American Journal of Internal Medicine

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Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study

Received: Jul. 11, 2018    Accepted: Jul. 24, 2018    Published: Sep. 03, 2018
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Abstract

Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.

DOI 10.11648/j.ajim.20180605.15
Published in American Journal of Internal Medicine ( Volume 6, Issue 5, September 2018 )
Page(s) 121-125
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Acute Kidney Injury, Yemen, In-Hospital Mortality

References
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[3] Abd ElHafeez S, Tripepi G, Quinn R, Naga Y, Abdelmonem S, Mohamed AbdelHady M et al. Risk, predictors, and outcomes of acute kidney injury in patients admitted to intensive care units inEgypt Scientific Reports | 7: 17163 | DOI:10.1038/s41598-017-17264-7
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  • APA Style

    Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. (2018). Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. American Journal of Internal Medicine, 6(5), 121-125. https://doi.org/10.11648/j.ajim.20180605.15

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    ACS Style

    Nagib Wazae Abuasba; Khalid Alwadee; Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am. J. Intern. Med. 2018, 6(5), 121-125. doi: 10.11648/j.ajim.20180605.15

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    AMA Style

    Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am J Intern Med. 2018;6(5):121-125. doi: 10.11648/j.ajim.20180605.15

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  • @article{10.11648/j.ajim.20180605.15,
      author = {Nagib Wazae Abuasba and Khalid Alwadee and Mushtaq Hasan Al-Hamadi},
      title = {Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study},
      journal = {American Journal of Internal Medicine},
      volume = {6},
      number = {5},
      pages = {121-125},
      doi = {10.11648/j.ajim.20180605.15},
      url = {https://doi.org/10.11648/j.ajim.20180605.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20180605.15},
      abstract = {Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study
    AU  - Nagib Wazae Abuasba
    AU  - Khalid Alwadee
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    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
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    AB  - Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.
    VL  - 6
    IS  - 5
    ER  - 

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Author Information
  • Nephrology Department, Faculty of Medicine, Sana’a University, Sana’a, Yemen

  • Nephrology Department, Al Thawra Hospital, Sana’a, Yemen

  • Nephrology Department, Al Thawra Hospital, Sana’a, Yemen

  • Section