ISSN: 2630-5720 | E-ISSN: 2687-346X
Factors Affecting Survival in Patients with Acute Kidney Injury and Receiving Renal Replacement Therapy [Haydarpasa Numune Med J]
Haydarpasa Numune Med J. 2024; 64(3): 353-361 | DOI: 10.14744/hnhj.2023.92678

Factors Affecting Survival in Patients with Acute Kidney Injury and Receiving Renal Replacement Therapy

Aysun Yakut1, Refik Demirtunç2, Süheyla Apaydın3
1Department of Gastroenterology, Istanbul Medipol University Sefaköy Health Practice and Research Center, Istanbul, Türkiye
2Department of Internal Medicine, University of Health Sciences Türkiye, Haydarpasa Numune Training and Research Hospital, Istanbul, Türkiye
3Department of Nephrology, Medical Park Göztepe Hospital, Istanbul, Türkiye

INTRODUCTION: Acute kidney injury (AKI) is a common problem. This study aimed to compare the results of complete recovery, chronic kidney disease (CKD), end-stage renal disease (ESRD), and death in patients receiving renal replacement therapy (RRT) by examining the factors determining mortality and morbidity in patients with AKI.
METHODS: Patients who received RRT due to AKI in our hospital between 2012 and 2013 were analyzed retrospectively. Eighty-seven patients diagnosed with AKI according to RIFLE and KDIGO criteria and who received RRT were evaluated according to their demographic, laboratory, and recovery status.
RESULTS: The number of patients undergoing hemodialysis due to AKI was 87. Forty-four of the cases were female, and 43 were male. The mean age was 67.6±17 years. Eighty-one of the patients had at least one co-morbid disease other than AKI. Thirty-one patients died before leaving the hospital. Nineteen patients recovered from AKI. Permanent kidney damage occurred in 37 patients. Two patients developed ESRD. The most common cause of death was sepsis (39%).
DISCUSSION AND CONCLUSION: According to RIFLE and KDIGO classification, in patients with AKI who underwent RRT, the presence of infection, concomitant diseases, and advanced age of the patient significantly contribute to determining the prognosis when examining the irreversible deterioration of kidney functions and the factors causing the death of the patient.

Keywords: Acute kidney injury, Mortality-morbidity, Renal replacement therapy.

Aysun Yakut, Refik Demirtunç, Süheyla Apaydın. Factors Affecting Survival in Patients with Acute Kidney Injury and Receiving Renal Replacement Therapy. Haydarpasa Numune Med J. 2024; 64(3): 353-361

Corresponding Author: Aysun Yakut, Türkiye
Manuscript Language: English
LookUs & Online Makale