Pregnancy‐related acute renal failure in eastern India

Arora, Nalini; Mahajan, Kirti; Jana, Narayan; Taraphder, Abhijit

doi:10.1016/j.ijgo.2010.06.026

Cited by 44 publications

(53 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, Ashraf et al, [30] As regards the general characteristics of the studied sample, the mean age of patients was 28+6.9 years old this goes with the study of Arrayhani et al [31] who reported that the mean age was in an average of 29.03± 6.3 years old. Other studies backing up our findings regarding mean age are study of Khalil et al [32] which reported average age is 29 years old, However, the study done by Arora et al [33] found that the subjects' age appeared to be a factor significantly associated with unfavorable evolution (p-value <0.001). In the literature, this factor was associated with increase perinatal complications, including premature delivery.…”

Section: Discussionsupporting

confidence: 64%

“…Our results revealed that postpartum hemorrhage represented the most significant relative risk factor associated with dialysis (14 women out of 34 had AKI). In this context, the percentage of patients who needed dialysis much less than ours in Hassan et al [44] it was (4%) Khalil et al [32] was (5%), Prakash et al [45] was (1%) and in Arora et al [33] was (3%) as well. The best results reported in various studies from developed world might be due to good literacy rate, better health care facilities and good antenatal and obstetrical care.…”

Section: Discussionmentioning

confidence: 50%

“…Our findings was in agreement with Siam et al [14] findings who reported that, the most common causes of death among cases with AKI were as follows; obstetric hemorrhage (35%), HELLP syndrome (27.5%), and PIH (20%) and incongruent with Said et al, [42] who studied Peripartum Acute Kidney Injury portrayed that the percentage of preeclampsia among AKI group was significantly higher than its percentage among non AKI group (83.7% versus 67.6%) respectively. Also, Arora et al [33] reported that the leading causes of pregnancyrelated AKI among the 57 cases studied were sepsis (33.3%), hemorrhage (28.1%) and hypertensive disorders (26.3 %). Our results revealed that postpartum hemorrhage represented the most significant relative risk factor associated with dialysis (14 women out of 34 had AKI).…”

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

The risk factors and outcome of early identified acute kidney injury among critically ill obstetric patients

El-Hafez

Mahjoub

Ahmad

2017

IJANS

View full text Add to dashboard Cite

Background: Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy and postpartum period that facing critical care nurses in Intensive Care Unit (ICU). Having a uniform standard for identifying and classifying AKI would enhance critical care nurses' ability to recognize these patients and leading to better outcomes. Objective: This work aimed to explore the risk factors and outcome of early identified acute kidney injury of critically obstetric patients in Obstetric ICU. Design. A descriptive cross sectional research design was used in this study. Participants: A total sample of 338 women admitted to Obstetric ICU at Woman Health Hospital, Assiut City, Egypt. Method: Three tools were used.Tool I was developed by the researcher and included demographic and obstetric history, lab parameters, complications and outcomes arising from AKI. The Sequential Organ Failure Assessment (SOFA) score as tool II to determine the extent of a patient's organ function or rate of failure. Measurement of serum creatinine and urine output were used to early identify AKI stages according to Acute Kidney Injury Network (AKIN) Criteria (tool III). Results: The prevalence of AKI among obstetric patients admitted to obstetric ICU was 10.1%; of them 52.9% needed renal replacement therapy and the mortality rate was 29.4%. Postpartum hemorrhage was the most common cause of AKI and its prevalence was 41.2%. It was also found that 74.5% of AKI patients developed complications. Conclusion: AKI complicated 10.1% of total admitted women to the OICU in the studied period. Postpartum hemorrhage represents the most prevalent risk factors with a highly significant SOFA score compared to other risk factors as sever preeclampsia, eclampsia, HEELP & APH with acute fatty liver.

show abstract

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

The risk factors and outcome of early identified acute kidney injury among critically ill obstetric patients

El-Hafez

Mahjoub

Ahmad

2017

IJANS

View full text Add to dashboard Cite

show abstract

“…The incidence of PR-AKI is known to have decreased markedly in the past 50 years, from 20% to 40% in the 1960's to less than 10% in more recent years, primarily due to the legalization of abortion and improvements in antenatal care (8). Statistics from developing countries show that the incidence of PR-AKI in India, Africa and Pakistan to be 7-11%, 57% and 18%, respectively (5,8,(15)(16)(17)(18). Epidemiological data for PR-AKI in other countries are shown in Table 5.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy-related Acute Kidney Injury and a Review of the Literature in China

et al. 2015

View full text Add to dashboard Cite

Objective To determine the incidence, causes and prognosis of pregnancy-related acute kidney injury (PR-AKI) in Chinese women. Methods From July 2004 to February 2013, 18,589 women of Han ethnicity who attended the Obstetrics and Nephrology Department of our tertiary hospital were investigated, and individuals meeting the PR-AKI criteria were included in the analysis. The WanFang, Chinese Science Journal, Chinese Knowledge, MED-LINE, EMBASE and Cochrane library databases were searched, and literature describing PR-AKI diagnoses with Chinese women as study subjects and a sample size of ! 5 were included. Results The incidence of PR-AKI was 0.1183% (22/18,589). Hemorrhagic shock (31.8%) and preeclampsia (severe, 18.2%) were the two most common causes of PR-AKI. Twelve women recovered completely, six women displayed persistent proteinuria and four women had an increased serum creatinine level at discharge. There were no cases of death. Twenty women demonstrated adverse pregnancy outcomes (90.9%), including eight cases of stillbirth (36.4%). In our literature review, 29 of 4,076 articles were included, and the incidence of PR-AKI in China was found to range from 0.02% to 1.84%. Pregnancy hypertension (49.2%) and postpartum hemorrhage (13.8%) were found to be the most common causes of PR-AKI in China. The prognosis improved in 81.9% of the patients, the renal function deteriorated in 4.5% of the patients and 13.6% of the patients died. The rate of stillbirth was 27.0%. Conclusion The maternal condition after active treatment was good, whereas the pregnancy outcomes were generally poor. Although the incidence of PR-AKI was relatively low, this finding is noteworthy. Further studies are thus warranted to improve maternal-fetal outcomes.

show abstract

“…It was observed in 28% cases in study by Ansari et al and 5% of cases in study by Arora et al 9,10 Total recovery was obtained in 84% of the cases, whereas Arora et al, Goplani et al, and Erdemoglu et al reported a total recovery of renal function in 42%, 54.3%, and 61%, respectively. 10,13,14 Hence, there is a need for education and improvement in ante-and postnatal care, especially in the rural areas, and the practice of illegal abortions by untrained personnel has to be stopped. The mortality related to PRAKI has declined to less than 10% in Europe and North America, while the reported mortality rate of PRAKI has decreased from 56% in 1987 to 24.39% in 2005 in India.…”

mentioning

confidence: 91%