Spectrum of Acute Kidney Injury and its Outcome in Intensive Care Unit in Tertiary Care Center in India

2015 ◽  
Vol 24 (01) ◽  
pp. 74-81 ◽  
Author(s):  
Pavan Malleshappa ◽  
Anup Chaudhari ◽  
hemant Mehta
2020 ◽  
Vol 7 (4) ◽  
pp. 245
Author(s):  
Vivek S. Narayan Pillai ◽  
C. Joe Varghese ◽  
Christopher C. Pais ◽  
Vijay Gopal Rai ◽  
Mahabala Chakrapani

<p class="abstract"><strong>Background:</strong> The limited epidemiological and outcome data of acute kidney injury (AKI) is available in developing countries. The current single-center study determined the clinical profile of AKI by attempting to identify the presenting symptoms, etiologies, treatment modalities, and disease prognosis in patients admitted in intensive care unit at a tertiary care center in Mangalore, India.</p><p class="abstract"><strong>Methods:</strong> This retrospective study enrolled 70 AKI patients between October 2001 and October 2003, admitted at Wenlock district hospital, Mangalore, KMC hospital Attawar, Mangalore and KMC hospital, Jyothi circle, Mangalore, having a serum creatinine level greater than 1.4 mg/dl and blood urea greater than 53 mg/dl.</p><p class="abstract"><strong>Results:</strong> Amongst the enrolled patients, 45.7% of patients were 40-60 years old and 49 were males with no significant (p=0.412) gender difference. The most common presenting symptom was diminished micturition present in 47.1% of patients and the most common etiology of AKI was sepsis found in 27.1% of patients with the highest (17.1%) mortality. Amongst the patients who underwent conservative treatment (n=52) the mortality rate was 42.8%, while in those who underwent hemodialysis (n=18) the mortality rate was 4.2%. The overall survival rate in the study was 52.9%.</p><p class="abstract"><strong>Conclusions: </strong>The epidemiological data obtained in this study is similar to the previous studies in India with hemodialysis appearing to have better disease outcomes compared to conservative therapy.</p>


2012 ◽  
Vol 1 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Alaleh Gheissari ◽  
Pardis Mehrasa ◽  
Alireza Merrikhi ◽  
Yahya Madihi

2000 ◽  
Vol 21 (8) ◽  
pp. 527-529 ◽  
Author(s):  
Luis Ostrosky-Zeichner ◽  
Rosa Baez-Martinez ◽  
M. Sigfrido Rangel-Frausto ◽  
Samuel Ponce-de-León

Twelve nosocomial outbreaks over 14 years at a tertiary-care center in Mexico are described. Overall mortality was 25.8%, one half due to pneumonia. The most common organism was Pseudomonas aeruginosa. Incidence was three outbreaks per 10,000 discharges; outbreak-related infections comprised 1.56% of all nosocomial infections. Incidence in the intensive care unit was 10-fold higher.


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