Mahmud Huma Mamun, Dastoor Hormatz Diar Dara
Dr. Huma Mamun Mahmud, FCPS Nephrology., Department of Medicine, Division Nephrology Al Rahba Hospital, Seha, Abu Dhabi, UAE.
Dr. Hormaz Dastoor, MD Nephrology., Department of Medicine, Division Nephrology Al Rahba Hospital, Seha, Abu Dhabi, UAE.
Pak J Med Sci. 2020 Jul-Aug;36(5):920-924. doi: 10.12669/pjms.36.5.2429.
To analyse the frequency, co morbidities and outcome ofAcute Kidney Injury (AKI) in elderly patients.
This is an observational retrospective study performed in a secondary care Hospital located in Abu Dhabi. Study include adult patients admitted during 01 January 2018 till 31 December 2018. We uses KDIGO criteria of more than 26.5 micromol/L increase in serum creatinine within 48 hours or 1.5 times increase from baseline within seven days to define AKI. Patients were followed from admission till discharge from hospital either to Home, to other facility or death. Analysis was done on SPSS version 20.
Total admissions for age 60 and above were 880. AKI was observed in 71 patients (8.0%). Most common co-morbidity found was hypertension being observed in 85.9%. Renal recovery was observed in 70.4% out of whom complete recovery was seen in only 32.4% and rest shows partial recovery. Hemodialysis was required in 16.90% and death results in 22.5% of our study patients.
AKI is frequent among elderly admitted patients, commonest co- morbidity in these patients is hypertension. Outcome of AKI in elderly patients is poor with death in 22% of our patients.
分析老年患者急性肾损伤(AKI)的发生率、合并症及预后。
这是一项在位于阿布扎比的二级护理医院进行的观察性回顾性研究。研究纳入2018年1月1日至2018年12月31日期间收治的成年患者。我们采用KDIGO标准,即48小时内血清肌酐升高超过26.5微摩尔/升或7天内较基线水平升高1.5倍来定义AKI。对患者从入院直至出院(回家、转至其他机构或死亡)进行随访。使用SPSS 20版进行分析。
60岁及以上患者的总入院人数为880人。71例患者(8.0%)发生AKI。最常见的合并症是高血压,发生率为85.9%。70.4%的患者肾功能恢复,其中仅32.4%完全恢复,其余为部分恢复。16.90%的患者需要血液透析,22.5%的研究患者死亡。
AKI在老年住院患者中很常见,这些患者最常见的合并症是高血压。老年患者AKI的预后较差,22%的患者死亡。