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ANALYSIS OF FREQUENCY OF FACTORS LEADING TO REQUIRED ACUTE KIDNEY INJURY IN PATIENTS IN PAKISTAN

Shayaan Arshad, Aleena Shahbaz, Teyyaba Khan

Introduction: The incidence of the acute kidney injury (AKI) has been continuously increased over the years. Acute kidney injury (AKI) is a common complication in hospitalized patients. This study was conducted to compare the epidemiological characteristics, clinical factors, and outcomes of HAAKI. Objectives of the study: The main objective of the study is to determine the frequency and outcomes of factors leading to required Hospital acquired acute kidney injury in patients in Pakistan. Study Design: This cross sectional study was conducted in Bahawalpur Victoria Hospital during January 2019 to June 2019. Medical charts were reviewed by the researcher himself to look for factors leading to hospital acquired acute renal failure. Presence of more of these Temperature more than or equal to 38°C, Heart rate more than 90 per minute, Respiratory rate more than 20 per minute, WBC count more than 12 thousand /mm3 were taken as sepsis. Patients were followed 7 days if alive were taken as survival. Results: A total of one hundred & seventy three patients fulfilling the inclusion criteria were recruited in the study. The average mean age of the patient was 60.3±15.69 whereas minimum age was 17 years and maximum age was 90 years respectively. The analysis of factors like (TDDM2, Nephrotoxic Drugs, Sepsis, and Hypotension & Volume blood loss) showed an increase in mortality according to the proportion percentages (32.9%, 69.3%, 67.1%, 67.1%, and 29.5% respectively).Most of the patient’s age was follow up <66 years of age i.e. 115(66%). Conclusion: It is concluded that the analysis of factors like (TDDM2, Nephrotoxic Drugs, Sepsis, and Hypotension & Volume blood loss) showed an increase in mortality according to the proportion percentages (32.9%, 69.3%, 67.1%, 67.1%, and 29.5% respectively). Out of 173 total numbers of patients 105(61%) patients were survived.

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