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- Title
Etiology incidence and outcome of acute Kidney Injury inthe Intensive Care Unit from a tertiary care center from north India.
- Authors
Zargar, Rehana; Taj, Arshi; Sadiq Malla, Mohd.; Kaleem, Shahid
- Abstract
Background: Acute kidney injury (AKI) is a frequent clinical condition with a diverse etiological nature. It complicates around 5% of hospital admissions and 30% of hospitalizations to intensive care units (ICU). The present prospective observational study was objectively conducted to find the incidence, etiology and outcome of acute kidney injury in patients admitted in ICU. Materials and methods: This prospective observational study was conducted at SMHS, Hospital, an associated hospital of GMC Srinagar after approval by Institutional Ethical Committee. It was a prospective hospital based study of all cases, who developed AKI in ICUs from November (2018)-June (2020). Results: We assessed the distribution of AKI patients as per RIFLE scoring and observed that category; R, I and F was evident in 9(14.3%), 34(54%) 20(31.7%) patients respectively. None of the patients were found in L and E category. We observed that majority of patients accounting for 38(60%) had sepsis etiology, followed 20(31.7%) with hypovolemic shock etiology, 3(4.8%) had GN and 2 (3.2%) had drug etiology. Conclusion: Acute kidney injury, a major issue in ICUs, significantly affects mortality and morbidity. In our ICU, the incidence of AKI was 9.7%. The present study revealed that pre-renal sepsis (60.3%), hypovolemic shock (31.7%), glomerulonephritis (4.8%), and toxin-induced (3.2%) were the predominant causes of AKI. Incidence of mortality was 41.3%. It was found that higher mortality and a longer length of stay in the ICU were both related to rising AKI severity.
- Subjects
ACUTE kidney failure; INTENSIVE care units; HYPOVOLEMIC anemia; HEMODIALYSIS; ETIOLOGY of diseases
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 7, p639
- ISSN
0975-3583
- Publication type
Article