Table of Contents
ISRN Nephrology
Volume 2013 (2013), Article ID 540526, 6 pages
http://dx.doi.org/10.5402/2013/540526
Clinical Study

Clinical Outcomes of Dialysis-Treated Acute Kidney Injury Patients at the University of Port Harcourt Teaching Hospital, Nigeria

Renal Unit, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, PMB 6173, Rivers State, Port Harcourt 50001, Nigeria

Received 29 May 2012; Accepted 10 July 2012

Academic Editors: J. Almirall, C. Sharpe, and G.-P. Zhou

Copyright © 2013 Pedro Chimezie Emem-Chioma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Acute kidney injury in adults is a common cause of hospitalization, associated with high morbidity and mortality especially in developing countries. In spite of RRT the in-hospital mortality rates remain high even in the developed countries. Though a proportion of our patients receive renal replacement therapy as part of their management, data on outcomes are sparse. Study Objective. To determine the clinical outcomes of dialysis-treated AKI in our hospital. Methods. A retrospective analysis of the clinical data of all adult AKI patients treated with haemodialysis at the University of Teaching Hospital during an interrupted six-year period was conducted. Analysis was done using SPSS version 17.0. Results. 34 males and 28 females with mean age of 4 1 . 3 ± 1 8 . 5 years were studied. The leading causes of AKI were sepsis (22.7%), acute glomerulonephritis (20.5%), acute gastroenteritis (15.9%), and toxic nephropathies (11.4%) and presented with mean e-GFR of 1 4 . 7 ± 5 . 8 mls/min/1.73 m2. Of the 62 patients, 29 (46.8%) were discharged from the hospital, 27 (43.5%) died in hospital, while 6 (9.7%) absconded from treatment. Survivors had better Rifle grade than those who died ( 𝑃 < 0 . 0 0 1 ). Conclusion. Hospital mortality rate of dialysis-treated AKI patients is high and the severity of renal damage at presentation may be an important factor.