Open AccessClinical Profile of Children with Acute Kidney Injury in a Tertiary Care Hospital, Dhaka, Bangladesh
Author(s) -
F Ahmed,
M Hanif,
T Fardush
Publication year - 2021
Publication title -
scholars journal of applied medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2347-954X
pISSN - 2320-6691
DOI - 10.36347/sjams.2021.v09i11.023
Subject(s) - medicine , acute kidney injury , etiology , incidence (geometry) , creatinine , pediatrics , renal replacement therapy , intensive care medicine , inclusion and exclusion criteria , disease , kidney disease , optics , alternative medicine , pathology , physics
Acute Kidney Injury (AKI), formerly known as Acute Renal Failure, is defined by a reversible rise in creatinine and nitrogenous waste product concentrations in the blood, as well as the kidney's inability to control fluid and electrolyte balance correctly. Whether the cause of AKI differs in different regions of the world, the incidence of AKI in children appears to be growing. Over the last several decades, the etiology of AKI in hospitalized children has changed from primary renal disease to multiple reasons, particularly in hospitalized children. As a result, research is required to identify the most current trends in AKI in this region. Because it continues to be associated with significant mortality and morbidity in poor nations with inadequate resources, including renal replacement treatment. Aim of the study: The aim of the study was to observe the clinical profiles of hospitalized acute kidney injury children. Methods: This prospective longitudinal study was performed in the Department of Pediatrics, Dhaka Shishu Hospital, Dhaka, during the period of 12 months from January 2015 to December 2015. A total of 50 children were selected from the ones admitted into the hospital following the inclusion and exclusion criteria. A detailed history was taken, thorough physical examination and relevant laboratory investigations were done in all enrolled patients. All underwent necessary supportive care as needed until discharge or death. Result: In the present study, the mean age of the children was 2.8 ± 1.9 years, with the youngest one being 4 days and the oldest, 12.5 years. Male: female ratio was 1.8:1. Children in the age group of 1-5 years were most commonly affected. The most common clinical feature was oliguria 88%. Diarrhea and peripheral edema were other common presenting complaints. Etiology of AKI was mainly pre-renal 64%, followed by renal 26% and post-renal 10% causes. The overall mortality rate was 22%. Conclusion: It was observed