Clinical Profile and outcome of Community Acquired AKI in Tertiary Hospital of North India

2. INTRODUCTION
•Community acquired-AKI (CA-AKI) though well-known but is relativity less studied than hospital
acquired AKI. Disease burden in tropical countries is influenced by local climatic and economic
conditions which varies from region to region.
OBJECTIVES
•To identify the various etiologies of AKI and various high risk groups
•To evaluate the renal status at 30 days post admission, 7 day and 30-day mortality, need of ICU,
length of ICU stay and total hospital stay and readmission within 30 days of discharge.

3. METHODOLOGY
•Prospective observational study done from march 2018 to
june 2019 in a tertiary care hospital.
•380 patients age > 18 years who fulfilled 2012 KDIGO AKI
criteria at or within 48 of admission were included.
•Patients hospitalized outside for 48 hours, on
maintenance dialysis, post renal transplant patients or
with age > 70 years were excluded.
•Patient were followed up for 30 days post admission

4. RESULTS

5. RESULTS

6. CONCLUSION
• Sepsis is now the most common cause in of CA-AKI similar to HA-AKI mainly in patient with comorbidities.
• Preventable causes like dehydration, poisoning etc are still common requiring better public health initiatives.
• Dengue and scrub typhus are common causes of tropical-aki in this geographical region
• Drug like NSAIDS, CAM etc commonly causes CA-AKI in vulnerable population.
• Paraquat poisoning is the most common poisoning observed causing aki, its mostly lethal and needs central policy
• Obstetric AKI is relatively less common in comparison to previous era, still puerperal sepsis is most common cause of
obstetric AKI.
• Studies at community level and with longer follow-up are required.

7. Thank You