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N o v e m b e r 2 1 - 2 2 , 2 0 1 8 | M a d r i d , S p a i n
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Nephrology 2018 Journal of Clinical Nephrology and Therapeutics| Volume 2
NEPHROLOGY AND UROLOGY
International Conference on
Kallol Bhattacharjee et al., J Clin Nephrol Ther 2018, Volume 2
SPECTRUM OF ACUTE KIDNEY INJURY
IN CRITICALLY ILL PATIENTS IN MEDICAL
ICU: A SINGLE CENTER HOSPITAL-BASED
STUDY FROM NORTH-EASTERN INDIA
Kallol Bhattacharjee, Antara Sen and Chandra Prakash Thakur
Silchar Medical College & Hospital, India
Introduction: Acute kidney injury (AKI) is a common complication in hospital-
ised patients, the incidence of which has been increasing steadily in the re-
cent years. Diabetes mellitus has been recognized as an important risk factor
for AKI. However, there are only a few studies that have particularly addressed
the topic “AKI in diabetes mellitus.” Therefore, our aim is to study the causes
and outcome of acute kidney injury (AKI) in type 2 diabetes mellitus (DM).
Methods: This single-centric prospective study was conducted at the Medi-
cine department, Silchar Medical College for a period of 1 year i.e. from Janu-
ary 2017 to December 2017. All adult type 2 diabetic patients presenting with
AKI were included in the study. Acute kidney injury was classified according
to Kidney Disease Improving Global Outcomes criteria. The treatment options
were conservative and dialysis. All patients were followed for a period of 4
weeks for outcome of AKI i.e. recovery, dialysis dependency and death.
Results: A total of 105 type 2 diabetic patients with AKI were enrolled during
the study period. The most common cause of AKI was found to be sepsis
(52.4%) and the most common focus of infection was urinary tract infection
(65.5%). The percentage of patients requiring dialysis was 30.5%, while 69.5%
of the patients were managed conservatively. Eventually 78.1% of the patients
recovered, 11.4% became dialysis dependent, and 10.5% died. Among those
who expired, all underwent dialysis and sepsis was the leading cause of death
in the patients.
Conclusion: Most common causes of AKI in our study was found to be sepsis
mainly due to urinary tract infection. AKI recovered in 78.1%. Outcome was
favourable in those who did not require dialysis.
Key Words: AKI, diabetes mellitus, infection, dialysis.
Kallol Bhattacharjee passed his MBBS examination from
Gauhati University, Guwahati, Assam, India in 1986 at the
age of 22 years and did his post-graduation in internal
medicine in 1990. He has been working in the depart-
ment of medicine in Silchar Medical College and Hos-
pital, Silchar, Assam, India in various capacities since
1992 and presently working as associate professor of
the department, incharge of the medical ICU and deputy
superintendent of the hospital. He has published approx-
imately 30 original research papers in various national
and international journals and in January 2017, he was
conferred fellowship by the Indian College of Physicians,
the academic wing of the Association of Physicians of
India. He has dedicated his service towards the cause of
ailing humanity especially in the field of Nephrology with
special interest in AKI.
BIOGRAPHY