Abstract
We sought to assess the impact of renal impairment on acute medical admissions and to identify potential contributory factors to admissions involving renal impairment at presentation. In a prospective cohort study, 29.5% of all acute medical emergency admissions had an eGFR <60ml/min/1.73m2 at presentation. Of these, 19.9% had definite chronic kidney disease and 8.4% had definite acute kidney injury. Detailed analysis of a random subset of patients with an eGFR <60ml/min/1.73m2 at presentation demonstrated that the major reasons for admission included falls, dehydration and fluid overload. 46% were on diuretics and 53% were on an ACEI or ARB or both. Gastrointestinal disturbance and recent medication changes were common and diuretic use persisted even with diarrhoea or vomiting.
Original language | English |
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Pages (from-to) | 158-164 |
Number of pages | 7 |
Journal | Acute Medicine |
Volume | 18 |
Issue number | 3 |
Publication status | Published - 19 Sept 2019 |
Keywords
- Acute kidney injury
- Acute medicine
- Chronic kidney disease
- Hospital admission
- Kidney function
ASJC Scopus subject areas
- Internal Medicine
- Emergency Medicine
- Critical Care and Intensive Care Medicine