Title: An Etiological Study of Acute Kidney Injury in Patients at Tertiary Care Hospital in Navi Mumbai
Authors: Kejriwal A, Naga P, Desai H
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.144
Abstract
Aims and Objective: To determine the etiology of acute kidney injury
Material and Method: In our study 100 patients admitted in MGM hospital in medical ward and MICU with diagnosed AKI were enrolled. A detailed history was obtained, detailed systemic examination followed by relavant investigations were conducted and result noted.
Result: In 100 patients maximum age group involved is 41-50years(41%),common etiologies are multi organ failure with sepsis(16%) followed by snakebite(12%),malaria(10%),congestive cardiac failure(9%),urinary tract obstruction(8%),cholera(6%),myocardial infarction(6%),dengue(5%),Acute exacerbation of COPD and acute gastroenteritis(4%),while remaining etiologies constituted 20% of etiological factors.
Conclusion: Acute kidney injury is an increasingly common and potentially catastrophic complication. Mortality rates remain unacceptably high despite significant advance in health care. The diagnosis of AKI is based on indirect measures of GFR, plasma urea and creatinine concentrations. AKI can be prevented if detected early and appropriate treatment is initiated early.
Key Words: Acute Kidney Injury, Multi-organ failure, Sepsis.
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Kejriwal A
Professor, Department of General Medicine
MGMIHS, Navi Mumbai