly patient represent the same spectrum of prerenal, intrarenal, and postrenal causes as in other age categories. However, elderly patients tend to have a higher relative risk for developing AKI due to volume depletion and urinary tract obstruction. Diagnosis of AKI can be confounded by the use of serum creatinine which has limitations in the diagnosis of AKI.Poorer short- and long-term outcomes may influence decision-making on the provision of aggressive care such as offering renal replacement therapy. These complex decisions require a careful analysis of potential outcomes as well as coordinated discussions with family members to ensure that the most thoughtful and rational treatments are offered.

Recovery of Kidney Function After Acute Kidney Injury in the Elderly: A Systematic Review and Meta-analysis

2008 ◽  
Vol 52 (2) ◽  
pp. 262-271 ◽  
Author(s):  
Roland Schmitt ◽  
Steven Coca ◽  
Mehmet Kanbay ◽  
Mary E. Tinetti ◽  
Lloyd G. Cantley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Acute Kidney Injury ◽  
Kidney Function ◽  
Meta Analysis ◽  
Kidney Injury ◽  
The Elderly

Acute kidney injury in the elderly hospitalized patients

Renal Failure ◽  
2014 ◽  
Vol 36 (8) ◽  
pp. 1273-1277 ◽  
Author(s):  
Kadir Kayatas ◽  
Gulizar Sahin ◽  
Mehmet Tepe ◽  
Zeynep Ece Kaya ◽  
Suheyla Apaydin ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
The Elderly ◽  
Hospitalized Patients ◽  
Elderly Hospitalized Patients

Hospital-acquired acute kidney injury in the elderly

2010 ◽  
Vol 6 (3) ◽  
pp. 141-149 ◽  
Author(s):  
Alexandra Chronopoulos ◽  
Dinna N. Cruz ◽  
Claudio Ronco
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
The Elderly ◽  
Hospital Acquired

scholarly journals Overflow diarrhea and acute kidney injury as a presentation of fecal impaction that led to obstructive uropathy

2021 ◽  
Vol 11 (3) ◽  
pp. 71-74
Author(s):  
Dhara Dave
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Elderly Population ◽  
Early Recognition ◽  
Case Reports ◽  
Obstructive Uropathy ◽  
Kidney Injury ◽  
The Elderly ◽  
Fecal Impaction ◽  
Elderly Male

Fecal impaction is a known complication of chronic constipation and is particularly bothersome in the elderly population. Common complications of fecal impaction include hemorrhoids, megacolon, overflow diarrhea, and obstructive uropathy among others. Many case reports have been reported with fecal impaction and obstructive uropathy though none have reported overflow diarrhea as a presentation. In this case report, we present an elderly male who came in with overflow diarrhea and acute kidney injury that resulted from fecal impaction that caused obstructive uropathy. He was managed with catharsis and early recognition of the condition led to a good outcome. Recognition and management of fecal impaction can be challenging especially in patients who present with diarrhea. We, therefore, outline and discuss the importance of recognition of overflow diarrhea as a complication of fecal impaction and the management of such patients.

scholarly journals Acute Kidney Injury Outcomes of Elderly and Nonelderly Patients in the Medical Intensive Care Unit of a University Hospital in a Developing Country

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Wanjak Pongsittisak ◽  
Kashane Phonsawang ◽  
Solos Jaturapisanukul ◽  
Surazee Prommool ◽  
Sathit Kurathong
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Medical Intensive Care Unit ◽  
Kidney Injury ◽  
The Elderly ◽  
University Hospital ◽  
Medical Intensive Care

Background. Aging is associated with a high risk of acute kidney injury (AKI), and the elderly with AKI show a higher mortality rate than those without AKI. In this study, we compared AKI outcomes between elderly and nonelderly patients in a university hospital in a developing country. Materials and Methods. This retrospective cohort study included patients with AKI who were admitted to the medical intensive care unit (ICU) between January 1, 2012, and December 31, 2017. The patients were divided into the elderly (eAKI; age ≥65 years; n = 158) and nonelderly (nAKI; n = 142) groups. Baseline characteristics, comorbidities, principle diagnosis, renal replacement therapy (RRT) requirement, hospital course, and in-hospital mortality were recorded. The primary outcome was in-hospital mortality. Results. The eAKI group included more females, patients with higher Acute Physiology and Chronic Health Evaluation II scores, and patients with more comorbidities than the nAKI group. The etiology and staging of AKI were similar between the two groups. There were no significant differences in in-hospital mortality (p=0.338) and RRT requirement (p=0.802) between the two groups. After adjusting for covariates, the 28-day mortality rate was similar between the two groups (p=0.654), but the 28-day RRT requirement was higher in the eAKI group than in the nAKI group (p=0.042). Conclusion. Elderly and nonelderly ICU patients showed similar survival outcomes of AKI, although the elderly were at a higher risk of requiring RRT.

scholarly journals Acute kidney injury in the elderly: Only the tip of the iceberg

2014 ◽  
Vol 5 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Chia-Ter Chao ◽  
Hung-Bin Tsai ◽  
Yu-Feng Lin ◽  
Wen-Je Ko
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
The Elderly
Sign in / Sign up

Export Citation Format

Share Document