Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review

Three patients admitted to the Accident and Emergency Unit of Lagos University Teaching Hospital (LUTH) after eating a cassava based meal 'Gari' died shortly after admission. The patients vomited and complained of abdominal pain immediately after the meal. They were unconscious with renal failure and died of cardiopulmonary arrest. The cyanide levels in the blood and urine averaged 1.12 and 0.54 mg 1-1, respectively. Cassava contains cyanogenic glycosides which slowly release cyanide and this may have been responsible for the death of these patients. There is an urgent need to establish maximum tolerable levels of cyanide in 'Gari' and other cassava food products.

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Outcome of Acute Renal Failure in Adults in a Teaching Hospital in Bangladesh

Renal Failure ◽

10.3109/08860229309069410 ◽

1993 ◽

Vol 15 (5) ◽

pp. 603-607 ◽

Cited By ~ 8

Author(s):

H. U. Rashid ◽

R. M. Hossain ◽

A. Khanam

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Teaching Hospital

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Study of incidence of acute renal failure and its associated factors and complications amongst patients admitted in intensive care unit of a tertiary care teaching hospital

Medpusle International Journal of Medicine ◽

10.26611/102111210 ◽

2021 ◽

Vol 11 (2) ◽

pp. 108-111

Author(s):

Rameshwar A Warkad ◽

Keyword(s):

Intensive Care Unit ◽

Renal Failure ◽

Renal Function ◽

Acute Renal Failure ◽

Intensive Care ◽

Critically Ill ◽

Teaching Hospital ◽

Critically Ill Patients ◽

Tertiary Care ◽

Tertiary Care Teaching Hospital

Background: Impairment of renal function is a serious complication in critically ill patients. Mortality of acute renal failure remains high ranging from 35% to 86% despite haemodialysis therapy and substantial improvement of dialysis techniques. Therefore attention must be paid to the conditions favouring deterioration of renal function in order to prevent acute renal failure or to intervene in an early phase when less invasive therapies might be even more promising. Methods: This prospective study was conducted in a tertiary care teaching hospital in Mumbai from 1st January 2006 to 31st December 2006. All patients consecutively admitted in intensive care unit were studied. Results: Total number of patients admitted during the said period to the Intensive care Unit was 406, of which 50 had evidence of acute renal failure. The incidence of acute renal failure in the critically ill patients included in our study was 12.31%. There was a statistically significant difference in the incidence of fluid overload, oliguria and hyperkalemia between the pre-renal and renal failure groups. Conclusion: The incidence of acute renal failure in the critically ill patients was 12.31% and commonest predisposing factors associated with acute renal failure were acute insults like hypotension, sepsis and risk factors like age >50 years and pre-existing renal disease.

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Hemodialysis in the Treatment of Acute Renal Failure in Tropical Africa: A 20-Year Review at the Korle Bu Teaching Hospital, Accra

Renal Failure ◽

10.3109/08860229609052823 ◽

1996 ◽

Vol 18 (3) ◽

pp. 517-524 ◽

Cited By ~ 10

Author(s):

M. . Mate-Kole ◽

E. D. Yeboah ◽

R. K. Affram ◽

D. Ofori-Adjei ◽

D. Adu

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Teaching Hospital ◽

Tropical Africa

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Scrub typhus in North India: clinical spectrum, laboratory parameters and treatment outcome in tertiary care teaching hospital

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20204892 ◽

2020 ◽

Vol 8 (11) ◽

pp. 3996

Author(s):

Sudhir Kumar Atri ◽

Homdutt . ◽

Manjari . ◽

Devender Yadav ◽

Anjali Dhanda ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Acute Hepatitis ◽

Teaching Hospital ◽

Scrub Typhus ◽

Tertiary Care ◽

Clinical Spectrum ◽

Laboratory Parameters ◽

Tertiary Care Teaching Hospital ◽

Cns Dysfunction

Background: Scrub typhus is an acute febrile illness causing serious complications leading to significant mortality especially if there is delay in diagnosis and treatment. It is caused by Orentia tsutsugamushi a gram negative bacterium and transmitted by the bite of the trombiculid mite (chigger). This study was undertaken to document the clinical manifestations, laboratory parameters and treatment outcomes of scrub typhus cases.Methods: This retrospective study was done in a tertiary care teaching hospital which included 40 confirmed cases of scrub typhus. The diagnosis was confirmed by positive IgM ELISA. Clinical spectrum and manifestations, laboratory parameters and course in hospital with outcomes were evaluated. Factors associated with complications and mortality were analyzed.Results: The mean age of the patients was 40 ±15 yrs with almost equal proportion of males and females (47.5 vs 52.5%). The most common presenting symptoms were Fever (100%), shortness of breath (40%), altered sensorium (22.5%), nausea/vomiting (10%), and diarrhea (7.5%). Mean duration of fever before presentation to hospital was 11.1±4.9 days. Eschar was seen in 15% of patients. Common laboratory abnormalities documented was thrombocytopenia (85%), elevated transaminases (57%) leukocytosis (45%), and leucopenia (15%). About 37.5% of patients developed multiple organ dysfunction syndrome (MODS) with case fatality rate was 10%. Acute renal failure, acute hepatitis, need of ventilator support and CNS dysfunction was higher among patient with MODS.Conclusions: Scrub typhus patients can have a wide range of manifestation ranging from mild illness to serious and life threatening complications like acute respiratory distress syndrome, acute renal failure, and acute hepatitis and CNS dysfunction. High index of suspicion with early recognition and treatment is key for good outcome. Use of empirical doxycycline may be lifesaving.

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Hospital Outcomes of Obstetrical-Related Acute Renal Failure in a Tertiary Care Teaching Hospital

Renal Failure ◽

10.3109/0886022x.2011.560400 ◽

2011 ◽

Vol 33 (3) ◽

pp. 285-290 ◽

Cited By ~ 10

Author(s):

Akhtar Ali ◽

Mahrukh Ayesha Ali ◽

Mohammad Usman Ali ◽

Shad Mohammad

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Teaching Hospital ◽

Tertiary Care ◽

Hospital Outcomes ◽

Tertiary Care Teaching Hospital ◽

Care Teaching

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Assessment Knowledge of the patients’ with acute renal failure concerning dietary pattern in dialysis unite of AL-Zahraa Teaching Hospital at AL-Kut city

Medico-Legal Update ◽

10.37506/mlu.v21i1.2312 ◽

2021 ◽

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Teaching Hospital ◽

Dietary Pattern

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Prevalence of renal failure patients with three-weekly standardized dialysis session at university teaching hospital of Butare

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20205678 ◽

2020 ◽

Vol 8 (1) ◽

pp. 70

Author(s):

Leonard Ndayisenga ◽

Charles Nsanzabera ◽

Eugene Hitimana

Keyword(s):

Renal Failure ◽

Teaching Hospital ◽

Secondary Data ◽

Cross Sectional Study ◽

University Teaching ◽

Dialysis Session ◽

Hospital Data ◽

Cross Sectional ◽

Dialysis Unit ◽

Stage Renal Disease

Background: Dialysis is a treatment of choice to alleviate severe complications of end-stage renal disease. Renal failure is the most prevalent worldwide among diabetic, hypertensive, and where infective diseases are frequent. The study aimed to assess the prevalence of patients having three standard dialysis sessions weekly at University Teaching hospital of Butare dialysis centre from June 2013 to June 2014.Methods: A descriptive cross-sectional study used routine hospital data from university teaching hospital of Butare dialysis unit and its size were 110 patients who fulfilled the study inclusion criteria. Secondary data were collected using a checklist with different variables like age, sex, profession, health insurances, acute renal failure, chronic renal failure, diabetes mellitus, hypertension, glomerular disease sepsis, severe dehydration, frequency of dialysis per week and outcomes like renal recovery, death, stopping treatment and being referred. Data were analysed using SPSS software.Results: The findings showed that 40.9% of patients received three or above dialysis sessions per week and 59.1% of patients received less than three sessions per week.Conclusions: The study concluded on inadequacy dialysis treatment and recommended further studies to explore more about this inadequacy.

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