AETIOLOGY, CLINICAL FEATURES AND MANAGEMENT OF ACUTE KIDNEY INJURY IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 46
Abstract
BACKGROUND Acute Kidney Injury (AKI) is a widespread health problem. Major inpatient morbidity and mortality is associated with AKI, reflecting the severity of illness and frequency of complications. Study was done on aetiology, clinical features and management of AKI, this may help many physicians to diagnose AKI in early stage and also to start appropriate treatment. MATERIALS AND METHODS A total of 63 patients admitted with/who developed acute kidney injury (AKI) at a tertiary care hospital were included in this study. A detailed history pertaining to AKI was taken before doing investigations and treatment. Clinical examination, investigations, management, outcome of each patient was recorded in a spread excel sheet. RESULTS Most commonly, acute kidney injury patients fall in the age group of above 40 years (68.2%). Out of 63 patients, 41 (65.1%) were males and 22 (34.9%) were females. Among various clinical manifestations, most of patients presented with fever (68.2%), oliguria (58.7%), diarrhoea (34.9%), anuria (34.9%), and breathlessness (33.3%). Out of 63 acute kidney injury patients, 20 (31.7%) were drug induced, 17 (26.9%) were due to acute gastroenteritis, 8 (12.6%) were related to sepsis, 5 (7.9%) pneumonia with septicaemia, 3 (4.7%) were due to snake bite with cellulitis, dengue shock syndrome, Super Vasmol poisoning, and 1 (1.5%) was due to pancreatitis. CONCLUSION Drug induced, acute gastroenteritis, sepsis are the leading causes of AKI in this community. Acute kidney injury is a potentially reversible condition if identified early and managed properly.
Authors and Affiliations
Bheemasenachari Moka
Keywords
Related Articles
- EP ID EP604541
- DOI 10.18410/jebmh/2018/656
- Views 107
- Downloads 0
A REVIEW ARTICLE ON DIABETIC FOOT
Foot infections are the most common problems in patients with diabetes. These individuals are predisposed to foot infections because of a compromised vascular supply secondary to diabetes. Local trauma and/or pressure (o...
ESTIMATION OF HEIGHT FROM THE LONG BONES OF UPPERLIMB AND HAND DIMENSIONS IN SOUTH INDIAN POPULATION
Prediction of stature from incomplete and decomposing skeletal remains is vital in establishing the identity of an unknown individual. It has been stated that a variety of factors such as race, gender and nutrition play...
CONGENITAL LAMELLAR ICHTHYOSIS IN NEWBORN: A CASE REPORT
The term Congenital Lamellar Ichthyosis is used for newborns in whom all the body surface is covered by thick skin sheets, so called “collodion membrane”. Ichthyosis is an infrequent clinical entity worldwide (1:300,000...
COMPARATIVE STUDY OF 6% HYDROXYETHYL STARCH (450/0.7) AND RINGER’S LACTATE AS PRELOADING FLUID FOR PREVENTION OF HYPOTENSION DURING SPINAL ANESTHESIA IN ELECTIVE CESAREAN DELIVERY
We compared the efficacy of volume preloading with Ringer’s Lactate and Hydroxyethyl starch (HEAS) 6% 450/0.7 on the onset and incidence of spinal-induced hypotension in elective cesarean delivery. 60 healthy parturients...
STUDY OF INCIDENCE OF MIDDLE EAR HEMORRHAGE IN DROWNING
OBJECTIVES: An autopsy study of deaths due to drowning with special reference to middle ear hemorrhage and spleen findings was done. METHODS: Data were collected from the police, relatives, and photographic evidences fro...