INCIDENCE AND RISK FACTORS FOR ACUTE KIDNEY INJURY IN INTENSIVE CARE UNIT PATIENTS, A SINGLE CENTER STUDY IN SULAIMANIYAH

Volume 14 , Issue 1 , March 2024 , Pages 55-64

Authors

Shakar Jamal Jalal 1 ; Safa Ezzadin Al-Mukhtar 2 ; Kawa Hussain Amin 2

1 Nephrology Board Trainee, Ministry of Health, Kurdistan Region, Iraq.

2 College of Medicine, Hawler Medical University, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10451

Keywords

Abstract

Background
Although there is marked progress in the quality of critical care, there is still an increase in the incidence
and mortality of Acute Kidney Injury (AKI) in patients admitted to the Intensive Care Unit. We conducted a
single-centre prospective study to evaluate the importance of Acute Kidney Injury in the intensive care unit
(ICU) in Sulaimaniyah.
Objectives
The study aimed to know the frequency of patients who suffer from Acute Kidney Injury after being admitted
to the Intensive Care Unit in Shar hospital Sulaimaniyah City to identify the important risk factors for Acute
Kidney Injury.
Patients and Methods
 In this prospective cohort study conducted on 210 patients admitted to Shar hospital/ICU between October
2020 to October 2021, we monitored the patients for up to 30 days after ICU admission. Characteristics and
outcomes were compared between AKI and non-AKI groups, renal replacement therapy (RRT) and non-RRT
patients.
Results
A total of 210 patients were included in the fi nal analysis; the incidence of AKI was 39% in which stage
1(8.2%), stage 2(16.7%), stage 3(19.2%), among patients with AKI 43.7% of them referred to the nephrologist,
and 12.2% received RRT, continuous renal replacement therapy with post-dilution mode and unfractionated
heparin for anticoagulation alone was the most frequent mode of RRT (8 patients out of 10). Complete renal
recovery, partial recovery, and death were observed in 47.6%,12.2% and 40.2%, respectively.
Conclusion
Our study showed that Acute Kidney Injury is highly prevalent in ICU patients and associated with high
morbidity and mortality

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  • Published at21 March 2024

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