Incidence, Risk Factors, and Outcome of Acute Kidney Injury in the Intensive Care Unit: A Single-Center Study from Jordan
Joint Authors
Alshelleh, Sameeha
Oweis, Ashraf O.
Momany, Suleiman M.
Samrah, Shaher M.
Khassawneh, Basheer Y.
Al Ali, Musa A. K.
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
2020-07-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Acute kidney injury (AKI) is a common serious problem affecting critically ill patients in intensive care unit (ICU).
It increases their morbidity, mortality, length of ICU stay, and long-term risk of chronic kidney disease (CKD).
Methods.
A retrospective study was carried out in a tertiary hospital in Jordan.
Medical records of patients admitted to the medical ICU between 2013 and 2015 were reviewed.
We aimed to identify the incidence, risk factors, and outcomes of AKI.
Acute kidney injury network (AKIN) classification was used to define and stage AKI.
Results.
2530 patients were admitted to medical ICU, and the incidence of AKI was 31.6%, mainly in stage 1 (59.4%).
In multivariate analysis, increasing age (odds ratio (OR) = 1.2 (95% CI 1.1–1.3), P = 0.0001) and higher APACHE II score (OR = 1.5 (95% CI 1.2–1.7), P = 0.001) were predictors of AKI, with 20.4% of patients started on hemodialysis.
At the time of discharge, 58% of patients with AKI died compared to 51.3% of patients without AKI (P = 0.05).
88% of patients with AKIN 3 died by the time of discharge compared to patients with AKIN 2 and 1 (75.3% and 61.2% respectively, P = 0.001).
Conclusion.
AKI is common in ICU patients, and it increases mortality and morbidity.
Close attention for earlier detection and addressing risk factors for AKI is needed to decrease incidence, complications, and mortality.
American Psychological Association (APA)
Oweis, Ashraf O.& Alshelleh, Sameeha& Momany, Suleiman M.& Samrah, Shaher M.& Khassawneh, Basheer Y.& Al Ali, Musa A. K.. 2020. Incidence, Risk Factors, and Outcome of Acute Kidney Injury in the Intensive Care Unit: A Single-Center Study from Jordan. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138543
Modern Language Association (MLA)
Oweis, Ashraf O.…[et al.]. Incidence, Risk Factors, and Outcome of Acute Kidney Injury in the Intensive Care Unit: A Single-Center Study from Jordan. Critical Care Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1138543
American Medical Association (AMA)
Oweis, Ashraf O.& Alshelleh, Sameeha& Momany, Suleiman M.& Samrah, Shaher M.& Khassawneh, Basheer Y.& Al Ali, Musa A. K.. Incidence, Risk Factors, and Outcome of Acute Kidney Injury in the Intensive Care Unit: A Single-Center Study from Jordan. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138543
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138543