Aetiology and Outcome of Acute Kidney Failure In Bangladeshi Children  Dhaka Medical College Hospital Experience

Afroz, Shireen; Simi, M.; Sharmim, Shanjida; Khanum, Rokeya; Yeasmin, Laila; Kundo, LC; Ahmed, Abu Saleh; Rahman, Farzana

doi:10.3329/jdmc.v24i2.29615

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…The present study revealed pre renal risk factors (70.0%) were higher in percentage than renal (30.0%). This finding showed almost similarity with Afroz et al 11 where pre renal causes were 66.0% and renal causes were 32.0%. If we consider the risk factor of AKI in neonate separately, we found that all risk factors were pre renal.…”

Section: Discussionsupporting

confidence: 90%

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Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Luna

Sultana²,

Mamun

et al. 2021

J. Natl Inst. Neurosci Bangladesh

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Background: Acute kidney injury can occur among the younger children due to different reasons. Objective: The purpose of the present study was to find out the risk factors and primary disease responsible for acute kidney injury among younger children. Methodology: This cross-sectional study was conducted in the Department of Paediatric Nephrology with the collaboration of Paediatric Gastroenterology, Paediatric Neurology, Paediatric Neonatology and Microbiology and Immunology at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh from May 2018 to July 2019 for a period of one year. Patients with the age group of 1 month to 17 years who were at risk of AKI, and admitted in the inpatient department of Pediatrics and allied at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh in both sexes were selected as study population. To detect AKI, serum creatinine was measured at 0 h (baseline), 48 h and 5th day respectively. Result: A total number of 42 patients, who fulfilled the inclusion criteria were enrolled in this study. The risk factors of AKI was mainly pre renal in 60% (n=9) cases, mostly due to nephrotoxic drugs followed by hypovolemia. Renal causes were in 40% (n=6) cases. Among these 50% cases due to amikacin and 50% cases due to use of radiocontrast agent. Most patients were with renal disease which was 30(58%) cases. Among them 28(93.0%) cases were nephrotic syndrome and 2(7.0%) cases were hydronephrosis. However, 7(13%) cases were cardiac disease presented with congenital heart disease who used radiocontrast agent. Conclusion: In conclusion most common risk factors of acute kidney injury among younger children is pre-renal causes which are due to nephrotoxic drugs. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 42-46

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Section: Discussionsupporting

confidence: 90%

“…In this study the male and female ratio is 2:1 in older age group which is almost matched with Afroz et al 11 where it is 1.9:1. The baseline creatinine has shown significant difference with non-AKI group, is similar to Safdar et al 4 .…”

Section: Discussionsupporting

confidence: 89%

Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Luna

Sultana²,

Mamun

et al. 2021

J. Natl Inst. Neurosci Bangladesh

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“…Among renal causes nephrotoxic drug was the most important cause of AKI in this study. Afroz et al 12 found among renal causes 12.5% was drug induced. This showed no similarity with the finding of current study possibly due to different methodology.…”

Section: Discussionmentioning

confidence: 95%

Risk Factors and Primary Diseases Responsible for Acute Kidney Injury among Neonates

et al. 2021

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Background: There are several risk factors and diseases related with the acute kidney injury among neonates. Objective: The purpose of the present study was to find out the risk factors and primary disease responsible for acute kidney injury among neonates. Methodology: This cross-sectional study was conducted in the Department of Paediatric Nephrology at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh from May 2018 to July 2019 for a period of one year. Patients with the age group of less than 1 months who were at risk of AKI, and admitted in the inpatient department of Pediatrics and allied at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh in both sexes were selected as study population. To detect AKI, serum creatinine was measured at 0 h (baseline), 48 h and 5th day respectively. Result: A total number of 52 patients who fulfilled the inclusion criteria were enrolled in this study. Among them 10 cases were in neonatal age group. The mean age was 10.8±5.4 days with female predominance. The risk factors of AKI in neonate was only pre-renal; mostly due to hypovolemia which was 3(60.0%) cases followed by sepsis and asphyxia which were 1(20.0%) case in each. The most patients had sepsis which was 4(40.0%) cases followed by congenital heart disease which was 2(20.0%) cases; one presented with heart failure and another one had cyanotic congenital heart disease. Conclusion: In conclusion hypovolemia, sepsis and asphyxia are the most common risk factors of acute kidney injury among the neonates. Journal of Current and Advance Medical Research, January 2021;8(1):12-16

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“…Acute watery diarrhoea with severe dehydration was found as an important cause of AKI in Bangladesh. 18 Poor socioeconomic status, lack of food hygiene, poor hand washing before meal, lack of health education and public awareness is responsible for this in our country. 18 The mortality in AKI in children has been reported to vary widely from 16% to 43.8%.…”

Section: Study Limitations and Recommendationsmentioning

confidence: 99%

“…18 Poor socioeconomic status, lack of food hygiene, poor hand washing before meal, lack of health education and public awareness is responsible for this in our country. 18 The mortality in AKI in children has been reported to vary widely from 16% to 43.8%. 4,8,10 In the present study, mortality rate was 53 %, which is comparable to a recent study from Kuwait reporting 43.8 % mortality.…”

Section: Study Limitations and Recommendationsmentioning

confidence: 99%

Aetiology and outcome of Hypernatremia in Post Diarrhoeal Acute Kidney Injury in Children An Experience in Dhaka Medical College Hospital

Afroz

Ferdous

Hossain

2017

Northern Int. Med. Coll. J.

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Aetiology and Outcome of Acute Kidney Failure In Bangladeshi Children Dhaka Medical College Hospital Experience

Abstract: Coll. 2015; 24(2) : 86-91.

Cited by 6 publications

References 9 publications

Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Risk Factors and Primary Diseases Responsible for Acute Kidney Injury among Neonates

Aetiology and outcome of Hypernatremia in Post Diarrhoeal Acute Kidney Injury in Children An Experience in Dhaka Medical College Hospital

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Aetiology and Outcome of Acute Kidney Failure In Bangladeshi Children  Dhaka Medical College Hospital Experience

Abstract: Coll. 2015; 24(2) : 86-91.

Cited by 6 publications

References 9 publications

Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Risk Factors and Primary Diseases Responsible for Acute Kidney Injury among Neonates

Aetiology and outcome of Hypernatremia in Post Diarrhoeal Acute Kidney Injury in Children An Experience in Dhaka Medical College Hospital

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Aetiology and Outcome of Acute Kidney Failure In Bangladeshi Children Dhaka Medical College Hospital Experience

Aetiology and outcome of Hypernatremia in Post Diarrhoeal Acute Kidney Injury in Children An Experience in Dhaka Medical College Hospital