Abstract

HERRERA ANAZCO, Percy et al. Clinical features of patients with acute kidney injury in dialysis in a general hospital. An. Fac. med. [online]. 2013, vol.74, n.4, pp.307-310. ISSN 1025-5583.

Introduction: Acute kidney injury on dialysis has high mortality in hospitalized patients especially in ICU and there are no updated studies in our country. Objectives: To describe characteristics of acute kidney injured patients on dialysis at a general hospital. Design: Descriptive single center observational study. Setting: Hospital Nacional Dos de Mayo, Lima, Peru. Patients: Acute kidney injured (AKI) patients on dialysis. Interventions: We studied patients with AKI on dialysis from January to December, 2012. We described averages, percentages, standard deviations. Main outcome measures: Clinical characteristics of patients with AKI on dialysis. Results: Forty-three acute kidney injured cases on dialysis were reported. Average age was 58.5 years (SD: 16.6), 28 were male, 20 patients (46.5%) were from ICU. The main cause of dialysis admission was oligoanuria (60.5%) followed by uremic encephalopathy (46.5%) and metabolic acidosis (30.2%); 39.5% patients died; 45% of patients in ICU died. At hospital discharge 9.3% of the patients continued on dialysis. Conclusions: In the population studied 4 of 10 patients with acute kidney injury on dialysis died and 1 of 10 patients continued on dialysis after hospital discharge.

Keywords : Acute kidney injury; dialysis; mortality.

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