Risk Factors for Mortality in Acute Kidney Injury in Intensive Care Units in Togo  

作　　者：Eyram Makafui Yoan Yawo Amekoudi Kossi Akomola Sabi Marcel David Keoula Badomta Dolaama Sarakawabalo Assenouwe Tabana Mouzou Eyram Makafui Yoan Yawo Amekoudi;Kossi Akomola Sabi;Marcel David Keoula;Badomta Dolaama;Sarakawabalo Assenouwe;Tabana Mouzou(Department of Nephrology, Kara University Hospital, University of Kara, Kara, Togo;Department of Nephrology and Haemodialysis, Sylvanus Olympio University Hospital, University of Lome, Lomé, Togo;Department of Anaesthesia and Intensive Care, University Hospital of Kara, University of Kara, Kara, Togo)

机构地区：[1]Department of Nephrology, Kara University Hospital, University of Kara, Kara, Togo [2]Department of Nephrology and Haemodialysis, Sylvanus Olympio University Hospital, University of Lome, Lomé, Togo [3]Department of Anaesthesia and Intensive Care, University Hospital of Kara, University of Kara, Kara, Togo

出　　处：《Open Journal of Nephrology》2024年第1期37-47,共11页肾脏病（英文）

摘　　要：Context: Acute kidney injury (AKI) in intensive care unit (ICU) is common and associated with very high mortality. In Togo, a tropical country with limited resources and only one nephrology department in the north, acute kidney injury seems to be a real tragedy with high mortality. Aims: to determine risk factors for mortality in acute kidney injury in the intensive care units. Methods and Material: We made a multicentric cross sectional study during 6 months in the four referral centers in northern Togo. Univariate and multivariate logistic regression was used to identify factors associated with mortality. Data were analyzed using RStudio 2023.04.1. Results: A total of 12.6% of patients admitted to intensive care had presented with AKI. The mean age was 49.6 ± 17.9. The sex ratio (M/F) was 2.1. Community-acquired AKI was in the majority (67.7%). Oligo anuria was the most frequent functional sign (38.4%). In our series, 81.6% of patients were in KDIGO stages 2 to 3. AKI was organic in 56.2% of cases. Mortality was 44.3%. In multivariate analysis, the main factors predictive of death were: respiratory distress (OR = 2.36;p Conclusions: Acute kidney injury in intensive care is common in northern Togo, and mortality is high. Identification of associated factors should help anticipate prognosis.Context: Acute kidney injury (AKI) in intensive care unit (ICU) is common and associated with very high mortality. In Togo, a tropical country with limited resources and only one nephrology department in the north, acute kidney injury seems to be a real tragedy with high mortality. Aims: to determine risk factors for mortality in acute kidney injury in the intensive care units. Methods and Material: We made a multicentric cross sectional study during 6 months in the four referral centers in northern Togo. Univariate and multivariate logistic regression was used to identify factors associated with mortality. Data were analyzed using RStudio 2023.04.1. Results: A total of 12.6% of patients admitted to intensive care had presented with AKI. The mean age was 49.6 ± 17.9. The sex ratio (M/F) was 2.1. Community-acquired AKI was in the majority (67.7%). Oligo anuria was the most frequent functional sign (38.4%). In our series, 81.6% of patients were in KDIGO stages 2 to 3. AKI was organic in 56.2% of cases. Mortality was 44.3%. In multivariate analysis, the main factors predictive of death were: respiratory distress (OR = 2.36;p Conclusions: Acute kidney injury in intensive care is common in northern Togo, and mortality is high. Identification of associated factors should help anticipate prognosis.

关 键 词：AKI Intensive Care Unit DIALYSIS EPIDEMIOLOGY TOGO 

分 类 号：R69[医药卫生—泌尿科学]