CLINICAL PROFILE OF ACUTE KIDNEY INJURY PATIENTS ADMITTED IN MEDICAL INTENSIVE CARE UNIT IN TERTIARY CARE CENTRE

Dr. Manisha Netam; Dr. R.S.Jagat; Dr. Nitin Nahar

Volume : VIII, Issue : XI, November - 2019

CLINICAL PROFILE OF ACUTE KIDNEY INJURY PATIENTS ADMITTED IN MEDICAL INTENSIVE CARE UNIT IN TERTIARY CARE CENTRE

Dr. Manisha Netam, Dr. R. S. Jagat, Dr. Nitin Nahar

Abstract :

Acute kidney injury is one of the major conditions complicating the outcome of hospital admitted patients. Early detection and treatment of AKI can help reduce the mortality to a significant level. The most common conditions succumbing to AKI are hypovolemia, sepsis, drug induced kidney injury, cardiac conditions (reduced cardiac output). Common co-morbid conditions associated are hypertension, diabetes, chronic debilitating conditions like CVA and CAD. OBJECTIVE- The study aimed at evaluating the etiological factors and co-morbid conditions associated with acute kidney injury in medical intensive care unit in tertiary care setting in central India. MATERIAL AND MATERIAL AND METHODS- Total 200 patients admitted in medical ICU were selected based on AKIN criteria. pre-exiting conditions like hypertension, diabetes, CAD, CVA were noted. Increase in serum creatinine >1.5 times or >0.3mg/dl and decrease in urine output <0.5ml/kg/h for 6-12 hrs were the criteria for selection. Patients were observed till the time of discharge or death. Data collected was analysed statistically. RESULTS-Out of the 200 enrolled in the study,81 patients were female and 119 males. Majority of the patients were found to be under the age group of 35-54 years with a total number of 101. Hypertension was found to be the major co-morbid condition with a patient load of 62, followed by diabetes, CVA, CAD with a patient load of 30,24and 5 respectively. Sepsis and shock were found to complicating majority of the illnesses and contributing 87.6% and 67.6% to the total mortality. Infective conditions like acute gastroenteritis and UTI were the most common causes with a total load of 76 and 15 respectively. Chronic liver disease and hemolytic conditions like malaria were found to contributing a lower patient load but higher mortality. Other causes found to be associated with AKI were found to be post natal cases, snake bite and poisoning. CONCLUSION- pre- renal causes were found to be the most common causes of AKI. Early recognition and vigorous management is the key to reduce mortality and long term complications.