scholarly journals Etiology and Short term Outcome of Acute Kidney Injury (AKI) in Hospitalized Patients : A Single Center Study

2019 ◽  
Vol 7 (2) ◽  
pp. 77-80
Author(s):  
Tania Mahbub ◽  
Chowdhury Rifat Niger ◽  
Rawshan Arra Khanam ◽  
Mohammad Omar Faruq

Acute Kidney Injury (AKI) is a common cause of morbidity and mortality worldwide. However it is a treatablecondition. Any disease when associated with AKI, mortality and morbidity increase manifolds.1 Early diagnosis andtreatment is important to reduce morbidity, mortality and ICU admission. Causes of AKI may vary in country to countryeven within the country. International society of Nephrology has set a high ambitious goal “0 by 25” targeting zerodeath due to untreated AKI by 2025. Heading this challenge, it is important to know the causes of AKI worldwide.However, most of the AKI studies have been done in the developed countries and limited information is availableregarding Asia, Africa and south America. Inspired by this slogan, this study was directed to find out the causes of AKIin admitted patients in United Hospital Limited between July 2015 to February 2017. Total 98 patients were includedin the study. In our study, Infection and cardio-renal syndrome were the leading causes of AKI. Drug induced AKI alsocontributed a significant portion. Bangladesh Crit Care J September 2019; 7(2): 77-80

2020 ◽  
Vol 08 (05) ◽  
pp. 177-188
Author(s):  
Md. Kabir Hossain ◽  
Muhammad Rafiqul Alam ◽  
Asia Khanam ◽  
A. K. M. Shahidur Rahman ◽  
Rafi Nazrul Islam ◽  
...  

2020 ◽  
Vol 4 (7) ◽  
pp. 558-561
Author(s):  
Firdevs Tugba BOZKURT ◽  
Melek DOGANCİ ◽  
Duygu KAYAR CALİLİ ◽  
Ahmet AKDAG ◽  
Seval İZDES

2021 ◽  
Vol 7 (3) ◽  
pp. 1-6
Author(s):  
Cheuk-Chun Szeto ◽  

Acute Kidney Injury (AKI) is a common problem in hospitalized patients and is associated with poor clinical outcome. We studied the incidence, severity, and short-term outcome of AKI amongst patients admitted to a general hospital in Hong Kong.


2017 ◽  
Vol 5 (5) ◽  
pp. 635-640 ◽  
Author(s):  
Zvezdana Petronijevic ◽  
Gjulsen Selim ◽  
Lidija Petkovska ◽  
Ljubica Georgievska-Ismail ◽  
Goce Spasovski ◽  
...  

BACKGROUND: Elderly population (≥ 65) are more prone to develop acute kidney injury (AKI) compared to younger, also elderly with AKI have an increased requirement for dialysis treatment and an elevated risk of short-term and long-term mortality.AIM: The objectives of this study were to examine the effect of treatment of short-term outcomes and mortality in elderly patients with AKI.MATERIAL AND METHODS: Seventy elderly AKI patients, that filled one of the criteria of AKI definition and had hospitalization over 24 hours, were enrolled in the study.RESULTS: The median age of patients was 74.28 ± 6.64, with mean CCI (Charlson Comorbidity Index) score of 6.94 ± 1.94. The majority of patients (70%) were classified at stage 3 of AKIN, 20% of patients were classified at stage 2 and 10% at stage 1. In the groups of patients with death outcome, the chronic cardiomyopathy was more frequently present (p = 0.034). Regarding treatment, 58.6% of the AKI patients underwent hemodialysis while 41.4% received conservative treatment. Mortality rate was 52.8%, out of which 28.6% was in-hospital mortality, while in 24.3% of patients death occurred in the follow-up period of 90 days.CONCLUSION: In our study, short- term survival is not related to different treatment options. Applied treatment in elderly patients with AKI should be assessed by measuring the long term outcome.


Renal Failure ◽  
2016 ◽  
Vol 39 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Vina Tresa ◽  
Afshan Yaseen ◽  
Ali Asghar Lanewala ◽  
Seema Hashmi ◽  
Sabeeta Khatri ◽  
...  

2020 ◽  
Vol 13 (3) ◽  
pp. 340-346 ◽  
Author(s):  
Daqing Hong ◽  
Lin Long ◽  
Amanda Y Wang ◽  
Yu Lei ◽  
Yun Tang ◽  
...  

Abstract Background Coronavirus disease 2019 (COVID-19) is a pandemic that has affected more than 3 million patients globally. Previous data from Wuhan city showed that acute kidney injury (AKI), proteinuria and hematuria occurred frequently in patients with severe COVID-19. However, the prevalence of kidney injury in milder cases remains unclear. Methods This retrospective study included two major consecutive cohorts of COVID-19 patients in Sichuan Province. Baseline characteristics, laboratory data including renal function, proteinuria and dipstick hematuria, and other laboratory parameters were collected. A subgroup of patients was followed up for 2–4 weeks to evaluate the short-term outcome of renal impairment. Results Overall, 168 COVID-19-positive patients were included in the study. The majority of patients (79.7%) were diagnosed with mild or moderate disease. Half of patients presented with fever; however, in The Tibetan cohort, fever only occurred in 13.4% of patients. On hospital admission, proteinuria and dipstick hematuria were noted in 18.4% and 17.4% of patients, respectively, while AKI only occurred in one patient. Further analysis showed that severe or critical COVID-19 was associated with higher risk of proteinuria [relative risk (RR) 7.37, 95% confidence interval (CI) 2.45–22.18, P = 3.8 × 10−4] and dipstick hematuria (RR 8.30, 95% CI 2.69–25.56, P = 2.3 × 10−4). Proteinuria, dipstick hematuria, or the combination of proteinuria and hematuria could significantly predict severe or critical severe COVID-19. Conclusions Proteinuria and dipstick hematuria are not uncommon in patients with COVID-19 infection, especially in severe or critical cases.


2021 ◽  
Vol 15 (2) ◽  
pp. 62-64
Author(s):  
Swapan Kumar Mondal ◽  
Ananta Kumar Biswas ◽  
Swapna Biswas Joy ◽  
MM Shahin Ul Islam ◽  
Bablu Kumar Pal ◽  
...  

Postpartum Acute Kidney Injury (AKI) is one of the serious complications of pregnancy and is associated with high mortality and morbidity. Although Postpartum AKI has decreased markedly in developed countries in the last 50 years, but it is a challenging health problem in pregnant women, specially in the developing countries like Bangladesh. Aim of this study was to determine the contributing factors and outcome of postpartum AKI. This observational study was conducted in the department of nephrology, Faridpur Medical College Hospital from January 2018 to December 2019. During that study period thirty two patients with postpartum AKI were admitted in the above mentioned department. Demographic, clinical and laboratory data of those patients were recorded. Mean age of patients was 25.3 ± 4.2 years, and the 72% patients underwent cesarean section. Oliguria was the main presentation (91%). Puerperal sepsis (38%), postpartum hemorrhage (22%), and Eclampsia (16%) were the common contributing factors. Hemodialysis was required for most of the patients (75%). Therefore early diagnosis, identification and treatment of cause, timely initiation of renal replacement therapy is mandatory. Faridpur Med. Coll. J. 2020;15(2): 62-64


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