Outcomes in Acute Kidney Injury: Observation from a Tertiary care hospital
- Registrar, Department of Medicicne, Govt Medical College Srinagar, J&K, India
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Background: Acute kidney injury is a rapid decline in glomerular filtration rate that has important implications on the morbidity and mortality of hospitalized patients. Aims and objectives: To evaluate the outcome of acute kidney injury in patients admitted in a tertiary care hospital. Materials and Methods: It was prospective study conducted over a period of two years. Patients admitted to the hospital with acute kidney injury were classified as per RIFLE classification and outcomes were studied. Results: among a total of 150 patients studied, 39 patients were in class risk(R) of AKI, 36(92.3%) improved, 2(5.1%) expired, 1(2.6%) had loss of function. 47 patients were in class injury, out of which 30(63.8%) improved, 11(23.4%) expired, 4(8.5%) had loss of function and 2(4.3%) progressed to ESRD. 64 patients were in class failure, out of which 8(12.5%) improved, 31(48.4%) expired, 20(31.3%) had loss of function and 5(7.8%) progressed to ESRD. Conclusion: Acute kidney injury has significant morbidity and mortality despite advances in medical care especially in crictical care settings. Class of RIFLE is predictive of outcome in AKI patients, with higher class associated with higher mortality and progression to end stage renal disease.
[Akhter Amin Raina, Tariq Abdullah Mir, Mudasir Hamid Bhat (2015); Outcomes in Acute Kidney Injury: Observation from a Tertiary care hospital Int. J. of Adv. Res. 3 (Oct). 1516-1520] (ISSN 2320-5407). www.journalijar.com
India