Year: 2026 | Month: May | Volume: 16 | Issue: 5 | Pages: 1-9
DOI: https://doi.org/10.52403/ijhsr.20260501
Predictors of Severity, and Outcomes of Acute Kidney Injury in the Intensive Care Unit Patients a Tertiary Care Teaching Hospital
Ritesh Goyal1, Vidya Nand2
1Junior Resident, Department of General Medicine, 2Professor, Department of Nephrology,
Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, India.
Corresponding Author: Dr. Ritesh Goyal
ABSTRACT
Objectives: To analyze the predictors of severity, and outcomes of Acute Kidney Injury in the Intensive Care Unit patients a tertiary care teaching hospital.
Methodology: This retrospective, record-based observational study analyzed 200 adult AKI patients medical records (2024-25) admitted to the ICU of a tertiary care teaching hospital. AKI was defined and staged according to the Kidney Disease Improving Global Outcomes (KDIGO) 2012.
Results: The mean age of AKI patients was 58 years. Males comprised 59% of them. Sepsis/septic shock observed in 22% of patients were the leading cause of AKI besides hepatorenal syndrome (17%), pneumonia (15%), malaria (12%) and dengue (10%). Hypertension was present in 47% of patients, while 38% had diabetes mellitus. Chronic liver disease was observed in 13%, and coronary heart disease in 10%. KDIGO Stage 3 emerged as the strongest independent predictor of mortality, besides sepsis/septic shock / chronic liver disease.
Conclusion: The mean age of AKI patients was 58 years. Sepsis/septic shock, hepatorenal syndrome, pneumonia, malaria, and dengue were the leading cause of AKI. Hypertension was present in 47% of patients, while 38% had diabetes mellitus. KDIGO Stage 3 was the strongest independent predictor of mortality, besides sepsis/septic shock / chronic liver disease.
Key words: Acute Kidney Injury, Intensive Care Unit, KDIGO, Sepsis.