PREVALENCE AND MORTALITY ASSOCIATED WITH ACUTE KIDNEY INJURY AMONG CRITICALLY ILL PATIENTS ADMITTED TO INTENSIVE CARE UNIT (ICU)

Registration ID: IJNRD_181239

Published ID: IJNRD2205036

DOI: Click Here to Get

Suvartha Nathaniel Digajerla , Dr. Padmaja Dhawale , Dr. Bhaimangesh Naik

Keywords: Acute Kidney Injury (AKI), Critically ill patients, Prevalence, Mortality, Intensive care unit (ICU), Risk factors.

Introduction: Acute kidney injury is manifested by a rapid decline in renal function, usually with decreased urine output and resultant accumulation of end products of nitrogen metabolism. It is a common clinical problem encountered in critically ill patients, frequently in the setting of multiple organ failure, and is an independent risk factor for increased in-hospital and long-term mortality.1 Aims: To identify the prevalence and mortality associated with AKI retrospectively and prospectively among critically ill patients admitted to the intensive care unit (ICU). Materials and methods: A retrospective and prospective observational study was conducted, in a tertiary care teaching hospital over a duration of 2 years (January 2020- December 2020 as retrospective) and (January 2021 to December 2021 as a prospective observational study), with acceptance from institutional ethics committee (MGM/DCH/IEC/036/2021). Data of patients aged ≥ 18 years admitted during January 2020- December 2020 (retrospective data) were collected from the hospital records and January 2021-December 2021 (the data was collected by observational method). Patients with chronic kidney disease were excluded. Total Admission, Transfer in, Transfer out, DAMA, Discharge, Mortality due to AKI and AKI diagnosed were analysed using frequency and percentage. Results: In a retrospective analysis, the overall yearly census was 5313 patients, and the prevalence of AKI was determined to be 4.53/1000 patients, and mortality associated with AKI was 133(11.38%) patients. In a prospective analysis, the overall yearly census of hospital admissions due to the covid pandemic was 4778 patients, and the frequency of AKI was found to be 7.95/1000 patients, with mortality associated with AKI being 18.73 percent, which was higher than in a retrospective study. Conclusion: Due to covid-19 disease, the admission in prospective year was seen less but the prevalence and mortality associated with AKI are high than retrospective data.

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Suvartha Nathaniel Digajerla, Dr. Padmaja Dhawale, & Dr. Bhaimangesh Naik (May-2022). PREVALENCE AND MORTALITY ASSOCIATED WITH ACUTE KIDNEY INJURY AMONG CRITICALLY ILL PATIENTS ADMITTED TO INTENSIVE CARE UNIT (ICU). INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 7(5), 335-343. https://ijnrd.org/papers/IJNRD2205036.pdf

Volume 7 Issue 5, May-2022

Pages : 335-343

Paper Reg. ID: IJNRD_181239

Published Paper Id: IJNRD2205036

Downloads: 000121987

Research Area: Medical Science

Country: Mahabubabad, Telangana, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2205036.pdf

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Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

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