Acute kidney injury in Turkey: epidemiological characteristics, etiology, clinical course, and prognosis

Basit Öğe Kaydı
dc.contributor.authorGursu, Meltem
dc.contributor.authorYegenaga, Itir
dc.contributor.authorTuglular, Serhan
dc.contributor.authorDursun, Belda
dc.contributor.authorBek, Sibel Gokcay
dc.contributor.authorBardak, Simge
dc.contributor.authorOnan, Engin
dc.date.accessioned2024-02-23T14:27:18Z
dc.date.available2024-02-23T14:27:18Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBackground This study aimed to evaluate the etiologies, comorbidities, and outcomes of acute kidney injury (AKI) in Turkey and determine any potential differences among different geographical parts of the country. Methods This prospective observational study was conducted by the Acute Kidney Injury Working Group of the Turkish Society of Nephrology. Demographical and clinical data of patients with AKI at the time of diagnosis and at the 1(st) week and 1(st), 3(rd), and 6(th) months of diagnosis were evaluated to determine patient and renal survival and factors associated with patient prognosis. Results A total of 776 patients were included (54.7% male, median age: 67 years). Prerenal etiologies, including dehydration, heart failure, and sepsis, were more frequent than other etiologies. 58.9% of the patients had at least one renal etiology, with nephrotoxic agent exposure as the most common etiology. The etiologic factors were mostly similar throughout the country. 33.6% of the patients needed kidney replacement therapy. At the 6(th) month of diagnosis, 29.5% of the patients had complete recovery; 34.1% had partial recovery; 9.5% developed end-stage kidney disease; and 24.1% died. The mortality rate was higher in the patients from the Eastern Anatolian region; those admitted to the intensive care unit; those with prerenal, renal, and postrenal etiologies together, stage 3 AKI, sepsis, cirrhosis, heart failure, and malignancy; those who need kidney replacement therapy; and those without chronic kidney disease than in the other patients. Conclusion Physicians managing patients with AKI should be alert against dehydration, heart failure, sepsis, and nephrotoxic agent exposure. Understanding the characteristics and outcomes of patients with AKI in their countries would help prevent AKI and improve treatment strategies.en_US
dc.identifier.doi10.1186/s12882-022-02933-1
dc.identifier.issn1471-2369
dc.identifier.issue1en_US
dc.identifier.pmid36199011en_US
dc.identifier.urihttps://doi.org/10.1186/s12882-022-02933-1
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14535
dc.identifier.volume23en_US
dc.identifier.wosWOS:000864294300001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute Kidney Injuryen_US
dc.subjectEtiologyen_US
dc.subjectKidney Replacement Therapyen_US
dc.subjectSurvivalen_US
dc.titleAcute kidney injury in Turkey: epidemiological characteristics, etiology, clinical course, and prognosisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu