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J parathyr dis. 2021;9: e04.
  Abstract View: 1651
  PDF Download: 430

Original

Prevalence and etiologies of acute kidney injury in elderly

Soumaya Chargui 1,2* ORCID logo, Emna Ghzal 1, Fethi Ben Hamida 1, Mondher Ouinissi 1, Taieb Ben Abdallah 1

1 Department of internal Medicine A Charles Nicolle’s Hospital Tunis, Tunisia.
2 Research Laboratory of Nephropathology LR00SP01, Tunis, Tunisia
*Corresponding Author: *Corresponding author: Soumaya Chargui, Email::chargui.souma@yahoo.fr, , Email: soumaya.chargui@fmt.utm.tn

Abstract

Introduction: Several renal diseases are more common in elderly patients, and even in healthy older individuals renal physiology has its characteristics.

Objectives: The purpose of our study is to evaluate the epidemiological profile of acute kidney injury (AKI) in hospitalized elderly patients.

Patients and Methods: A retrospective study was carried out over one year period including 70 patients whose age was ≥65 years and who presented with an AKI.

Results: The mean age was 75 years. Patients were hospitalized in an emergency or resuscitation unit in 46% of cases. Mean serum creatinine was 515 µmol/l, 28% of patients had hyperkalemia. The causes of AKI were use of contrast in 40%, nephrotoxic drugs in 33% of cases and dehydration in 23% of cases. Obstructive AKI was observed in 25% of cases. Around 36% needed emergency dialysis. 8% were dead while performing dialysis.

Conclusion: Being aware of the fragility of the elderly to AKI and the early diagnosis and efficient prevention of this syndrome are the best alternatives to reduce its high prevalence.


Please cite this paper as: Chargui S, Ghzal E, Ben Hamida F, Ouinissi M, Ben Abdallah T. Prevalence and etiologies of acute kidney injury in elderly. J Parathyr Dis. 2021;9:e04.
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Submitted: 14 Jun 2020
Accepted: 08 Aug 2020
ePublished: 10 Sep 2020
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