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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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To Study Clinico Etiological Profile of Patients with Acute Kidney Injury Admitted in Medical ICU KIMS, Koppal

T. Shivaprasad, Gavisiddesh Ronad, Krishna Kumar Naik, Umesh Rajoor, J. Srinivas and Sharanappa
Page: 79-83 | Received 25 May 2024, Published online: 06 Jul 2024

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https://doi.org/10.36478/10.36478/makijtm.2024.3.79.83

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Abstract

Acute Kidney Injury (AKI) is a critical condition with significant morbidity and mortality, particularly in intensive care units (ICUs). This study aimed to delineate the clinic‐etiological profile of patients with AKI admitted to the medical ICU at Koppal Institute of Medical Sciences (KIMS), Koppal. Understanding the demographic, clinical characteristics, and etiological factors is essential for improving management and outcomes. This prospective hospital‐based study included 50 patients aged above 18 years, diagnosed with AKI based on the Acute Kidney Injury Network (AKIN) criteria. Data were collected on demographic details, clinical presentation, comorbidities and laboratory investigations. Etiological factors were identified and outcomes were tracked, including the need for dialysis and mortality. Statistical analyses were performed to evaluate changes in renal function over time. The study population included 50 patients with a balanced distribution across age groups: 18‐30 years (30%), 31‐50 years (24%), 51‐70 years (26%), and >70 years (20%). Females comprised 54% of the cohort. Common symptoms included hematuria (28%), abdominal pain (16%), and abdominal distension (20%). Hypertension (36%) and diabetes (44%) were prevalent comorbidities. Significant etiological factors were hypovolemia (28%), obstruction (30%), and snake bites (30%). Baseline serum urea and creatinine levels were 43.3 mg/dL (±6.3) and 1.3 mg/dL (±0.1), respectively. At 48 hours, significant decreases in serum urea (35.4 mg/dL, p=0.005) and creatinine (1.0 mg/dL, p=0.02) were observed. Dialysis was required in 44% of cases. This study highlights the diverse etiological factors and significant burden of comorbidities associated with AKI in a rural ICU setting. Considering the varied clinical presentations and underlying causes, early recognition and management of AKI are crucial for improving patient outcomes. The findings underscore the need for targeted interventions and resource allocation to address the high morbidity and mortality associated with AKI.

How to cite this article:

T. Shivaprasad, Gavisiddesh Ronad, Krishna Kumar Naik, Umesh Rajoor, J. Srinivas and Sharanappa . To Study Clinico Etiological Profile of Patients with Acute Kidney Injury Admitted in Medical ICU KIMS, Koppal.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.3.79.83
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.3.79.83