Outcome of acute kidney injuries following chronic kidney disease: A systematic review in Nawaz Sharif kidney hospital Swat

Authors

  • Rahmat Ali Khan
  • Syed Munib
  • Mohammad Shahzad
  • Mufti Baleegh
  • Liaqat Ali
  • Jehan Zeb
  • Mohammad Shahid
  • Mohammad Asif

DOI:

https://doi.org/10.47672/ajhmn.905

Keywords:

Outcome, Acute kidney injury, following CKD, systematic review, kidney hospital Swat.

Abstract

 

Background: Acute kidney injury may increase the risk for CKD and end-stage renal disease. In an attempt to summarize the literature and provide more compelling evidence, we conducted a systematic review comparing the  risk for CKD (chronic kidney disease), AKI (Acute kidney injury), Acute gastroententeritis, postnatal   AKI, Acute MI (myocardial infarction), AKI  2ndry to chemotherapy, AKI  2ndry to abstractive Nephropathy, AKI 2ndry to sepsis, AKI 2ndry to Drugs (NSAIDS and ARBS), AKI 2ndry to AGN (acute Glomerulonephritis), AKI 2ndry to Rhabdomyolysis, and lest AKI 2ndry to Malaria, death in patients with AKI,HD, CKD (chronic kidney disease). There have been several important developments in the literature recently regarding the association between acute kidney injury (AKI) and chronic kidney disease (CKD). First, when the National Kidney Foundation promulgated their highly influential Kidney Disease Outcomes Quality Initiative CKD guidelines in 2002, six chapters were devoted to the complications associated with decreased glomerular filtration rate (GFR) including hypertension, anemia, nutritional status, bone disease/disorders of calcium, and phosphorus metabolism, neuropathy

Objective: To study the outcomecute kidney injury following chronic kidney disease; systematic review. 

Methods: This was a prospective observational study from January 2018 to December 2020. Patients visiting department of Nephrology Nawaz Sharif Kidney center Swat, number of patients included study 351. All ages and both sexes were considered. Patients treated elsewhere or who has undergone in this study. Complete medical history, detailed examination like age, sex, diagnosis, and outcome, of AKI, examination under microscope and investigations, and necessary blood investigations were carried out.

Results: Three fifty one (351) patients were included in this study. The age distribution showed (75%) patients between 40-95 years and 25(25%) between 32-39 years. Mean age was 43 years with Standard Deviation of ± 35.66. Among 351 patients 162 (45%) patients were male and 189 (55%) patients were female. Duration of symptoms in 24(17%) was <4 months and 112(75%) had >4 months, with mean of 4 months and SD ± 2.315. Total 351 participants AKI 45(12%) postnatal AKI 33(9%) Acute MI 18(6%) AKI 2ndry chemotherapy 15(5.72%) AKI 2ndry to abstractive Nephropathy 55 (14%) AKI 2ndry to sepsis 63 (17%) AKI 2ndry to Drugs (NSAIDS and ARBS)   54 (14%) CKD (chronic kidney disease) 48 (15%) AKI 2ndry to Rhabdomylysis 18(6%)

Conclusions: The study concludes that the acute kidney injury following CKD systematic reviewing among patients presenting with AKI,CHD ,AKI sepsis, ,AKI Drugs(NSIAD)  in local hospital  settings This can be reduced with proper health education in general public regarding prevention of the disease and hence its complications.

 

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Author Biographies

Rahmat Ali Khan

Assistant Professor Nephrology, Head of Nephrology department, Nawaz Sharif Kidney Hospital, Swat, Pakistan.

Syed Munib

Associate Professor Nephrology Institute of Kidney Diseases (IKD), Peshawar, Pakistan.

Mohammad Shahzad

 Associate Professor Urologist Institute of Kidney Diseases (IKD), Peshawar, Pakistan.

Mufti Baleegh

Consultant Nephrologist Peshawar, Pakistan.

Liaqat Ali

Associate Professor Urologist Institute of Kidney Diseases (IKD), Peshawar, Pakistan.

Jehan Zeb

Consultant urologist institute of kidney diseases (IKD) Peshawar, Pakistan.

Mohammad Shahid

Consultant nephrologist dhq hospital Batkhala, Pakistan.

Mohammad Asif

Consultant urologist dhq hospital Mardan, Pakistan.

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Published

2022-01-14

How to Cite

Khan, R. A. ., Munib, S., Shahzad, M. ., Baleegh, M. ., Ali, L. ., Zeb, J. ., … Asif, M. (2022). Outcome of acute kidney injuries following chronic kidney disease: A systematic review in Nawaz Sharif kidney hospital Swat. American Journal of Health, Medicine and Nursing Practice, 7(1), 11–17. https://doi.org/10.47672/ajhmn.905