Outcomes in Acute Kidney Injury Requiring Dialysis in Hospital

Unfortunately it is not uncommon in the hospital to see acute kidney injury (AKI (formerly ARF)).. especially if you are a nephrologist in a busy tertiary care hospital. The severity of AKI can be mild, or can be severe in which case renal replacement may be necessary. The mortality in this patient population is high. But, little is known about the outcome of the patients who survive and are discharge on dialysis.

In the latest JAMA, an orginal contribution from the University of Toronto Acute Kidney Injury Research Group examine this patient population.

The study examined more than 3769 adults with AKI requring dialysis vs 13,598 matched controls. The conclusion revealed that AKI necessitating in-hospital dialysis was associated with an increased risk of chronic dialysis... BUT NOT ALL - CAUSE MORTALITY.