Study of patients with acute kidney injury in tertiary rural hospital
Rakesh Amroliwala1, Vishruti Gandhi2, Charmee Joshi3, Sakshi Prabodh4, Siddharth Garg5, Vipul Chehani6
1,2Associate Professor, 3,4,5,6Resident; Department of Paediatrics, SBKS Medical Institute & Research Centre, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, Gujarat, India
Introduction: Acute Renal Failure (ARF) refers to a damage that has already occurred and does not leave any capacity for early detection of “injury” or intervention, to prevent failure. The term ARF was replaced by AKI to provide uniform definition, classification and standardize patient care.
Objectives: The aim was to study etiology and outcome of patients with AKI, to study association of AKI with other diseases with and utility of pRIFLE and AKIN as prognostic indicators.
Material & Methods: Patients aged one month to 17 years admitted to pediatric intensive care unit were included in the study; patients with known chronic kidney disease & congenital anomaly were excluded. Result: The commonest etiology for patients with AKI was sepsis 15 (30%) of which 5(33.3%) patients had pneumonia. Overall Outcome of patients was 26 (52%) discharged, 12 (24%) tookDAMA, 8(16%) referred,4(8%) expired.
Conclusion: Commonest cause for AKI was sepsis, next to it was acute tropical illness. Perhaps good control on vector borne disease may significantly reduce burden of AKI.
Keywords: Etiology, Kidney injury, Outcome, Pediatric, Staging