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Comparison of Outcomes of Mild and Severe Community-and Hospital-Acquired Acute Kidney Injury
- Title
- Comparison of Outcomes of Mild and Severe Community-and Hospital-Acquired Acute Kidney Injury
- Authors
- Medina K.R.P.; Jeong J.C.; Ryu J.W.; Kang E.; Chin H.J.; Na K.Y.; Chae D.-W.; Kim S.
- Ewha Authors
- 강은정
- SCOPUS Author ID
- 강은정
- Issue Date
- 2022
- Journal Title
- Yonsei Medical Journal
- ISSN
- 0513-5796
- Citation
- Yonsei Medical Journal vol. 63, no. 10, pp. 902 - 907
- Keywords
- Acute kidney injury; community-acquired; hospital-acquired; mortality; outcomes
- Publisher
- Yonsei University College of Medicine
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- Abstract
- Purpose: Acute kidney injury (AKI) has shown an increasingly common occurrence among hospitalized patients worldwide. We determined the incidence and compared the short-and long-term outcomes of all stages of community-acquired AKI (CA-AKI) and hospital-acquired AKI (HA-AKI), and identified predictors for such outcomes. Materials and Methods: This observational, single-center, retrospective study identified patients admitted between January 2013 and December 2013 who developed CA-AKI or HA-AKI. Short-and long-term patient and renal outcomes were analyzed. Results: AKI incidence was 14.3% (1882, CA-AKI 4.8% and HA-AKI 9.5%). The highest 30-day and 1-year mortality were recorded in the CA-AKI group. Thirty-day mortality rate was 11.4% in CA-AKI group and 5.7% in HA-AKI group (p<0.001). One-year mortality rates were 20.1% and 13.3%, respectively (p<0.001). More CA-AKI patients developed kidney failure with replacement therapy within 1 year (27, 4.3% vs. 18, 1.4% respectively, p<0.001). Conclusion: In conclusion, patients with CA-AKI had worse short-and long-term outcomes compared to HA-AKI patients. AKI severity and discharge serum creatinine were significant independent predictors of 30-day and 1-year mortality. © Yonsei University College of Medicine 2022.
- DOI
- 10.3349/ymj.2021.0238
- Appears in Collections:
- 의료원 > 의료원 > Journal papers
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