INPATIENTS WITH ACUTE KIDNEY INJURY: FEATURES AND PROGNOSIS
Objective To investigate the characteristics and prognosis of inpatients with acute kidney injury (AKI) in our hospital,and provide the basis for establishing prevention system and improving prognosis.Methods This study consisted of 1 432 AKI in hospitalized patients of our hospital-during June 2011-June 2016 period.The incidence,etiology,distribution,staging and prognosis were analyzed.Results The incidence of AKI in hospitalized patients 3.61% (1 432/39 643),and the ratio of male to female was 2.02 ∶ 1,with an average age of (62.43 ± 16.72) years.Prerenal AKI was the most common,accounting for 62.4%,the specific cause of infection headed the first (26.6 %),followed by low blood volume (24.2%),and drug-induced renal damage (18.7%).Medical patients accounted for 59.1%,ICU was the most common (33.7%),followed by Departments of Cardiology (8.5%) and Hematology (5.7%).As for surgical patients,they were usually seen in Department of General Surgery (14.7%) and Department of Neurosurgery (6.8%).The older the patient's age,the higher the incidence of AKI,and the higher the mortality.The higher the stage was,the lower the likelihood of recovery,and the greater the risk of entering the final stage or death.Conclusion Acute kidney injury is more commonly seen in inpatients of our hospital,more common in men with pre-renal causes,the main causes are infection,low blood volume and drugs,the prognosis is related to patient's age,staging and etiology.