Clinical study of 161 cases with community acquired acute kidney injury in Emergency Department
LI Ying-li
XIONG Hui
Abstract：Objective To analyze the etiology and risk factors of community acquired acute kidney injury ( CA -AKI ) in Emergency Department.Methods 161 patients with CA -AKI that visited our Emergency Department from May 2013 to Aug 2014 were enrolled in this retrospective study. Clinical data and laboratory test results were collected.The etiology of the patients and prognostic factors were analyzed.Results 161 patients (88 males and 73 females) were enrolled in this study.23.6%patients (38 cases) were less than 35 years old, 33.5%(54 cases) between 35 and 60 years old, and 42.9%(69 cases) over 60 years old.The major causes were pre-renal factors (57.8%, 93 cases). Infectious diseases, cardiovascular and cerebrovascular diseases were major causes of pre-renal CA-AKI.Drug and glomerulopathy were major causes of renal parenchymal CA-AKI.The major cause of post-renal AKI was urinary stone.Multivariate analysis showed that independent risk factors for death were age, MODS and oliguria.Conclusion The major causes of CA-AKI are pre-renal factors.The important risk factors of death in CA-AKI patients are age, MODS and oliguria.
Keywords：Community acquired acute kidney injury( CA-AKI)Emergency DepartmentClinical featuresEtiologyPrognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 530-533 )