Risk factors analysis and intervention countermeasures for acute kidney injury in young patients with acute ischemic stroke admitted to the emergency department
An Beibei
Xu Yan
Zhang Jianyu
Abstract：Objective To examine the risk factors associated with acute kidney injury(AKI)following acute ischemic stroke(AIS)in young patients who were admitted to the emergency department,and to propose intervention strategies.Methods A total of 167 young patients with acute ischemic stroke were selected from the Emergency Department of the Affiliated Lianyungang Hospital of Xuzhou Medical University from October 2021 to October 2023.These patients were divided into two groups based on the occurrence of acute kidney injury:the AKI group(comprising 42 cases)and the non-AKI group(comprising 125 cases).Results The risk factors of AKI in young AIS patients were analyzed and the intervention strategies were developed.Young AIS patients had higher risk for AKI if they had elevated NIHSS scores,higher serum creatinine levels,decreased low density lipoprotein cholesterol levels,or higher homocysteine levels(P<0.05).Conclusion Low density lipoprotein cholesterol,NIHSS score,homocysteine and serum creatinine are independent risk factors for AKI after AIS in young patients.AKI is extremely harmful to the prognosis and mortality of AIS patients.Young people are the backbone of social development.Strengthening early warning management of AKI in young AIS patients,and forming and implementing intervention measures based on risk factors should be done.
Keywords：StrokeKidney injuryYouthRisk factorsIntervention
Publication Date：2025-08-20
Online Publishing Date：2026-01-30(First online date of this platform, not the publication date of the document)
Pages：8( 62-69 )