159 Evaluating Factors Associated With Aki in 2-Month Dengue Admission in Serdang Hospital

Abstract

morbidity and mortality especially in developing countries. Those patients suffering the most severe form of AKI requiring acute dialysis have particularly high rates of adverse outcomes during hospitalization and after discharge. Despite the importance of AKI, there have been relatively few studies about its population epidemiology. Objectives: To estimate the prevalence of dialysis-requiring AKI and identify specific demographic subgroups with increased propensity for dialysis requiring AKI in H. Adam Malik Hospital, Medan in 2016. Methods: We analyzed data from medical record in H. Adam Mali-kHospital Medan between January 1 st and December 31 st 2016, to identify cases of dialysis-requiring AKI using validated International Classification of Diseases, Ten Revision (ICD-10) codes. Dialysisrequiring AKI was defined as acute dialysis in patients without previously registered end-stage renal disease. Comorbidity was identified by relevant ICD-10 codes and classified according to the Charlson Comorbidity Index. Admission and discharge dates were identified in medical record and the duration of dialysis requirement and hospitalization was calculated. Statistical significance was defined as a two sided p-value <0.05 Results: Out of 151 hospitalizations with AKI (both adult and pediatric), there were 40 cases (26.5%) with dialysis-requiring AKI. Hospitalized patients with dialysis-requiring AKI were older than their counterparts without dialysis-requiring AKI (59.6 versus 42.8 years), were more likely to be male (51.7% versus 45.4%). The total number of deaths associated with dialysis-requiring AKI was 21 cases (52.5 %) Conclusion: The prevalence of dialysis-requiring AKI was high and the number of deaths associated with dialysis-requiring AKI more than doubled.