medical records in the hospital information system. Results were analyzed using SPSS version 23. Results: A total of 78 patients fulfilled the inclusion criteria. The mean age was 52.4 and predominantly male (66.6%). Comorbidities identified in this cohort were diabetes mellitus, hypertension and ischemic heart disease bringing to a total of 52.5%, followed by patients with preexisting CKD stage 2 to 4 (23%), retroviral disease (RVD) (7.7%) and there were 2 patients with underlying malignancy. 13 patients (16.7%) had no known medical illness. Main causes of AKI requiring HD in the group with comorbidities were sepsis (56.4%), cardiogenic shock(12.7%), obstructive uropathy(7.7%), trauma related(6.4%), ingestion of traditional medicine and nephrotoxic drugs(6.4%), hypertensive emergency(6.3%), burn related disease(2.5%) and radiocontrast agents(1.6%). Amongst the cohort with no medical illness, non-sepsis cause (medication and trauma related) predominated (76.4%). 17.9% of the study group developed hospital acquired AKI requiring HD. Within 90 days, 39.7% died during hospitalization. Amongst those alive at 90 days, 51.3% achieved full renal recovery, 29.7% were rendered end stage renal disease requiring regular dialysis and 19% were diagnosed with new onset chronic kidney disease or developed progression of their chronic kidney disease but did not require regular dialysis. Conclusion: AKI requiring HD should be identified as a predictor of inpatient mortality and long term morbidity. It is imperative that early recognition and intervention is undertaken to reduce the burden of disease.
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