Outcomes Of Various Stages Of Acute Kidney Injury In Critical Care Patients

Background: Acute Kidney Injury is not a single disease but rather a syndrome comprising of multiple clinical conditions. The high rate of morbidity associated with AKI poses a burden on both the public as well as private sector. Small changes in serum creatinine concentrations associated with a substantial increase in the risk of morbidity. Therefore, detection of even small changes in kidney injury has an important prognostic value to avoid chances of hemo-dialysis and the associated risks which can result in both better outcomes as well as lowering financial burden on the patient as well as the state. Methods: A sample size of 100 patients was included as calculated by taking reported incidence of 36%. Patient’s baseline and maximum creatinine was taken during ICU stay together with urine output monitoring during first 48 hours. Staging of acute kidney injury (AKI) was done by Acute Kidney Injury Network (AKIN) criteria. Outcome of renal failure was assessed on the basis of full, partial and no recovery. Results: Out of 100 patients, 52% were in stage 1, 32% were in stage 2 and 16% were in stage 3. AKI was common in females; present in 37 males and 63 females; (p value