#5246 risk factors for community-acquired acute kidney injury

Abstract Background and Aims Acute renal injury represents a heterogeneous clinical syndrome with multifactorial etiology rather than a single specific pathology, which is associated with high morbidity and mortality. The disease burden of community-acquired AKI in our country is not well understood. In fact it is known little about it. The aim of this study is to identify and evaluate the risk factors for developing AKI in our community. Method This is a cross-sectional study conducted with a small size sample, 76 adult patients. These patients were identified with AKI at hospital admission. AKI was defined according RIFLE Classifications. This champion was selected among patients hospitalized in the Nephrology Clinic, UHC “Mother Tereza” during 2018. The data was collected through medical files. Results Most of the patients with AKI were males (66%), with the average age of 64 years old. Nephrotoxic drugs were the most frequent precipitating factor (51%) followed by sepsis (47%) and hypovolemia (41%). A total of 40% of patients had acute on chronic kidney disease, 32% were with diabetes, 14% with cardiac failure and 63% with arterial hypertension. Mostly (93%) had more than one precipitating factor for developing AKI. All the patients with the longest hospital stay (16-35days) had a septic condition. Almost 89% of patients were treated in a conservative way . Patients treated with Hemodialysis had a higher number of risk factors (P<0,4). Conclusion The socio-economic factor is also quite important in the development of AKI. It includes lack of access to health care, lack of health insurance, low economic level, poor quality nutrition, etc.The identification of risk factors that predispose to AKI is a crucial aspect of care. It should help primary care and hospital providers identify high risk patients. Comorbit conditions like diabetes, cardiac failure increased the risk for hemodialysis treatment.