Abstract

AETIOLOGY, CLINICAL FEATURES AND MANAGEMENT OF ACUTE KIDNEY INJURY IN A TERTIARY CARE HOSPITAL

Author(s): Bheemasenachari Moka

BACKGROUND Acute Kidney Injury (AKI) is a widespread health problem. Major inpatient morbidity and mortality is associated with AKI, reflecting the severity of illness and frequency of complications. Study was done on aetiology, clinical features and management of AKI, this may help many physicians to diagnose AKI in early stage and also to start appropriate treatment. MATERIALS AND METHODS A total of 63 patients admitted with/who developed acute kidney injury (AKI) at a tertiary care hospital were included in this study. A detailed history pertaining to AKI was taken before doing investigations and treatment. Clinical examination, investigations, management, outcome of each patient was recorded in a spread excel sheet. RESULTS Most commonly, acute kidney injury patients fall in the age group of above 40 years (68.2%). Out of 63 patients, 41 (65.1%) were males and 22 (34.9%) were females. Among various clinical manifestations, most of patients presented with fever (68.2%), oliguria (58.7%), diarrhoea (34.9%), anuria (34.9%), and breathlessness (33.3%). Out of 63 acute kidney injury patients, 20 (31.7%) were drug induced, 17 (26.9%) were due to acute gastroenteritis, 8 (12.6%) were related to sepsis, 5 (7.9%) pneumonia with septicaemia, 3 (4.7%) were due to snake bite with cellulitis, dengue shock syndrome, Super Vasmol poisoning, and 1 (1.5%) was due to pancreatitis. CONCLUSION Drug induced, acute gastroenteritis, sepsis are the leading causes of AKI in this community. Acute kidney injury is a potentially reversible condition if identified early and managed properly.