A Study of Clinical Profile of Acute Kidney Injury

BACKGROUND : Although the term acute renal failure was replaced by acute kidney injury (AKI) recently, there is a paucity of data on the incidence and profile of AKI in hospitalized patients from the developing world. AIMS AND OBJECTIVES : The objective of this study is to determine the etiology, short term outcome and predictors of fatality in patients admitted to Thanjavur Medical College hospital with AKI, aged more than 12 years. MATERIALS AND METHODS : In this prospective observational study, from April 2013 to October 2013, 100 patients admitted with AKI, defined according to the AKI Network criteria. The patients with AKI were followed-up until discharge/death. Their clinical and biochemical data were studied. RESULTS : Among the 100 patients with acute kidney injury 56 male patients and 44 female patients are included in the study. The common symptoms were oliguria, vomiting, diarrohea. The common etiologies were acute gastroenteritis (28%), snake bite (20%), septicemia (11%) & acute glomerulonephriris (10%). conservative treatment was done in 45% of patients ,peritoneal dialysis & haemodialysis done in 55% of patients and overall mortality was 16%. CONCLUSION : In our study , 84% of patients survived with 45 %of patients treated conservatively and improved with normal renal function. 30% of patients underwent peritoneal dialysis and 26% underwent haemodialysis. In our study mortality is 16% among 84% of survived 68% recovers with normal renal function.