The aim of the study is to assess the common risk factors for development of hospital acquired acute kidney injury among hospitalized patients in Alexandria Main University hospital and their outcomes.
Hospital-acquired AKI (HAAKI) is defined as acute renal insult occurring 48 hours or more after admission to a health care facility and It is estimated to occur in 13-18% of hospitalized patients. The early diagnosis of HAAKI reflects on improvement in morbidity and mortality rates especially in developing countries which goes parallel with the goal The International Society of Nephrology (ISN) to eliminate preventable or treatable deaths from AKI by 2025, the "0 by 25" initiative. Data concerning the spectrum of acute kidney injury (AKI) in Egypt are generally scarce.
Study Type
OBSERVATIONAL
Enrollment
160
AKI care bundle include use of iv fluids, diuretics, antihyperkalemic drugs, sodium bicarbonate, antibiotics in septic patients.
this includes iv fluids, diuretics, antibiotics in septic patients, other measures according to original disease
Faculty of Medicine, Aexandria University
Alexandria, Egypt
Recovery of kidney functions
(improvement of eGFR, serum creatinine to normal or previous baseline).
Time frame: 12 weeks
progression to chronic kidney disease.
deterioration of kidney functions ( creatinine, eGFR)
Time frame: 12 weeks
mortality
death
Time frame: 12 weeks
Need for renal replacement therapy
different modalities of RRT
Time frame: 12 weeks
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