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Clinical Profile and Management of Patients Admitted with Acute Kidney Injury Secondary to Gastroenteritis in a Tertiary Care Teaching Hospital


Affiliations
1 Department of Medicine, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
2 Department of Anaesthesia, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
 

Aim: To study clinical profile, laboratory features and importance of rehydration in patients admitted with acute kidney injury due to gastroenteritis. Materials and Methods: The study was carried out as a prospective observational study of 70 patients at medicine department of a medical college and tertiary health care center, over a period of two years that included cases of acute kidney injury due to gastroenteritis in the age group of 18-40 years. Results: Study showed male predominance (72.86%) in elderly age group. Prerenal type was more common (75.71%) as compared to acute tubular necrosis. Duration and frequency of diarrhea was associated with severity of the disease. Mortality was high (100%) in those who required more time (>12 hours) to achieve normal mean arterial pressure. Maximum deaths (93.33%) were observed in anuric patients. Most common complication observed was septicemia in 20% of patients. Overall mortality observed in our study was 21.43%, while 78.57% patients survived. Mortality was high in those having severe dehydration, high baseline creatinine, who received dialysis. Conclusion: Acute kidney injury due to gastroenteritis is preventable if presented early and adequate hydration can decrease mortality.

Keywords

Acute Kidney Injuries, Acute Tubular Necrosis Gastroenteritis, Mean Arterial Pressure.
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  • Clinical Profile and Management of Patients Admitted with Acute Kidney Injury Secondary to Gastroenteritis in a Tertiary Care Teaching Hospital

Abstract Views: 182  |  PDF Views: 116

Authors

Umang Patil
Department of Medicine, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
Jitendra Kodilkar
Department of Medicine, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
Neelima Chafekar
Department of Medicine, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
Deodatta Chafekar
Department of Medicine, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India
Gauri Anand Diwan
Department of Anaesthesia, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, India

Abstract


Aim: To study clinical profile, laboratory features and importance of rehydration in patients admitted with acute kidney injury due to gastroenteritis. Materials and Methods: The study was carried out as a prospective observational study of 70 patients at medicine department of a medical college and tertiary health care center, over a period of two years that included cases of acute kidney injury due to gastroenteritis in the age group of 18-40 years. Results: Study showed male predominance (72.86%) in elderly age group. Prerenal type was more common (75.71%) as compared to acute tubular necrosis. Duration and frequency of diarrhea was associated with severity of the disease. Mortality was high (100%) in those who required more time (>12 hours) to achieve normal mean arterial pressure. Maximum deaths (93.33%) were observed in anuric patients. Most common complication observed was septicemia in 20% of patients. Overall mortality observed in our study was 21.43%, while 78.57% patients survived. Mortality was high in those having severe dehydration, high baseline creatinine, who received dialysis. Conclusion: Acute kidney injury due to gastroenteritis is preventable if presented early and adequate hydration can decrease mortality.

Keywords


Acute Kidney Injuries, Acute Tubular Necrosis Gastroenteritis, Mean Arterial Pressure.

References