FREQUENCY OF ACUTE KIDNEY INJURY AMONG PATIENTS UNDERGOING CORONARY ANGIOGRAPHY

Objective: To determine the frequency of acute kidney injury among patients undergoing coronary angiography. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Department of Cardiology, Hayatabad Medical Complex, Peshawar, from Jan 2018 to Jul 2018. Methodology: This study was conducted in the in the Department of Cardiology, Hayatabad Medical Complex, Peshawar from 22nd Jan 2018 to 22nd Jul 2018. Through a descriptive cross-sectional study design, a total of 116 patients scheduled for coronary angiography were included in the study in a consecutive manner and baseline / follow up serum creatinine was recorded to detect acute kidney injury. Results: In this study 116 patients were included, 61.2% males and 38.8% females. Mean age of the patients was 55.6 years with a standard deviation of 6.6 years. Mean baseline serum creatinine level was 0.9 ± 0.11mg/dl which was 1.5 ± 0.11 48 hours after coronary angiography (p 0.000). AKI was recorded in 19.8% of patients. Conclusion: Acute kidney injury after coronary angiography is not uncommon in our population. More studies are recommended on its risk factors and complications to draw future directions for its control and prevention.

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Role of Serum creatinine in forecasting the outcome after cardiac surgery beyond acute kidney injury-A Cross sectional Study

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2021.v14i12.43250 ◽

2021 ◽

pp. 105-108

Author(s):

DIVYA DHARSHINI B ◽

SMITA PADHY ◽

GIRIJAVANI D S S ◽

PAYALA VIJAYA LAKSHMI

Keyword(s):

Acute Kidney Injury ◽

Cardiac Surgery ◽

Serum Creatinine ◽

Artery Bypass ◽

Kidney Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Critical Determinant ◽

Cross Sectional ◽

Significance Level

Objectives: Acute kidney damage (Acute kidney injury [AKI]) is defined by elevations in serum creatinine levels that occur after surgery. In cardiac surgery, creatinine is a critical determinant. This study highlights the detection of serum creatinine as an early diagnostic and predictive marker of AKI following coronary artery bypass grafting (CABG) and to estimate the serum creatinine concentrations before and at 24 and 48 h after CABG. Methods: It is a single center, Cross-sectional study. Patients from Cardiothoracic and Vascular surgery undergoing CABG in Sri Ramachandra Medical College and Research Institute were included in the study. A total of 80 cases were included in the study. The method used for measurement of serum creatinine is by modification of kinetic Jaffe reaction. Data were analyzed using Stata/SE version 16.0 and represented in terms of means, standard deviation at 95% confidence level and t’ test was performed as statistical analysis and p<0.05 indicates significance. Sigma plot software version 10.0 was used to draw the standard error mean graphs. Results: The serum creatinine values at 24 h after the surgery was statistically higher than the preoperative values at 5% significance level (p=0.04). The serum creatinine values 48 h after the surgery was also statistically higher than the preoperative values at 1% significance level (p=0.001). The serum creatinine values 48 h after surgery are highly significant (p=0.001) when compared to the serum creatinine values 24 h after surgery. Conclusion: Before an increase in serum creatinine level is detected, over 50% of renal function must be lost. It was concluded that serum creatinine is an inadequate and delayed marker of AKI.

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Faculty Opinions recommendation of Recognition and management of acute kidney injury in the International Society of Nephrology 0by25 Global Snapshot: a multinational cross-sectional study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726291856.793519297 ◽

2016 ◽

Author(s):

Carmine Zoccali ◽

Davide Bolignano

Keyword(s):

Acute Kidney Injury ◽

International Society ◽

Kidney Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Cross-sectional study of the association between functional status and acute kidney injury in geriatric patients

BMC Nephrology ◽

10.1186/s12882-015-0181-7 ◽

2015 ◽

Vol 16 (1) ◽

Cited By ~ 10

Author(s):

Chia-Ter Chao ◽

Hung-Bin Tsai ◽

Chia-Yi Wu ◽

Nin-Chieh Hsu ◽

Yu-Feng Lin ◽

...

Keyword(s):

Acute Kidney Injury ◽

Functional Status ◽

Geriatric Patients ◽

Kidney Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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MP282LOXOSCELISM-ASSOCIATED ACUTE KIDNEY INJURY - A CROSS-SECTIONAL STUDY FROM NORTHEAST BRAZIL

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfx167.mp282 ◽

2017 ◽

Vol 32 (suppl_3) ◽

pp. iii530-iii530

Author(s):

Geraldo Bezerra da Silva Junior ◽

Polianna Lemos Moura Moreira Albuquerque ◽

Fernanda Holanda Menezes ◽

Thayanne Barreto de Lima ◽

Louise Donadello Tessarolo ◽

...

Keyword(s):

Acute Kidney Injury ◽

Kidney Injury ◽

Cross Sectional Study ◽

Northeast Brazil ◽

Sectional Study ◽

Cross Sectional

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PREOPERATIVE RISK FACTORS FOR ACUTE KIDNEY INJURY AFTER LIVER TRANSPLANTATION: RESULTS FROM A CROSS-SECTIONAL STUDY IN NORTHEAST OF BRAZIL

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201800000-03 ◽

2018 ◽

Vol 55 (1) ◽

pp. 18-22 ◽

Cited By ~ 3

Author(s):

Raimundo Martins GOMES JUNIOR ◽

Lia Cavalcante CEZAR ◽

Gdayllon Cavalcante MENESES ◽

Geraldo Bezerra da SILVA JUNIOR ◽

José Huygenes Parente GARCIA ◽

...

Keyword(s):

Risk Factors ◽

Liver Transplantation ◽

Acute Kidney Injury ◽

Serum Albumin ◽

Kidney Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Preoperative Risk ◽

Cross Sectional ◽

Preoperative Risk Factors

ABSTRACT BACKGROUND: Acute kidney injury (AKI) is a common complication in the immediate postoperative period of patients undergoing liver transplantation. OBJECTIVE: The aim of this study was to evaluate preoperative risk factors for AKI after liver transplantation. METHODS: A cross-sectional study was conducted with adults submitted to orthotopic liver transplantation at a reference hospital in Fortaleza, Northeast of Brazil, from January to December 2016. Preoperative risk factors were evaluated for AKI development in the immediate postoperative period. AKI was defined according to the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. RESULTS: A total of 40 patients were included in the study. AKI was found in 85% of patients in the first 24 hours after transplantation, most of them (40%) classified in KDIGO stage 1. Preoperative data indicate that serum albumin levels were lower in the KDIGO stage 3 group compared to the non-AKI group, as well as the hematocrit levels. Direct bilirubin (DB) was higher in the KDIGO stage 3 group compared to the group without AKI, as well as alkaline phosphatase (AP) and gamma-glutamiltransferase (GGT). In a logistic regression analysis independent risk factors for AKI were increase levels of AP, GGT and DB and decrease level of serum albumin. CONCLUSION: Low levels of serum albumin, and elevated levels of DB, AP and GGT in the preoperative period are risk factors for AKI development after liver transplantation.

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Peer Review #1 of "Drug therapy and other factors associated with the development of acute kidney injury in critically ill patients: a cross-sectional study (v0.2)"

10.7287/peerj.5405v0.2/reviews/1 ◽

2018 ◽

Author(s):

G Silva Junior

Keyword(s):

Acute Kidney Injury ◽

Drug Therapy ◽

Peer Review ◽

Critically Ill ◽

Critically Ill Patients ◽

Kidney Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Complete Recovery of Renal Function among Obstetric Patients with Acute Kidney Injury at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.7135 ◽

2021 ◽

Vol 59 (244) ◽

pp. 1289-1292

Author(s):

Rakina Bhansakarya ◽

Gehanath Baral ◽

Shailendra Shrestha ◽

Shanti Subedi ◽

Sita Ghimire ◽

...

Keyword(s):

Acute Kidney Injury ◽

Renal Function ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Kidney Injury ◽

Complete Recovery ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Introduction: Acute kidney injury is a rare complication of pregnancy and is associated with high maternal morbidity and mortality. Obstetric factors associated with it are preeclampsia/eclampsia, sepsis, hemorrhage and dehydration. Here, we aim to find out the prevalence of complete recovery of renal function among obstetric patients with acute kidney injury. Methods: This is a descriptive cross-sectional study conducted in a tertiary care hospital from 1st July 2020 to 30th June 2021 where obstetric patients who had developed acute kidney injury were included and followed till 6 weeks of diagnosis. Ethical approvalwas obtained from Institutional Review Committee of Nobel Medical College and Teaching Hospital (IRC- NMCTH 437/2020). The convenience sampling method was used. Data entry and analysis were done using Statistical Package for Social Sciences version 21. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of total 66 obstetric patients with acute kidney injury, 45 (68.2%) (57-79.3 at 95% Confidence Interval) had complete recovery of renal function. Rate of renal function recovery in Stage 1, Stage 2 and Stage 3 acute kidney injury were 19 (90%), 19 (86%) and 7 (58%) respectively. The most common causes of acute kidney injury were Preeclampsia/eclampsia 18 (40%), sepsis 23 (28.8%) and hemorrhage 10 (22.2%). Conclusions: The prevalence of complete recovery in obstetric patients with acute kidney injury was similar to findings from other studies done in similar settings.

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