Dialysis-dependent acute kidney injury in a multidisciplinary hospital: a retrospective analysis of fatal outcomes
- Authors: Grigoryeva E.V.1, Voloshinova E.V.1, Tolmazova O.N.2, Shesterkina Y.V.1, Horkina I.Y.2
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Affiliations:
- Saratov State Medical University named after V.I. Razumovsky
- Regional Clinical Hospital, Saratov
- Issue: Vol 14, No 1 (2022)
- Pages: 69-72
- Section: Articles
- URL: https://journals.eco-vector.com/2075-3594/article/view/273930
- DOI: https://doi.org/10.18565/nephrology.2022.1.69-72
- ID: 273930
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Abstract
Objective. to assess the mortality structure in patients with dialysis-dependent acute kidney injury (AKi). material and methods. a retrospective analysis of 47 medical records of deceased patients with stage 3 aki was carried out. results. In 2017 161 patients, admitted to Saratov regional hospital, were diagnosed with stage 3 aki, 47 of them died, the mortality rate was 29.2%. 37 (78%) patients developed aki in the hospital. 39 (83%) patients were treated in intensive care units (icu). the main causes of aki were acute surgical pathology and sepsis. one third of the patients had a multiple cause aki. Risk factors were identified in 76.6% of patients. The main causes of death were brain or pulmonary edema. Conclusion. Dialysis-dependent aki is one of the aspects of multiple organ dysfunction in serious comorbid patients and is a predictor of an unfavorable outcome. In this regard, much attention should be paid to early detection of risk factors and prevention of aki.
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About the authors
Elena V. Grigoryeva
Saratov State Medical University named after V.I. Razumovsky
Email: lek133@yandex.ru
PhD, assistant of professor of hospital therapy department
Elena V. Voloshinova
Saratov State Medical University named after V.I. Razumovsky
Email: voloshinovaelena@mail.ru
PhD, assistant of professor of hospital therapy department
Olga N. Tolmazova
Regional Clinical Hospital, Saratov
Email: o.n.razumova@mail.ru
nephrologist
Ylia V. Shesterkina
Saratov State Medical University named after V.I. Razumovsky
Email: grachenok123@yandex.ru
resident of hospital therapy department
Irina Y. Horkina
Regional Clinical Hospital, Saratov
Email: irenhor@mail.ru
pathologist
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