Evaluation of Long-Term Thirst due to Ramadan Fasting in Terms of Acute Kidney Injury
Küçük Resim Yok
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Acute kidney injury (AKI) is characterized by a rapid decline (i.e., within hours and days) of renal function. Longterm thirst due to fasting may cause a decrease in both the intravascular volume and kidney perfusion. The aim of this study was to investigate the relationship between long-term thirst due to fasting and AKI. Materials and Methods: Forty-five individuals (24 females, 21 males; mean age, 75 +/- 12 years) whose kidney function was normal and who were fasting during the month of Ramadan in 2014 participated in the study. The participants were divided into three groups: the first group was aged >60 years and using angiotensin-converting enzyme inhibitors for hypertension, the second group was aged >60 years and did not use drugs, and the third group was aged <40 years. The thirst period was 18 hours. The Acute Kidney Injury Network (AKIN) criteria were used for AKI diagnosis. Results: When all groups were evaluated according to the AKIN-urinary output criteria, the first 6-hour period was the AKI stage1, and the final 12-hour period was the AKI stage 2. There was a small (0.06 mg/dL) but significant increase in the mean serum creatinine level in all groups (p=0.001). Cases could not be evaluated in terms of the AKIN creatinine criteria because the thirst period was not 48 hours long and the increase in creatinine levels was not >0.3 mg/dL. Conclusion: The thirst due to fasting did not increase the risk of AKI in the population with a normal kidney function, and the AKIN-urinary output criteria alone were not adequate to evaluate AKI in patients who were fasting during the month of Ramadan.
Açıklama
Anahtar Kelimeler
Acute Kidney Injury, Ramadan Fasting, Thirst
Kaynak
Turkish Journal Of Nephrology
WoS Q Değeri
Scopus Q Değeri
Cilt
29
Sayı
1
