Acute kidney injury and it's outcome following maternal near miss event: A prospective observational study from a tertiary care hospital.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2021-12-21 DOI:10.1177/1753495X211069020

Geetika Thakur, Aruna Singh, Vanita Jain, Pooja Sikka, Aashima Arora, Vanita Suri

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Abstract

Purpose: Haemorrhage, preeclampsia and sepsis are the leading causes of renal dysfunction in women with a maternal nearmiss(MNM) complication. The study aimed to assess the prevalence, pattern and follow up of these women.

Methods: This was a hospital based prospective observational study, conducted over one year. All women with a MNM leading to acute kidney injury (AKI) were analysed for fetomaternal outcomes and renal function at 1 year of followup.

Results: The incidence of MNM was 43.04 per 1000 livebirths. 18.2% women developed AKI. 51.1% women developed AKI in the puerperal period. Most common cause of AKI was haemorrhage seen in 38.3% women. The majority of women had s.creatinine between 2.1 to 5 mg/dl and 44.68% required dialysis. 80.8% women recovered fully when the treatment was initiated within 24 h. One patient underwent renal transplant.

Conclusion: Early diagnosis and treatment of AKI results in full recovery.

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产妇险些失手后的急性肾损伤及其后果：一家三级医院的前瞻性观察研究。

目的：大出血、子痫前期和败血症是导致产妇出现肾功能障碍的主要原因。本研究旨在评估这些产妇的发病率、发病模式和随访情况：这是一项基于医院的前瞻性观察研究，为期一年。方法：这是一项以医院为基础的前瞻性观察研究，为期一年，对所有发生 MNM 并导致急性肾损伤（AKI）的产妇进行了为期一年的随访，分析其胎儿-产妇结局和肾功能：结果：MNM 的发生率为每 1000 例活产 43.04 例。18.2%的产妇发生了 AKI。51.1%的产妇在产褥期出现 AKI。最常见的 AKI 原因是大出血，占 38.3%。大多数产妇的肌酐在 2.1 至 5 毫克/分升之间，44.68%的产妇需要透析。如果在 24 小时内开始治疗，80.8% 的妇女会完全康复。一名患者接受了肾移植：结论：AKI 的早期诊断和治疗可使患者完全康复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

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0.00%

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