Risk factors and clinical outcomes of acute kidney injury among subarachnoid hemorrhagic patients
WANG Dongxue
LUO Yang
Abstract：Objective To explore the risk factors and clinical outcomes of acute kidney injury(AKI) among subarachnoid hemorrhagic(SAH)patients. Methods We retrospectively reviewed and analyzed the clini-cal data of 269 SAH patients from the neurology ICU between Jan. 2012 and Oct. 2013. Clinical features of AKI and non-AKI patients were compared.Multi-logistic regression was done to find the risk factors concerning with the incidence of AKI. Results A total of 39(14.5%)patients developed AKI.The patients with AKI appeared to be older at age,higher at NIHSS score,lower at GCS score than the non-AKI patients(P<0.05 for all).Moreover, the percentage of proteinuria,infectious complications and diuretics administration were significantly higher in the AKI patients(P<0.05 for all).Multi-logistic regression analysis showed that independent risk factors of AKI were age,GCS score and infectious complication[OR(95% CI)were 1.037(1.006,1.068),0.873(0.802,0.951), 3.624(1.543,8.514),respectively;P < 0.05 for all]. The AKI patients also had a higher hospital mortality rate (28.2%)vs.that in non-AKI(0.8%,P<0.01). Conclusions AKI has a higher incidence among SAH patients and AKI patients tend to have higher hospital mortality rate. Prevention of AKI seems to be very important among these patients.
Keywords：subarachnoid hemorrhageacute kidney injuryincidencerisk factors
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 3514-3517 )