EFFECT OF EARLY NEPHROLOGY CONSULTATION ON OUTCOMES OF ACUTE KIDNEY INJURY
DOI:
https://doi.org/10.17720/cqwe8s97Keywords:
Acute kidney injury, early consultation, renal replacement therapy, hemodialysis,renal recovery.Abstract
Background: Early consultation in acute kidney injury (AKI) management is hypothesized to improve patient outcomes compared to late consultation. This study aims to evaluate the impact of early versus late consultation on various clinical outcomes in AKI patients.
Objective: To assess the effects of early consultation versus late consultation on in-hospital mortality, renal replacement therapy (RRT) needs, hemodialysis sessions, hospital stay duration, and renal recovery in patients with AKI.
Methods: A total of 150 patients with AKI were divided into two groups: Early Consultation (n=75) and Late Consultation (n=75). Baseline characteristics, in-hospital mortality, renal replacement therapy (RRT) requirements, hemodialysis sessions, hospital stay duration, and renal recovery outcomes were compared between the two groups.
Results: The Early Consultation Group showed significantly lower in-hospital mortality (13.3% vs. 26.7%, p=0.03) and reduced need for RRT (20% vs. 33.3%, p=0.04) compared to the Late Consultation Group. Patients in the Early Consultation Group also had fewer hemodialysis sessions (5.2 vs. 6.8, p=0.01) and shorter hospital stays (10.5 days vs. 14.2 days,p=0.02). Higher rates of full renal recovery were observed in the Early Consultation Group (66.7% vs. 46.7%, p=0.01), while the Late Consultation Group had a higher rate of partial renal recovery (40% vs. 26.7%, p=0.05). The difference in no renal recovery rates was not significant (13.3% vs. 6.6%, p=0.15).
Conclusions: Early consultation in AKI management is associated with significantly better outcomes, including lower mortality rates, reduced RRT needs, fewer hemodialysis sessions,and shorter hospital stays. These findings support the importance of timely intervention in improving patient care and outcomes in AKI.
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