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Renal impairment amongst acute hospital admissions in a rural Ethiopian hospital

Riley, Stephen George, Diro, E., Batchelor, P., Abebe, A., Amsalu, A., Tadesse, T., Williams, John David and Phillips, Aled Owain 2013. Renal impairment amongst acute hospital admissions in a rural Ethiopian hospital. Nephrology 18 (2) , pp. 92-96. 10.1111/nep.12002

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Abstract

Background Acute renal injury is a relatively common clinical condition, reported to be associated with high rates of in-hospital mortality. Although there is an extensive literature on the nature and consequence of AKI in the developed world, much less is know in the developing world and more specifically in sub-Saharan Africa. Methods We describe the prevalence, clinical characteristics and impact of AKI in patients admitted to a single centre in Ethiopia with no dedicated renal services. Results Renal function tests are not preformed routinely in many Ethiopian hospitals. This occurred in 32% of all patients in this study, falling to 23% on surgical wards. As a consequence no cases of AKI were identified in the context of surgical admissions. AKI was only identified in a cohort of patients on medical wards, with a prevalence of roughly 20% of medical patients in which renal function was measured. The patients with AKI were younger than those at risk of AKI in studies from the developed world but were older than those who did not develop AKI in this study. In the majority of cases AKI could be considered to be pre-renal in its origin. In contrast to studies in the developed world, AKI did not adversely impact on either duration of hospital stay or on patient mortality. Residual renal impairment was however common at the point of discharge. Conclusion The data suggest subtle differences in the nature and impact of AKI between those published and mainly derived from the developed world and patients in sub-Saharan Africa.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: AKI, Africa, characteristics, impact, outcome
Publisher: Wiley-Blackwell
ISSN: 1320-5358
Last Modified: 11 Jun 2019 20:48
URI: http://orca.cf.ac.uk/id/eprint/42321

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