A study of clinical profile of patients with acute kidney injury in a tertiary care centre.

Objectives : The objectives of the study are to study etiology, manifestations and outcome of acute kidney disease.Method : In present study, patients with acute kidney disease admitted to Sir T Hospital, Govt. Medical College Bhavnagar between June 2013 to July 2014 are studied with a detailed history, general physical examination, systemic examination and investigated as per the proforma. Data collected, analysed and the test of significance was calculated by chi square, students t test.Results and conclusion : A prospective study of 100 cases of acute kidney injury admitted to Sir T Hospital Bhavnagar between June 2013 to July 2014 is done. Diagnosis of the patients is based on the clinical and laboratory evidence of elevated blood urea and serum creatinine.This study showed male to female ratio of 2.7:1. Maximum incidence is seen between 40-65 years.The study showed various etiological factor associated with acute kidney injury like malaria, snake bite, septicaemia, heart failure, cirrhosis, drug nephrotoxicity and acute gastroenteritis.8 patients had obstructive uropathy.Common symptoms are oliguria and vomiting, other clinical feature are fever, jaundice, loose stool and peripheral edema. However, septicaemia is the predominant cause of acute kidney injury in our study.Out of 100 cases, 93% patients survived and 7% expired. 83% patient are on conservative management and 17% underwent hemodialysis.Out of 100 cases, 51 patients are having associated illness which made them prone to develop AKI. Mortality is also seen more among this group.Most common comorbid illness are DM, HTN and IHD.Key words : Acute kidney injury, hemodialysis

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TO FIND OUT ETIOLOGY AND CLINICAL PROFILE OF PATIENTS OF ACUTE KIDNEY INJURY AT TERTIARY CARE CENTRE OF INDORE

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i11.2292 ◽

2021 ◽

Vol 5 (11) ◽

Author(s):

Kiran Meena ◽

Nikita Goyal ◽

Anjali Verma ◽

Rahul Mukhariya ◽

Divyesh Lad

Keyword(s):

Acute Kidney Injury ◽

Clinical Features ◽

Tertiary Care ◽

Kidney Injury ◽

Clinical Profile ◽

Research Centre ◽

Clinical Feature ◽

Care Centre ◽

Tertiary Care Centre ◽

Common Cause

Background & Method: Present Study was done with an aim to find out Etiology and clinical profile of patients of Acute Kidney Injury at Tertiary Care Centre of Indore. After taking institutional ethical clearance and written consent from the patients a cross sectional observational study was conducted on 100 Patients admitted in Intensive Care Unit of INDEX MEDICAL COLLEGE AND RESEARCH CENTRE who have clinical and / or biochemical evidence of acute kidney injury, detailed thorough history taking, general physical examination, systemic examination and routine and specific lab investigations, were done to find out the underlying etiology, clinical features and outcome of Acute Kidney Injury. Result: This study includes various etiology of acute kidney injury in the current study. Most common cause being AGE (30%) followed by septicemia (16%) and poisoning (14%). In present study 75 % of cases were of Pre Renal AKI. Post Renal and Renal AKI was present in 13% and 12% respectively. Conclusion: The variety of clinical features were recorded and studied, the most commonly observed clinical feature was oliguria closely followed by malaise and vomiting in acute kidney injury. Acute gastrointestinal infection was the most common cause of acute kidney injury. Other frequent causes were septicemia, poisoning, multi organ dysfunction syndrome. Keywords: Etiology, clinical & Acute Kidney.

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Acute kidney injury requiring dialysis in obstetric patients: management and clinical outcome in case series of 30 patients in a tertiary care centre

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20172923 ◽

2017 ◽

Vol 6 (7) ◽

pp. 2997

Author(s):

Molina U. Patel ◽

Yuvraj Jadeja ◽

Niket Patel ◽

Nayana Patel ◽

Smruti Vaishnav ◽

...

Keyword(s):

Acute Kidney Injury ◽

Tertiary Care ◽

Case Series ◽

Kidney Injury ◽

Therapeutic Interventions ◽

Risk Category ◽

Care Hospital ◽

Tertiary Care Centre ◽

Significant Difference ◽

The Impact

Background: Acute Kidney Injury is a common medical problem affecting approximately 5% of all hospitalized and 30% of critically ill patients. The incidence in obstetric patients ranges from 1 in 2000 to 1 in 25000 pregnancies. In India till date, the impact of AKI on fetomaternal outcome and pertaining therapeutic interventions is only sparsely studied.Methods: It is a retrospective cross-sectional study. All obstetric patients with AKI on dialysis, admitted to Shree Krishna Hospital, a tertiary care hospital in Karamsad village in Gujarat from January 2013 to August 2015. Multivariate statistical analysis of clinical and laboratory parameters was performed using SPSS program to obtain the results.Results: The incidence of dialysis was 1.6%. HELLP syndrome and pre-eclampsia (80%) was found to be the most common etiology of AKI followed by Congestive cardiac failure (34.5%), hemorrhage and sepsis in 30% resp. All patients were admitted to ICU care. No significant difference was found between SAP II and SOFA monitoring system. Mechanical ventilation was done to support 53.3% and inotropic support was needed by 56.7% patients. According to the RIFLE criteria, majority of the patients fall under risk category followed by injury. 18% of the patients developed End Stage Renal Disease.Conclusions: In view of the multifaceted etiologies and complexity of management of AKI, a multi-disciplinary approach involving nephrologist, intensivists, obstetricians and neonatologists is extremely important.

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