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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Renal impairment among acute hospital admissions in a rural Ethiopian hospital
Nephrology, Volume 18, No. 2, Year 2013
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Description
Aim: Acute renal injury (AKI) is a relatively common clinical condition, reported to be associated with high rates of in-hospital mortality. Although here is an extensive literature on the nature and consequence of AKI in the developed World, much less is known in the developing World and more specifically in sub-Saharan Africa, which is addressed directly in this study. Methods We describe the prevalence, clinical characteristics and impact of AKI in patients admitted to a single centre in Ethiopia with no dedicated renal services. Results: Renal function tests are not preformed routinely in many Ethiopian hospitals. This occurred in 32% of all patients in this study, falling to 23% on surgical wards. As a consequence no cases of AKI were identified in the context of surgical admissions. AKI was only identified in a cohort of patients on medical wards, with a prevalence of roughly 20% of medical patients in which renal function was measured. The patients with AKI were younger than those at risk of AKI in studies from the developed World but were older than those who did not develop AKI in this study. In the majority of cases AKI could be considered to be pre-renal in its origin. In contrast to studies in the developed World, AKI did not adversely impact on either duration of hospital stay or on patient mortality. Residual renal impairment was, however, common at the point of discharge. Conclusion: The data suggest subtle differences in the nature and impact of AKI between those published and mainly derived from the developed world and patients in sub-Saharan Africa. © 2012 The Authors. Nephrology © 2012 Asian Pacific Society of Nephrology.
Authors & Co-Authors
Riley, Stephen George
United Kingdom, Cardiff
Cardiff University School of Medicine
Diro, Ermias
Ethiopia, Gondar
University of Gondar
Batchelor, Peter
United Kingdom, Cardiff
Cardiff University School of Medicine
Abebe, Alula
Ethiopia, Gondar
University of Gondar
Amsalu, Ashenafi
Ethiopia, Gondar
University of Gondar
Tadesse, Yewondwossen
Ethiopia, Addis Ababa
Tikur Anbessa Hospital
Williams, John
United Kingdom, Cardiff
Cardiff University School of Medicine
Phillips, Aled Owain
United Kingdom, Cardiff
Cardiff University School of Medicine
Statistics
Citations: 27
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1111/nep.12002
ISSN:
13205358
e-ISSN:
14401797
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Ethiopia