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- Title
"A STUDY ON THE CLINICAL-EPIDEMIOLOGICAL PROFILE OF PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH ACUTE KIDNEY INJURY IN A TERTIARY CARE HOSPITAL".
- Authors
Basavaraj B.; Krishna N.; Leelamohan, P. V. R.; K., Rakesh Nayaka
- Abstract
Background: Acute kidney injury (AKI) is described as a loss of kidney filtration and excretory function over days or weeks, resulting in the retention of nitrogenous and other waste products ordinarily eliminated by the kidneys. The extent of the problem is so severe that one in every five adults and one in every three children globally develop AKI during hospitalization.¹ OBJECTIVES: 1. To study the clinical-epidemiological profile of patients presenting with Acute kidney injury to the emergency department 2. To find out the presumptive aetiology of AKI while the patient is in the Emergency department. MATERIAL & METHODS: Study Design: A Clinical Prospective Observational Study. Study area: The study was conducted in the Department of Emergency Medicine. Study Period: 1 year. Sample size: The study consisted of a total of 100 subjects. Sampling Technique: Simple Random technique. Study tools and Data collection procedure: Sample of Venous blood gas -- 1ml of venous blood in a 2ml heparinised syringe was used PHOX ULTRA MACHINE by Nova Medical was used for analysis of venous blood gas. Sample for renal function test of venous blood in serum vial collected and results obtained based on a spectrophotometer and calorimeter method. MODULAR P800 by ross company was used for the analysis of kidney function tests Sample for urine routine and microscopy- 5ml of urine collected in the sterile container. Results: Out of the 100 cases, 57 cases were admitted, 18 cases were discharged and 25 cases died in the emergency. Out of 57 admitted patients,22 patients received dialysis 16 patients were discharged and 5 patients died. The overall ED mortality associated with Acute kidney injury was 25 cases (25%). Out of 100 cases recruited, 75 cases were alive and 18 cases got discharged from emergency. Out of 25 deaths in ED, 21 cases had refractory metabolic acidosis, 16 cases had refractory septic shock and 11 cases had refractory hyperkalemia. CONCLUSION: In our investigation, we discovered that HRS and sepsis are the most common causes of acute kidney injury. HRS remains a disorder with a high death rate due to the co-morbidity of CLD. Common and critical illnesses necessitate prompt diagnosis and treatments, such as dialysis. Understanding the etiologies and factors influencing mortality outcomes can help with patient treatment, preventing the onset of AKI, and avoiding unnecessary deaths.
- Subjects
ACUTE kidney failure; HOSPITAL emergency services; HYPERKALEMIA; BLOOD gases analysis; TERTIARY care; KIDNEY function tests; BACTERIURIA
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 6, p802
- ISSN
0975-3583
- Publication type
Article