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Original Article

Author(s): Hasan MJ, Ray NC, Bari MA, Islam MA, Ahmed S, Islam MS

PAH Med Col J. Jul 2025; 2(2): 49-56

Abstract

Background: Acute kidney injury (AKI) is a rising health issue that claims the lives of millions of people across the globe each year. Understanding its incidence, causes, and outcomes in a developing nation such as Bangladesh is critical to provide appropriate care and direct resources.

Aim: To determine the etiology, clinicopathological characteristics, and prognosis of AKI patients in the Nephrology Center at the Community-Based Medical College in Bangladesh.

Methods: An analytical cross-sectional study was conducted from January to December 2023, involving 65 AKI patients. Demographic data, clinical details, biochemistry profile, treatment regimens, and outcomes were obtained using structured questionnaires and medical records.

Results: The mean age of the patients was fifty-six years, with a male preponderance (61.5%). Pre-renal azotemia was identified in 38.5% of cases and renal azotemia in 30.8%. The odds of a poor outcome were 5% higher per year of age (OR = 1.05, 95% CI: 1.01–1.10). Hypovolemic pre-renal etiology was associated with more favorable outcomes (OR: 2.00, 95% CI: 1.00–4.00).

Conclusion: Early recognition and treatment of pre-renal factors, especially in elderly patients, can lead to better outcomes. The high recovery rate indicates that improved results can be achieved even in resource-limited centers.

Keywords

AKI, Nephrology, Etiology, Renal azotemia

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How to cite: Hasan MJ, Ray NC, Bari MA, Islam MA, Ahmed S, Islam MS. A Study on the Etiology and Outcome of Acute Kidney Injury Patients in the Nephrology Center of the Community Based Medical College. PAH Med Col J. Jul 2025; 2(2): 49-56.