AETIOLOGY AND OUTCOME OF ACUTE KIDNEY INJURY IN TYPE 2 DIABETES PATIENTS
Journal of Evolution of Medical and Dental Sciences
BACKGROUND Diabetes is the most important contributor to the growing burden of end stage renal disease, and patients with diabetes are also at a greater risk of requiring hospitalizations and experiencing acute kidney injury. Because of the morbidity and mortality associated with acute kidney injury, it is important for primary care physicians to identify patients who are at a high risk of developing this type of injury and to implement preventive strategies. Though many studies have evaluated
... ies have evaluated the development or progression of chronic kidney disease, only few studies have assessed the risk factors and outcomes of AKI in Type 2 diabetics. Hence, we conducted this study. Early recognition and appropriate management of acute kidney injury in hospitalized patients is one of the ways to curb the growing burden of end stage kidney disease in diabetics. MATERIALS AND METHODS We conducted a Cohort study to analyze the causes, recovery of renal function and mortality of AKI in 100 adult diabetic patients admitted in ICU and wards under the Dept. of Medicine and Nephrology in relation to age, sex, mean FBS, PPBS, electrolytes, blood urea and serum creatinine levels. RESULTS AKI was predominantly encountered in older males. Most common causes of acute renal failure were found to be infection and urinary tract obstruction. NSAID was most common cause of drug induced renal failure. 69% had a good outcome of which 10% had partial recovery and 59% had full recovery. 31% had poor outcome of which 10% went in for maintenance hemodialysis and 21% expired during the period of study. CONCLUSION Most common causes of renal failure in the study were found to be infection and urinary tract obstruction. Acute renal failure recovered in 69%.