| Characteristics and Outcomes in Community-Acquired Versus Hospital-Acquired Acute Kidney Injury. | |
| | |
MedLine Citation:
|
PMID: 23336108 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Relatively little is known about the prevalence of acute kidney injury developing outside a hospital setting (CA-AKI) or the impact of CA-AKI on short-term or long-term clinical outcomes. The objective of this study was to compare the prevalence, causes, severity, and outcomes of patients with CA-AKI and hospital acquired (HA)-AKI. METHODS: A retrospective cohort study of patients with AKI identified by ICD-9 code at a single VA hospital from September 1999 to May 2007 was performed. AKI was verified by applying the RIFLE criteria, and patients were categorized as CA-AKI if RIFLE criteria were met at admission. Demographic, clinical, and outcome variables were extracted by chart review. RESULTS: Four hundred twenty two patients met inclusion criteria, of which 335 (79.4%) developed CA-AKI. Patients with CA-AKI were more likely to have volume depletion as the etiology, had fewer chronic illnesses and hospital complications, had a shorter length of stay, and had a reduced mortality, compared to HA-AKI. Distribution among the three RIFLE classes did not differ between groups, and recovery of renal function was incomplete in both groups. CONCLUSIONS: We conclude that CA-AKI is a common cause of AKI that is as severe as that seen in HA-AKI. CA-AKI has a significant impact on length of hospital stay, mortality, and the development and/or progression of chronic kidney disease. Strategies to limit the risk of CA-AKI are likely to have a significant impact on health-care costs and patient care. |
| | |
Authors:
|
Michael M Schissler; Syed Zaidi; Haresh Kumar; Datinder Deo; Michael E Brier; Kenneth R McLeish |
Related Documents
:
|
23057378 - Assessment of physicians' knowledge and awareness about the hazards of radiological exa... 23651888 - Predictors of hospitals with endemic community-associated methicillin-resistant staphyl... 23117568 - Discharge disposition disagreements and re-admission risk among older adults: a retrosp... 23528898 - Phosphorus as an early marker of morbidity and mortality in type 2 chronic kidney disea... 2595418 - Nosocomial diarrhea: beware the medicinal elixir. 2190058 - Clinquery: searching a large clinical database. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-1-22 |
Journal Detail:
|
Title: Nephrology (Carlton, Vic.) Volume: - ISSN: 1440-1797 ISO Abbreviation: Nephrology (Carlton) Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2013-1-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9615568 Medline TA: Nephrology (Carlton) Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
© 2013 The Authors. Nephrology © 2013 Asian Pacific Society of Nephrology. |
Affiliation:
|
Department of Medicine, University of Louisville School of Medicine, Louisville, KY. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: (Auto)immunity to cartilage matrix proteins - a time bomb?
Next Document: The Redox Mediator Effect on Water Oxidation in a Ruthenium Based Chromophore-Catalyst Assembly.