A PROSPECTIVE STUDY OF ACUTE KIDNEY INJURY IN YOUNG PATIENTS AT NEPHROLOGY DEPARTMENT IN OUR HOSPITAL
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 5
Abstract
Background: The etiologies and clinical outcomes of acute kidney injury are variable throughout the world and has become important cause of morbidity and mortality in developing countries. Current study was planned to establish etiology, clinical profile and outcome of AKI among young patients in our hospital. Methods: It is a clinical, prospective observational study done in young patients aged 15 to 40 years, from July 2017- August 2018. 98 patients diagnosed clinically and according to RIFLE criteria were enrolled in the study and followed for 3 months to see outcome of disease. Results: Total 98 diagnosed patients were selected with age ranges from 15 to 40 years. Most of them were female 62/98 (63.2%). Clinical picture at the time of presentation was oliguria/anuria in 91%, hypertension in 40%, edema in 77.1%, nausea in 59.1%, anemia in 30.61%. Most common causes were obstetric (PPH/APH) in 30/98 (30.61%), sepsis in 13/98 (13.1%), obstructive urolithiasis in 16/98 (16.2%), paraphenylene diamine intake in 9/98 (9.1%), gastroenteritis in 8/98 (8%). Overall pre-renal causes were more frequent 56/98 (57.1%). In first encounter with our hospital most of the patients were in failure category according to RIFLE criteria 67/98 (68.3%). About 55/98 (56.12%) needed dialysis support. About 64.2% of the patient recovered. The mean duration of recovery was 16.4±26.7 days. Out of 98 patients, 18 developed CKD, 10 patients ended up as ESRD and mortality rate was 4/98 (4.09%). Conclusion: Leading causes according to our study were obstetrics, urolithiasis, and paraphenylene diamine. Patients with late presentation ended up with poor outcomes. A very handsome percentage of patients recovered in our study.
Authors and Affiliations
Dr. Muhammad Irfan Jamil
Keywords
Related Articles
- EP ID EP661167
- DOI -
- Views 146
- Downloads 0
REVIEW ON JAATIPHALADI VATI
Vati kalpana is one among the important secondary preparations in Ayurvedic pharmaceutics. Many drugs are described in Ayurvedic classical texts for the treatment of various disorders. Jatiphaladi Vati is one such Kharal...
IN VITRO EFFICACY OF TEMPERATURE AND PRESERVATIVES ON FAST FOOD BACILLI, AND THEIR ANTIBIOTIC SUSCEPTIBILITY PROFILE
Background and Objective: Species within the Bacillus genus are ubiquitous, and cause food infections and intoxications. Bacillus species are however rarely assayed for in convenience foods. Furthermore, consumer health...
K-RAS-CALMODULIN INTERACTION IN DUCTAL ADENOCARCINOMAS: BRIEF REVIEW
Oncogenic K-Ras has been implicated in most adenocarcinomas and the tumors initiated by K-Ras are known to be more aggressive as compared to the tumors initiated by other isoforms belonging to the Ras superfamily, like N...
LEIGH’S DISEASE: A RARE CASE REPORT
Leigh's disease is a rare inherited neurometabolic subacute necrotizing encephalopathy (SNE) mostly involving brainstem and basal ganglia is a rare entity affecting the central nervous system generally of infants, incide...
PATTERN OF UTILIZATION AND METHODS OF PAYMENT FOR HEALTH SERVICES A SOUTH WESTERN CITY OF NIGERIA
Background: The evidence of awareness of public health facilities in rendering qualitative healthcare services has been observed and documented in recent years, but the same cannot be said for its utilization rates. This...