Saudi Journal of Kidney Diseases and Transplantation

RENAL DATA FROM THE ASIA - AFRICA
Year
: 2008  |  Volume : 19  |  Issue : 6  |  Page : 1009--1014

Etiology of acute renal failure in a tertiary center


Malik Anas Rabbani1, Haseeb Bin Habib2, Bilal Karim Siddiqui2, M Hammad Tahir2, Bushra Ahmad2, Ghulam Murtaza2, Qamaruddin Maria2, Aasim Ahmad1 
1 Department of Nephrology, The kidney Center, Post Graduate Training Institute Karachi, Pakistan
2 Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan

Correspondence Address:
Malik Anas Rabbani
The Kidney Center, Post Graduate Training Institute, 197/9 Rafiqui Shaheed Road, Karachi 75530
Pakistan

Acute renal failure (ARF) occurs commonly in developing countries. Our aim was to assess the etiologies and outcomes of ARF in a tertiary care hospital in Pakistan and compare them with data from developed and developing countries. All patients admitted to the Aga Khan University Hospital, Karachi from January 1991 to December 2000 fulfilling the criteria of acute renal failure were reviewed retrospectively. Acute renal failure for the purpose of this study was defined as persistent elevation of serum creatinine to above 2 mg/dL (177 umol/L) on two consecu­tive occasions despite correction of any abnormal hemodynamic or mechanical factors. We studied 898 patients fulfilling the criteria of ARF, 61% (551) were males, and the mean age was 53% ± 17.6 (range 15-91) years. Medical causes accounted for (88%) of ARF cases and surgical causes for (11%). Majority of the patients had pre-renal ARF, and 5% had drug related ARF. The base line creatinine was 1.9 ± 1.8 mg/dL, while 27% of the patients had pre-existing chronic kidney disease. The mean rise in creatinine was 7.18 ± 3.8 mg/dL. We conclude that ARF resulted from pre-renal etiologies in majority of the patients and early recognition and management may improve the prognosis of these potentially preventable causes.


How to cite this article:
Rabbani MA, Habib HB, Siddiqui BK, Tahir M H, Ahmad B, Murtaza G, Maria Q, Ahmad A. Etiology of acute renal failure in a tertiary center.Saudi J Kidney Dis Transpl 2008;19:1009-1014


How to cite this URL:
Rabbani MA, Habib HB, Siddiqui BK, Tahir M H, Ahmad B, Murtaza G, Maria Q, Ahmad A. Etiology of acute renal failure in a tertiary center. Saudi J Kidney Dis Transpl [serial online] 2008 [cited 2021 Jun 21 ];19:1009-1014
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2008;volume=19;issue=6;spage=1009;epage=1014;aulast=Rabbani;type=0