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Acute kidney injury risk factor recognition in three teaching hospitals in Ethiopia

Phillips, Lowri Angharad, Allen, Nicholas, Phillips, Bethan, Abera, Ammanuel, Diro, Ermias, Riley, Stephen George, Tadesse, Yewondwossen, Williams, John David and Phillips, Aled Owain ORCID: 2013. Acute kidney injury risk factor recognition in three teaching hospitals in Ethiopia. South African Medical Journal 103 (6) , pp. 413-418. 10.7196/samj.6424

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Background. A key objective of the Nephrology Sister Centre Programme between the renal units in Cardiff and Addis Ababa, sponsored by the International Society of Nephrology, is to facilitate development of the local clinical service in Ethiopia specifically focused on the management of acute kidney injury (AKI). Objectives. To examine the relationship between AKI risk factor recognition and monitoring of renal function in three hospitals in Ethiopia. Methods. Cross-sectional data were gathered regarding renal function monitoring, recording the presence of AKI risk-associated comorbidities and prescription of nephrotoxic medications across the disciplines of medicine, surgery, obstetrics and gynaecology. Results. Patients were more likely to have their renal function checked at the hospital with specialist services. Across all centres, the highest proportion of patients who had renal function measurements were those admitted to a medical ward. There was a positive relationship between documented comorbidities and the measurement of renal function but not between the prescription of nephrotoxic drugs and measurement of renal function. Conclusion. There was great variability in the extent to which doctors recognised the presence of risk factors for the development of AKI. Failure to identify these risk factors represents a lost opportunity to identify patients at high risk of developing renal injury who would benefit from renal function monitoring.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Neuroscience and Mental Health Research Institute (NMHRI)
Subjects: R Medicine > RC Internal medicine
R Medicine > RD Surgery
Uncontrolled Keywords: AKI; Risk; Renal
Publisher: Health & Medical Publishing Group
ISSN: 2078-5135
Date of First Compliant Deposit: 30 March 2016
Last Modified: 17 May 2023 04:08

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