Incidence and clinical outcomes of acute kidney injury in patients admitted in MICU
Journal: International Archives of Integrated Medicine (IAIM) (Vol.4, No. 11)Publication Date: 2017-11-15
Authors : Merugu S;
Page : 160-171
Keywords : Acute Kidney Injury; Sepsis; Co-morbidities; Outcome.;
Abstract
Background: Acute kidney injury (AKI) refers to a syndrome encompassing kidney damage from mild injury to total loss of function that seriously disturbs the homeostasis of fluid and electrolyte balances. Materials and methods: All patients admitted in Medical intensive care unit of Mahatma Gandhi Memorial Hospital, Warangal from 1st January 2016 to 30th June 2016, who fulfilled the inclusion criteria, are included in this study. Patients admitted in medical intensive care were included in the study and patients admitted in surgical and obstetric intensive units are not included. Results: We included all patients above 18 years of age in our study. The mean age for development of AKI was 49.2 years (SD = 18) (Range 18-89 years). Most of the patients belonged to 61-70 years (21.4 %) age group. 97 patients in elderly age group (>65 years) had AKI. Sepsis is responsible for 84 (24%, n= 350) cases of AKI. 67% of the study population had co morbidities in our study; most patients had more than one co-morbidities. Oliguria (52.8) is the most common presenting feature followed by Hyperkalaemia (48%) in our study. There is a significant (p=
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