Objective: To evaluate the incidence, mortality and influencing factors for the development of Acute Kidney Injury (AKI) at admission or during Intensive Care Unit (ICU) stay. Methods: We conducted a prospective, epidemiological survey, in ICU for two years and the data of 97 patients admitted to ICU for medical illness was analyzed. Patients with AKI were categorized by serum creatinine and urine output into 3 stages. Stage 1 was defined as an absolute increase (within 48 hours) in serum creatinine of more than or equal to 0.3 mg/dl, or oliguria of less than 0.5ml/kg per hour for more than six hours. Stage 2 was defined as doubling of serum creatinine, or a urinary output lower than 0.5ml/kg /h for 12 h. Stage 3 was defined as tripling of serum creatinine or a urinary output lower than 0.3 ml/kg/h for 24 h, or anuria for 12 h. Results: Sixty patients ( 62 %) had AKI. AKI patients tended to be older and usually had antecedent of heart disease, a high Simplified Acute Physiology Score version II at admission, more use of mechanical ventilation and vasopressor treatment, more shock, more severe sepsis, more hyperosmolar hyperglycemic state (HHS) and higher mortality. In multivariate analysis, SAPS II score >30, antecedent of heart disease and shock were independent risk factors for development of AKI at admission or during ICU stay. Conclusion: AKI had a high incidence and a high mortality in medical ICU’s patients. Antecedent of severe underlying diseases, heart disease and hemodynamic failure were independent risk factors of AKI.
| Published in | Science Journal of Public Health (Volume 2, Issue 1) |
| DOI | 10.11648/j.sjph.20140201.11 |
| Page(s) | 1-6 |
| 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), 2013. Published by Science Publishing Group |
Acute Kidney Injury, Intensive Care Unit, Mortality, Risk Factors
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APA Style
Rhita Bennis Nechba, Moncif El M’barki Kadiri, Abdelhalim Mesfioui, Amine Ali Zeggwagh. (2013). Epidemiology of Acute Kidney Injury in Moroccan Medical Intensive Care Patients: A Regional Prospective, Observational Study. Science Journal of Public Health, 2(1), 1-6. https://doi.org/10.11648/j.sjph.20140201.11
ACS Style
Rhita Bennis Nechba; Moncif El M’barki Kadiri; Abdelhalim Mesfioui; Amine Ali Zeggwagh. Epidemiology of Acute Kidney Injury in Moroccan Medical Intensive Care Patients: A Regional Prospective, Observational Study. Sci. J. Public Health 2013, 2(1), 1-6. doi: 10.11648/j.sjph.20140201.11
AMA Style
Rhita Bennis Nechba, Moncif El M’barki Kadiri, Abdelhalim Mesfioui, Amine Ali Zeggwagh. Epidemiology of Acute Kidney Injury in Moroccan Medical Intensive Care Patients: A Regional Prospective, Observational Study. Sci J Public Health. 2013;2(1):1-6. doi: 10.11648/j.sjph.20140201.11
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Download@article{10.11648/j.sjph.20140201.11,
author = {Rhita Bennis Nechba and Moncif El M’barki Kadiri and Abdelhalim Mesfioui and Amine Ali Zeggwagh},
title = {Epidemiology of Acute Kidney Injury in Moroccan Medical Intensive Care Patients: A Regional Prospective, Observational Study},
journal = {Science Journal of Public Health},
volume = {2},
number = {1},
pages = {1-6},
doi = {10.11648/j.sjph.20140201.11},
url = {https://doi.org/10.11648/j.sjph.20140201.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140201.11},
abstract = {Objective: To evaluate the incidence, mortality and influencing factors for the development of Acute Kidney Injury (AKI) at admission or during Intensive Care Unit (ICU) stay. Methods: We conducted a prospective, epidemiological survey, in ICU for two years and the data of 97 patients admitted to ICU for medical illness was analyzed. Patients with AKI were categorized by serum creatinine and urine output into 3 stages. Stage 1 was defined as an absolute increase (within 48 hours) in serum creatinine of more than or equal to 0.3 mg/dl, or oliguria of less than 0.5ml/kg per hour for more than six hours. Stage 2 was defined as doubling of serum creatinine, or a urinary output lower than 0.5ml/kg /h for 12 h. Stage 3 was defined as tripling of serum creatinine or a urinary output lower than 0.3 ml/kg/h for 24 h, or anuria for 12 h. Results: Sixty patients ( 62 %) had AKI. AKI patients tended to be older and usually had antecedent of heart disease, a high Simplified Acute Physiology Score version II at admission, more use of mechanical ventilation and vasopressor treatment, more shock, more severe sepsis, more hyperosmolar hyperglycemic state (HHS) and higher mortality. In multivariate analysis, SAPS II score >30, antecedent of heart disease and shock were independent risk factors for development of AKI at admission or during ICU stay. Conclusion: AKI had a high incidence and a high mortality in medical ICU’s patients. Antecedent of severe underlying diseases, heart disease and hemodynamic failure were independent risk factors of AKI.},
year = {2013}
}
TY - JOUR T1 - Epidemiology of Acute Kidney Injury in Moroccan Medical Intensive Care Patients: A Regional Prospective, Observational Study AU - Rhita Bennis Nechba AU - Moncif El M’barki Kadiri AU - Abdelhalim Mesfioui AU - Amine Ali Zeggwagh Y1 - 2013/11/30 PY - 2013 N1 - https://doi.org/10.11648/j.sjph.20140201.11 DO - 10.11648/j.sjph.20140201.11 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 1 EP - 6 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20140201.11 AB - Objective: To evaluate the incidence, mortality and influencing factors for the development of Acute Kidney Injury (AKI) at admission or during Intensive Care Unit (ICU) stay. Methods: We conducted a prospective, epidemiological survey, in ICU for two years and the data of 97 patients admitted to ICU for medical illness was analyzed. Patients with AKI were categorized by serum creatinine and urine output into 3 stages. Stage 1 was defined as an absolute increase (within 48 hours) in serum creatinine of more than or equal to 0.3 mg/dl, or oliguria of less than 0.5ml/kg per hour for more than six hours. Stage 2 was defined as doubling of serum creatinine, or a urinary output lower than 0.5ml/kg /h for 12 h. Stage 3 was defined as tripling of serum creatinine or a urinary output lower than 0.3 ml/kg/h for 24 h, or anuria for 12 h. Results: Sixty patients ( 62 %) had AKI. AKI patients tended to be older and usually had antecedent of heart disease, a high Simplified Acute Physiology Score version II at admission, more use of mechanical ventilation and vasopressor treatment, more shock, more severe sepsis, more hyperosmolar hyperglycemic state (HHS) and higher mortality. In multivariate analysis, SAPS II score >30, antecedent of heart disease and shock were independent risk factors for development of AKI at admission or during ICU stay. Conclusion: AKI had a high incidence and a high mortality in medical ICU’s patients. Antecedent of severe underlying diseases, heart disease and hemodynamic failure were independent risk factors of AKI. VL - 2 IS - 1 ER -
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