FREQUENCY AND STRATIFICATION OF HEPATORENAL SYNDROME IN CIRRHOTIC PATIENTS PRESENTING WITH ACUTE KIDNEY INJURY.
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Keywords
Hepatorenal syndrome, Cirrhosis, Acute kidney injury, Prevalence.
Abstract
Background: Hepatorenal syndrome (HRS) is a serious and acute complication of cirrhosis that results in renal failure. It is commonly observed in patients with ascites and portal hypertension. Early detection and timely management are crucial for improving patient outcomes and preventing further progression of the condition.
Objectives: To determine the frequency of prevalence of HRS in cirrhotic patients with acute kidney injury and identify age and gender stratification.
Study Design: A descriptive cross-sectional study.
Durtion and Place of Study. Department of Gastroenterology, Ayub Teaching Hospital, Abbottabad, from March 17, 2022, to October 17, 2022
Methods: This was a descriptive cross-sectional study involving 87 patients with acute kidney injury due to cirrhosis. Physical exam, urinalysis, abdominal ultrasound, patient demographics, history and physical exam. The analysis of the data was conducted to identify the prevalence of HRS and stratify them according to gender and age.
Results: The average age of the patients was 47.9 years and the standard deviation was 9.4. Out of 87 patients, 18 (20.68) had been diagnosed with HRS. The gender stratification P-value was 0.387 with an age stratification P-value of 0.871 which does not show any significant differences in the occurrence of HRS depending on these parameters.
Conclusion: The incidence of hepatorenal syndrome is equal between male and female patients who have cirrhosis and no differences are found between the genders. It is crucial to identify patients early so as to enhance patient management and outcome.
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Sadia Shah
Senior Registrar Frontier Medical College Abbottabad Consultant Gastroenterologist King Abdullah Teaching Hospital Mansehra
Hania Akbar
Consultant gastroenterologist and hepatologist Benazir bhutto shaheed teaching hospital Abbottabad, Assistant professor women medical college Abbottabad.
Bushra Manan
Consultant Gastroenterologist Ayub teaching hospital abbottabad
Syeda Anam Noor Kazmi
Assistant professor women medical college, BBSTH Abbottabad