DOI: 10.36347/sjams.2019.v07i11.067

Pages: 3810-3813

Introduction: Acute Kidney Injury (AKI) (previously referred as acute renal failure) reflects a broad spectrum of clinical presentations ranging from mild to severe acute insult that may result in reversible loss of renal function. The lack of consensus has resulted in a broad range of estimated prevalence of AKI in the intensive care unit (ICU) ranging from 1% to 70% depending on the criteria used. Acute Kidney Injury (AKI) is a complex disorder that occurs in a variety of settings, with clinical manifestations ranging from a minimal elevation in serum creatinine to anuric renal failure. Objectives: To study prevelance of AKI in critically ill patients admitted in Medical ICU with special refrence to various etiological and co-morbid condition. Material and Method: This Cross sectional analytical study was carried out in our institution for duration of 15 month .Total of 200 subjects were enrolled in the study. Detailed clinical profile and demographic profile including various etiological and pre-existing conditions were noted. Data were analyzed using SPSS Version 16. Results: Sepsis was the most common cause of the AKI followed by the hypovolemia due to diarrhea, and Patients with some associated co-morbidities were more prone to have AKI. Conclusion: AKI (ARF) is of very common occurrence among patients attending various ICUs. Early detection of AKI and its predisposing factors is the need of time so that we can prevent short term mortality and also long term morbidity due to progression of these patients into chronic renal dysfunction i.e. ESRD.