Acute Kidney Injury in Severe Trauma Patients; a Record-Based Retrospective Study

  • Donnel Don Bosco Department of Emergency Medicine, Kerala Institute of Medical Sciences, Trivandrum, India https://orcid.org/0000-0002-0198-2689
  • Gangalal G M Department of Emergency Medicine, Kerala Institute of Medical Sciences, Trivandrum, India
  • Suhas Rao Department of Emergency Medicine, Kerala Institute of Medical Sciences, Trivandrum, India
  • Anoop T Chakrapani Department of Emergency Medicine, Kerala Institute of Medical Sciences, Trivandrum, India
Keywords: Acute Kidney Injury, Glasgow Coma Scale, Hypotension, Multiple Trauma, Trauma Severity Indices

Abstract

Introduction: Acute kidney injury (AKI) is a common and devastating clinical issue in the community associated with high rates of morbidity and mortality. Objective: We aimed at estimating the frequency and levels of severity of AKI in trauma patients requiring hospital admission using the RIFLE criteria and assess their outcome. Method: Our retrospective record based study enrolled data of 80 participants aged 18-59 years who presented to the emergency department of KIMS hospital following an acute traumatic event. Participants with pre-existing renal dysfunction, chronic heart failure and chronic liver disease were excluded. Tests of significance were Chi square and independent sample t test, a p<0.05 was considered statistically significant. Results: Participants with AKI had significantly lower age (p=0.02) and lower revised trauma score (RTS) (p=0.01). Significant association of AKI with hypotension (p=0.01) and Glasgow coma scale (GCS) (p=0.008) was observed. No association of AKI with gender was observed (p=0.6). None of the AKI patients required renal replacement therapy and all participants attained normal renal function at discharge. Significantly longer mean duration of hospital stay (14.4 days) was observed among AKI patients (p=0.02). Totally, 6.3 % mortality was observed among both participants with and without AKI. Conclusion: Forty percent of acute trauma patients had AKI (in risk and injury category); but none were in failure, loss or end stage renal disease. No association of AKI and mortality was observed. AKI was associated with age, RTS, hypotension and GCS.

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Author Biography

Donnel Don Bosco, Department of Emergency Medicine, Kerala Institute of Medical Sciences, Trivandrum, India

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Published
2019-03-27
How to Cite
Don Bosco, D., G M, G., Rao, S., & T Chakrapani, A. (2019). Acute Kidney Injury in Severe Trauma Patients; a Record-Based Retrospective Study. Advanced Journal of Emergency Medicine, 3(3), e22. https://doi.org/10.22114/ajem.v0i0.141
Section
Original article

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