Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study

Nagib Wazae Abuasba; Khalid Alwadee; Mushtaq Hasan Al-Hamadi

doi:doi:10.11648/j.ajim.20180605.15

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Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study

Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi

Published in American Journal of Internal Medicine (Volume 6, Issue 5)

Received: 11 July 2018 Accepted: 24 July 2018 Published: 3 September 2018

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Abstract

Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.

Published in	American Journal of Internal Medicine (Volume 6, Issue 5)
DOI	10.11648/j.ajim.20180605.15
Page(s)	121-125
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Acute Kidney Injury, Yemen, In-Hospital Mortality

References

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APA Style

Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. (2018). Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. American Journal of Internal Medicine, 6(5), 121-125. https://doi.org/10.11648/j.ajim.20180605.15

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ACS Style

Nagib Wazae Abuasba; Khalid Alwadee; Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am. J. Intern. Med. 2018, 6(5), 121-125. doi: 10.11648/j.ajim.20180605.15

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AMA Style

Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am J Intern Med. 2018;6(5):121-125. doi: 10.11648/j.ajim.20180605.15

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@article{10.11648/j.ajim.20180605.15,
  author = {Nagib Wazae Abuasba and Khalid Alwadee and Mushtaq Hasan Al-Hamadi},
  title = {Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study},
  journal = {American Journal of Internal Medicine},
  volume = {6},
  number = {5},
  pages = {121-125},
  doi = {10.11648/j.ajim.20180605.15},
  url = {https://doi.org/10.11648/j.ajim.20180605.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180605.15},
  abstract = {Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.},
 year = {2018}
}

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TY - JOUR
T1 - Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study
AU - Nagib Wazae Abuasba
AU - Khalid Alwadee
AU - Mushtaq Hasan Al-Hamadi
Y1 - 2018/09/03
PY - 2018
N1 - https://doi.org/10.11648/j.ajim.20180605.15
DO - 10.11648/j.ajim.20180605.15
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 121
EP - 125
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20180605.15
AB - Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.
VL - 6
IS - 5
ER -

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Author Information

Nagib Wazae Abuasba

Nephrology Department, Faculty of Medicine, Sana’a University, Sana’a, Yemen
Khalid Alwadee

Nephrology Department, Al Thawra Hospital, Sana’a, Yemen
Mushtaq Hasan Al-Hamadi

Nephrology Department, Al Thawra Hospital, Sana’a, Yemen

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APA Style

Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. (2018). Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. American Journal of Internal Medicine, 6(5), 121-125. https://doi.org/10.11648/j.ajim.20180605.15

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ACS Style

Nagib Wazae Abuasba; Khalid Alwadee; Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am. J. Intern. Med. 2018, 6(5), 121-125. doi: 10.11648/j.ajim.20180605.15

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AMA Style

Nagib Wazae Abuasba, Khalid Alwadee, Mushtaq Hasan Al-Hamadi. Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study. Am J Intern Med. 2018;6(5):121-125. doi: 10.11648/j.ajim.20180605.15

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@article{10.11648/j.ajim.20180605.15,
  author = {Nagib Wazae Abuasba and Khalid Alwadee and Mushtaq Hasan Al-Hamadi},
  title = {Frequency, Epidemiology and Outcome of Acute Kidney Injury Among Patients Admitted to Nephrology Center, Sana’a: Observational Study},
  journal = {American Journal of Internal Medicine},
  volume = {6},
  number = {5},
  pages = {121-125},
  doi = {10.11648/j.ajim.20180605.15},
  url = {https://doi.org/10.11648/j.ajim.20180605.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180605.15},
  abstract = {Although acute kidney injury (AKI) in our setting is growing rapidly, the available data on the magnitude of this lethal problem are very limited. The objective of this study was to determine the incidence, epidemiology and outcome of AKI. A total of 143 hospitalized patients with AKI in Al Thawra General Hospital, nephrology department between July 2015 and December 2016 were enrolled. The mean age of the study population was 37.7 ± 8.4 years, and 68.5% of these patients were males. Almost 81.8% of cases were medically referred and malarial infection was the commonest cause of AKI (23%). Pre renal AKI was present in 65 patients (45.4%) and renal AKI in 78 patients (54.5%). Most cases were presented with clinical manifestation of volume overload (65%), oliguria (51.7%), anuria (16.7%), and high serum creatinine level. The majority of cases (58.7%) had recovered without dialysis. In-hospital mortality was observed in 11 patients (7.7%). Hepatic failure and malarial infection were the common causes of death. This study demonstrates low frequency of AKI in our setting. The etiologies of this lethal health problem are preventable and treatable in approximately half of cases. Late referral to hospital may contribute both to the progression of renal disease and also to high mortality.},
 year = {2018}
}

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