Frequency, Co-morbidities and outcome of acute kidney injury in elderly admitted patients

Huma Mamun Mahmud; Hormatz Diar Dara Dastoor

doi:10.12669/pjms.36.5.2429

Frequency, Co-morbidities and outcome of acute kidney injury in elderly admitted patients

Pak J Med Sci. 2020 Jul-Aug;36(5):920-924. doi: 10.12669/pjms.36.5.2429.

Authors

Huma Mamun Mahmud¹, Hormatz Diar Dara Dastoor²

Affiliations

¹ Dr. Huma Mamun Mahmud, FCPS Nephrology., Department of Medicine, Division Nephrology Al Rahba Hospital, Seha, Abu Dhabi, UAE.
² Dr. Hormaz Dastoor, MD Nephrology., Department of Medicine, Division Nephrology Al Rahba Hospital, Seha, Abu Dhabi, UAE.

Abstract

Objectives: To analyse the frequency, co morbidities and outcome ofAcute Kidney Injury (AKI) in elderly patients.

Methods: This is an observational retrospective study performed in a secondary care Hospital located in Abu Dhabi. Study include adult patients admitted during 01^st January 2018 till 31^st 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.

Results: 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.

Conclusion: 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.

Keywords: Acute kidney injury; Death; Elderly; Old age; Outcome.