Study of spectrum of acute kidney injury in tertiary care center

ABSTRACT

Introduction: Acute Kidney Injury is a common medical problem. AKI is responsible for major mortality and morbidity of hospitalized patients because of serious nature of the underlying illness and incidences of complication. Materials and methods: A total number of 100cases of Acute Kidney Injury who fulfill the inclusion criteria were studied with a detail history, clinical examination and investigation according to need. Results: Out of 100 patients 78 were male and 22 were female. Maximum numbers of patients were in age group of 51 to 60 years. Vomiting (60%) and Oliguria (48%) were common presenting features. The study showed various etiological factor associated with Acute Kidney Injury like Septicemia (43%), Acute gastroenteritis (10%), Malaria (9%), Nephrotoxicity (8%), Cirrhosis of Liver and Obstetrical cause cause (7%), Glomerolonepritis (6%), CCF (5%), Snake bite (4%), and Leptospirosis (1%). In this study, Hypotension (40%) were common complication of acute kidney injury followed by Hyperkalemia (35%). Conclusion: We observed that early diagnosis and early investigation were probably responsible for good survival rate in acute kidney Injury