Clinical nephrology · 2026
Comprehensive look at emergency admissions in renal care (CLEAR): A study from a tertiary care hospital in South India.
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Yadla Manjusha, Nayana Meliath Babu
Аннотация
UNLABELLED: With the increasing number of chronic kidney disease (CKD) patients, emergency renal care admissions are on the rise. Non-availability of structured emergency dialysis services at primary/secondary health care levels is the reason why a majority of patients seek emergency care in tertiary care settings. In addition, acute kidney injury (AKI) due to sepsis, poisoning, and obstruction still remains one of the major causes of emergency kidney care services.
AIM: Our aim was to analyze the patterns and outcomes of emergency kidney care admissions in a tertiary care setting.
MATERIALS AND METHODS: A case record study of patients admitted over a duration of 3 years to the emergency kidney care department was done at our setting, a tertiary care public sector teaching hospital.
RESULTS: Of 4,700 admissions, 3,700 case records were analyzed. The majority (> 50%) were dialysis patients with fluid overload (pulmonary edema), sepsis, and catheter-related infections. In dialysis CKD patients, the predominant cause of seeking emergency care was fluid overload (40%) and sepsis (21%), whereas in AKI it was sepsis (25%) and obstructive uropathy (11%).
CONCLUSION: Half the admissions to emergency kidney care comprised dialysis patients. Important causes for seeking emergency care were pulmonary edema and sepsis. A high mortality rate was observed in those with high Sequential Organ Failure Assessment (SOFA) scores upon admission.
AIM: Our aim was to analyze the patterns and outcomes of emergency kidney care admissions in a tertiary care setting.
MATERIALS AND METHODS: A case record study of patients admitted over a duration of 3 years to the emergency kidney care department was done at our setting, a tertiary care public sector teaching hospital.
RESULTS: Of 4,700 admissions, 3,700 case records were analyzed. The majority (> 50%) were dialysis patients with fluid overload (pulmonary edema), sepsis, and catheter-related infections. In dialysis CKD patients, the predominant cause of seeking emergency care was fluid overload (40%) and sepsis (21%), whereas in AKI it was sepsis (25%) and obstructive uropathy (11%).
CONCLUSION: Half the admissions to emergency kidney care comprised dialysis patients. Important causes for seeking emergency care were pulmonary edema and sepsis. A high mortality rate was observed in those with high Sequential Organ Failure Assessment (SOFA) scores upon admission.