Factors Affecting Inpatient Mortality in Elderly People with Acute Kidney Injury
المؤلفون المشاركون
Tan, Jackson
Awan, Safia
Azmat, Rabeea
Naseer, Nazish
Khalil, Muhammad Ashhad Ullah
Khalil, Muhammad Abdul Mabood
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-06
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Background.
Acute Kidney Injury (AKI) is common in elderly people (EP).
There is paucity of data on predictor of mortality in EP with AKI.
Objective.
This study was done to know more about factors associated with inpatient mortality in EP with AKI.
Methods.
We retrospectively reviewed medical records of patients aged 65 years or above hospitalized with a diagnosis of AKI at Aga Khan University Hospital, Karachi, between January 2005 and December 2010.
Binary logistic regression models were constructed to identify factors associated with mortality in EP with AKI.
Results.
431 patients had AKI, with 341 (79.1%) having stage I AKI, 56 (13%) having stage II AKI, and 34 (7.9%) having stage III AKI.
Out of 431 patients, 142 (32.9%) died.
Mortality increased with increasing severity of AKI.
Mortality was 50% (17/34) in AKI stage III, 44.6% (25/56) in AKI stage II, and 29.3% (100/341) in AKI stage I.
Factors associated with increased inpatients mortality were presence of stage III AKI (OR: 3.20, P=0.04, 95% CI: 1.05–9.72), presence of oliguria (OR: 3.42, P=0.006, 95% CI: 1.42–8.22), and need for vasopressors (OR: 6.90, P<0.001, 95% CI: 2.42–19.65).
Median bicarbonate 18 versus 17 between those who survived and those who died was associated with less mortality (OR: 0.94, P=0.02, 95% CI: 0.89–0.99).
History of hypertension (OR: 0.49, P=0.03, 95% CI: 0.25–0.95) and high admission creatinine (OR: 0.68, P=0.01, 95% CI: 0.50–0.91) were also associated with less mortality.
Conclusion.
Mortality in EP increases with increasing severity of AKI.
Presence of stage III AKI, oliguria, and hemodynamic instability needing vasopressor are associated with increased mortality.
Increased median bicarbonate, presence of hypertension, and high admission creatinine were various factors associated with decreased inpatient mortality.
Increasing age and need for dialysis did not increase mortality in elderly population.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Khalil, Muhammad Abdul Mabood& Awan, Safia& Azmat, Rabeea& Khalil, Muhammad Ashhad Ullah& Naseer, Nazish& Tan, Jackson. 2018. Factors Affecting Inpatient Mortality in Elderly People with Acute Kidney Injury. The Scientific World Journal،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1215606
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Khalil, Muhammad Abdul Mabood…[et al.]. Factors Affecting Inpatient Mortality in Elderly People with Acute Kidney Injury. The Scientific World Journal No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1215606
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Khalil, Muhammad Abdul Mabood& Awan, Safia& Azmat, Rabeea& Khalil, Muhammad Ashhad Ullah& Naseer, Nazish& Tan, Jackson. Factors Affecting Inpatient Mortality in Elderly People with Acute Kidney Injury. The Scientific World Journal. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1215606
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1215606
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر