Outcomes of Patients with Acute Kidney Injury at Moi Teaching and Referral Hospital, Eldoret, Kenya

MBCHB. Resident Dr. Ngami Mutwa, Dr. Mathew Koech, MBCHB, Mmed. and Prof. Lameck Diero, MBCHB, Mmed.
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MBCHB. Resident Dr. Ngami Mutwa: Department of Medicine, School of Medicine, Moi University.Eldoret.
Dr. Mathew Koech, MBCHB, Mmed.: Nephrologist and Lecturer, Department of Medicine, School of Medicine, Moi University. Eldoret.
Prof. Lameck Diero, MBCHB, Mmed.: Associate Professor, Department of Medicine, School of Medicine, Moi University. Eldoret.

International Journal of Research and Scientific Innovation, 2024, vol. 11, issue 2, 53-64

Abstract: Background: Incidence of acute kidney injury (AKI) based on data from high income countries is about 1 in 5 admissions; 1 in 4 of those that develop AKI die from its complications. Developing countries assume same incidence and outcome of AKI as developed countries. Objective: To describe the clinical presentation and determine the 90 day outcomes of patients with AKI at Moi Teaching and Referral Hospital (MTRH). Design: Prospective cohort study. Setting: MTRH General Wards. Participants: 103 patients consecutively recruited from January to July 2018. Interventions: Data was collected using a structured questionnaire and the patients were followed up from admission to discharge. Main Outcomes: Dialysis need, duration of hospitalization, recovery and mortality. Results: Mean age of the patients was 46.7±18.3 years. Majority were males at 61(60%) and most were in stage 3 disease at 65(63%). Main comorbidities were hypertension at 31(36.9%) and human immunodeficiency virus at 28(33.3%). Need for dialysis was at 31(30%) and strongly related to the AKI stage (p

Date: 2024
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