International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 5, Issue 8 (2019)

Incidence and aetiology of acute kidney injury among hospitalized children in northern India: A prospective, observational study


Dr. Bhupendra Narain, Dr. Rajesh Kumar

Objectives: To determine the incidence, aetiology and outcome of acute kidney injury (AKI) in hospitalized patients aged 1 month to 15 years. Methods: Conducted among patients diagnosed with AKI (defined according to the Acute Kidney Injury Network criteria), admitted in the pediatric wards and the pediatric intensive care unit (PICU) of a tertiary hospital in northern India. Incidence of AKI (based on the serum creatinine criteria proposed by the AKI Network) and clinico-etiological profile of AKI was studied. Results: The incidence of AKI was 5.6 % in the pediatric wards and 27% in the PICU. AKI occurred in association with infections (58.9 %), acute glomerulonephritis (16.6 %), envenomations (4.1%), cardiac disease (3.7 %), and haemolytic uremic syndrome (3.3 %). Pneumonia constituted 28.9 % of the infections. Renal replacement therapy (RRT) was required in 19.3 % of patients; mortality was 13.6 %. A significant proportion of children had partial renal recovery at discharge. Conclusions: The incidence of AKI is high in the patient population, including the non-critically ill children. AKI continues to be associated with adverse outcomes.
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How to cite this article:
Dr. Bhupendra Narain, Dr. Rajesh Kumar. Incidence and aetiology of acute kidney injury among hospitalized children in northern India: A prospective, observational study. International Journal of Medical and Health Research, Volume 5, Issue 8, 2019, Pages 235-239
International Journal of Medical and Health Research