AKI - Acute Kidney Injury
Conditions
Keywords
AKI, Hospital Acquired, risk factors, outcomes
Brief summary
The aim of the study is to assess the common risk factors for development of hospital acquired acute kidney injury among hospitalized patients in Alexandria Main University hospital and their outcomes.
Detailed description
Hospital-acquired AKI (HAAKI) is defined as acute renal insult occurring 48 hours or more after admission to a health care facility and It is estimated to occur in 13-18% of hospitalized patients. The early diagnosis of HAAKI reflects on improvement in morbidity and mortality rates especially in developing countries which goes parallel with the goal The International Society of Nephrology (ISN) to eliminate preventable or treatable deaths from AKI by 2025, the 0 by 25 initiative. Data concerning the spectrum of acute kidney injury (AKI) in Egypt are generally scarce.
Interventions
AKI care bundle include use of iv fluids, diuretics, antihyperkalemic drugs, sodium bicarbonate, antibiotics in septic patients.
this includes iv fluids, diuretics, antibiotics in septic patients, other measures according to original disease
Sponsors
Study design
Eligibility
Inclusion criteria
1. Fulfilment of definition of acute kidney injury according to KDIGO reference. 2. Age more than 18 years.
Exclusion criteria
1. Mentally or physically unfit patients. 2. Patients who developed acute kidney injury within 48 hours of admission to hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recovery of kidney functions | 12 weeks | (improvement of eGFR, serum creatinine to normal or previous baseline). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| progression to chronic kidney disease. | 12 weeks | deterioration of kidney functions ( creatinine, eGFR) |
| mortality | 12 weeks | death |
| Need for renal replacement therapy | 12 weeks | different modalities of RRT |
Countries
Egypt