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Acute Kidney Injury Outcomes of Elderly and Nonelderly Patients in the Medical Intensive Care Unit of a University Hospital in a Developing Country
Joint Authors
Pongsittisak, Wanjak
Phonsawang, Kashane
Jaturapisanukul, Solos
Prommool, Surazee
Kurathong, Sathit
Source
Critical Care Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Aging is associated with a high risk of acute kidney injury (AKI), and the elderly with AKI show a higher mortality rate than those without AKI.
In this study, we compared AKI outcomes between elderly and nonelderly patients in a university hospital in a developing country.
Materials and Methods.
This retrospective cohort study included patients with AKI who were admitted to the medical intensive care unit (ICU) between January 1, 2012, and December 31, 2017.
The patients were divided into the elderly (eAKI; age ≥65 years; n = 158) and nonelderly (nAKI; n = 142) groups.
Baseline characteristics, comorbidities, principle diagnosis, renal replacement therapy (RRT) requirement, hospital course, and in-hospital mortality were recorded.
The primary outcome was in-hospital mortality.
Results.
The eAKI group included more females, patients with higher Acute Physiology and Chronic Health Evaluation II scores, and patients with more comorbidities than the nAKI group.
The etiology and staging of AKI were similar between the two groups.
There were no significant differences in in-hospital mortality (p=0.338) and RRT requirement (p=0.802) between the two groups.
After adjusting for covariates, the 28-day mortality rate was similar between the two groups (p=0.654), but the 28-day RRT requirement was higher in the eAKI group than in the nAKI group (p=0.042).
Conclusion.
Elderly and nonelderly ICU patients showed similar survival outcomes of AKI, although the elderly were at a higher risk of requiring RRT.
American Psychological Association (APA)
Pongsittisak, Wanjak& Phonsawang, Kashane& Jaturapisanukul, Solos& Prommool, Surazee& Kurathong, Sathit. 2020. Acute Kidney Injury Outcomes of Elderly and Nonelderly Patients in the Medical Intensive Care Unit of a University Hospital in a Developing Country. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138501
Modern Language Association (MLA)
Pongsittisak, Wanjak…[et al.]. Acute Kidney Injury Outcomes of Elderly and Nonelderly Patients in the Medical Intensive Care Unit of a University Hospital in a Developing Country. Critical Care Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1138501
American Medical Association (AMA)
Pongsittisak, Wanjak& Phonsawang, Kashane& Jaturapisanukul, Solos& Prommool, Surazee& Kurathong, Sathit. Acute Kidney Injury Outcomes of Elderly and Nonelderly Patients in the Medical Intensive Care Unit of a University Hospital in a Developing Country. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138501
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138501