Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia
-
Hydronephrosis is probably the most common congenital abnormality detected prenatally by ultrasonography This study was performed to determine the cause and outcome of prenatal hydronephrosis in our hospital. A total of 45 infants, with 57 prenatally hydronephrotic renal units, were enrolled into this study. For the purpose of this study, the degree of hydronephrosis was defined as mild, moderate or severe. ⋯ In this study, the most common cause for hydronephrosis were UPJO and VUR. Also seen in this study is the noteworthy point that mild fetal hydronephrosis is relatively benign and does not require surgical intervention in most cases and surgery should be performed only if there is renal function compromise. Prenatal consultation with a pediatric nephrologist and urologist is useful in decreasing parental anxiety and facilitating postnatal management.
-
Saudi J Kidney Dis Transpl · May 2012
Spectrum of community-acquired acute kidney injury in India: a retrospective study.
An understanding of the epidemiology of community-acquired acute kidney injury (CAAKI) is necessary to establish its overall burden and plan potential preventive strategies. This study was done in an urban tertiary care center in northern India with the aim to identify the etiology and outcomes as well as the factors associated with in-hospital mortality of CAAKI patients. A five year retrospective analysis of all patients with CAAKI admitted to the Nephrology Department from January 2005 to December 2009 was done. ⋯ Of the 83% patients who underwent dialytic therapy, 44.5% underwent hemodialysis, 22.5% continuous veno-venous hemodiafiltration, 21.6% sustained low efficiency dialysis and 11.4% peritoneal dialysis. The overall in-hospital mortality among patients with CAAKI was 26.20%. CAAKI remains a common problem affecting nearly 2.5% of patients attending nephrology units.