Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Acute kidney injury (AKI) is linked with considerable mortality and morbidity in India. It is a spectrum ranging from a mild form to severe form requiring renal replacement therapy (RRT). Detection of AKI in the early stage of disease and aggressive management of underlying cause will reduce mortality. Detailed history, clinical examination and laboratory investigation were carried out in all patients. All patients were subjected to urine analysis, hemogram, blood biochemistry (which included urea, creatinine, electrolytes, calcium and phosphorus). USG was done to rule out CKD and obstructive causes. The outcome was assessed and all the parameters were compared with outcome. Abput 48% of patients were in the 4 and 5th decades with the age of 49.78±13.63 years. Oliguria (68%) was the most common clinical symptoms of AKI then fever (63%) and vomiting (56%). Sepsis (35%) was the most common cause of AKI followed by acute gastroenteritis (11%), respectively. The AKIN criteria such as AKIN 1, AKIN 2 and AKIN 3 stages were found in 18, 30 and 52% patients, respectively. About (27%) patients required hemodialysis support while remaining (69%) patients were treated conservatively. About (79%) of patients had recovery. Moreover, the overall in hospital mortality rate was (21%). The progression of Oliguric AKI, Higher AKIN stage, Sepsis lead I increased hospital mortality. Patients with co‐morbid condition like HTN and DM2 were more prone to AKI. Patients with etiology of sepsis had higher risk of progression of AKI stage 3, oliguria and mortality.
How to cite this article:
Ajaykumar M. Rathod, Gayatri H. Bamaniya, Divya A. Patel, Divyang Makawana, Breej Karmata and Keyuri Parmar. Spectrum of Acute Kidney Injury.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.1097.1100
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.1097.1100