الفهرس | Only 14 pages are availabe for public view |
Abstract Kidney disease is a global problem with many effects on societies and affects patients quality of life. Prevalence of Kidney diseases among Patients admitted to Hospitals varies according several factors and outcome of those patients differs according many factors. Outcomes of kidney disease among this patients varies between many entities such as acute kidney injury, acute kidney disease, chronic kidney disease. Acute kidney disease (AKD) is a condition in which acute kidney injury (AKI) is present ≥ 7 days after an AKI initiating event. AKD that persists beyond 90 days is considered chronic kidney disease (CKD). Chronic kidney disease is the presence of an abnormality in kidney structure or function persisting for more than 3 months. Our study was conducted To Determine the incidence and outcome of kidney disease in Patients in Ain Shams University hospital over period of 6 months. Among the 460 patients involved in our study, the outcome of renal disease was 23.3% with AKI, 12.4% with AKD, 36.7% with CKD, 15.9% with ESRD and 11.7% with AKI on top of CKD. Summary 86 These outcomes depends upon many factors that were investigated in our study and were correlated between both Acute and chronic outcome. Among those factors was the gender showing female predominance in the group of patients that ended in acute kidney diseases while there was male predominance in the group of patients that ended in chronic kidney disease. As regard DM, hypertension, CLD, renal stones, collagen diseases and UTI there was no significant correlation to the outcome whether acute or chronic. Considering malignancy, infections, contrast, ISHD and sepsis our data showed significant correlation to acute outcome compared to the chronic outcome. For IV iodinated Contrast material, our result revealed that Contrast correlates more with acute outcome than the chronic outcome. As regard renal US parameters, it showed significant value in distinguishing AKI from chronic kidney disease (CKD). |