SPECTRUM OF ACUTE KIDNEY INJURY IN THE MEDICINE WARDS OF A TERTIARY CARE HOSPITAL IN GOA

Ana Soraya Monteiro; Edwin Gomes; Tabitha Lobo

Volume : IX, Issue : VIII, August - 2020

SPECTRUM OF ACUTE KIDNEY INJURY IN THE MEDICINE WARDS OF A TERTIARY CARE HOSPITAL IN GOA

Ana Soraya Monteiro, Edwin Gomes, Tabitha Lobo

Abstract :

Background: Acute kidney injury is characterized by an increase in serum creatinine and/or a decrease in urine output. It can be classified as pre-renal, renal, or postrenal in cause and can be attributed to a local or systemic event - due to direct injury to the kidney or through indirect impediment of renal function. Objective: To determine the prevalence and spectrum of acute kidney injury in the medicine wards of a tertiary health care centre in Goa. Method: A case series was conducted on 100 patients admitted for AKI, or developed it during the hospital stay. Results: AKI was more common in males, with a male to female ratio of 3.5:1, and more prevalent in the age groups of 25-34 and 45-64 years. The dialysis requirement was 28% and mortality was 28.12%. There was no significant association between dialysis and survival rate. Conclusion: Acute Kidney Injury contributes to the morbidity and mortality of hospitalized patients as well as a burden of cost to the community at large. If anticipated, it is easily prevented and if detected early, it can be skilfully treated and reversed.