Epidemics study of acute kidney injury on patients in dermatology department
10.3969/j.issn.1006-5725.2017.17.035
- VernacularTitle:皮肤科住院患者急性肾损伤的流行病学研究
- Author:
Zhen XIE
1
;
han Yuan CHEN
;
Wei XIONG
;
Shixin CHEN
;
Min WANG
;
Ling LI
;
Yanhua WU
;
Xinling LIANG
Author Information
1. 610072 成都市,四川省医学科学院,四川省人民医院皮肤病性病研究所
- Keywords:
acute kidney injury;
skin diseases;
epidemiology
- From:
The Journal of Practical Medicine
2017;33(17):2943-2946
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the epidemiology and clinical correlates of acute kidney injury(AKI)on patients in department of dermatology. Methods A total of 4710 patients hospitalized in dermatology department with at least two creatinine tests within 7 days were selected as research objects.AKI was defined and staged accord-ing to Kidney Disease Improving Global Outcomes criteria. Results The incidence of AKI was 6.3%. AKI inci-dences of psoriasis with systemic reaction(14.8%),erythroderma(12.8%),drug eruption(12.6%)and systemic lupus erythematosus (12.5%) were significant higher than the total incidence. In multivariate logistic regression model,these 4 skin diseases were independent risk factor of AKI incidence. The OR(95% confidencel interval) was 2.970(2.047~4.310),1.932(1.005~3.717),2.446(1.752~3.415)and 2.254(1.287~3.946). The in-hospital mortality was much higher in patients with AKI than those without(3.1% vs 0.1%,P < 0.001). And the AKI was related to in-hospital death after adjusted by age and comorbidities(Odds ratio 24.630,95%confidencel interval 7.385~82.149 ). Conclusion AKI is common in patients hospitalized in department of dermatology and is associated with patiensts′medical burden ,which shoule be noticed.
