الفهرس | Only 14 pages are availabe for public view |
Abstract The present study was conducted on 40 ICU inpatients at Ain Shams University Hospitals in the period from March 2012 to September 2012. The 40 included patients were divided into 2 groups 20 patients each: Group1: patients who had acute kidney injury [AKI]. group 2: patients who did not have acute kidney injury [AKI]. All patients were subjected to intra-vesical pressure measurement on admission and follow up after 48 hours from ICU admission. Both IVP0 (intra-vesical pressure on ICU admission) and IVP1 (intra-vesical pressure after 48 hours from ICU admission) showed statistically significant difference between the AKI and non AKI groups. In AKI group, there was significant positive correlation between IVP1 and serum Creatinine on ICU admission (Cr0), serum Creatinine after 48 hours from ICU admission ( Cr1) , serum Creatinine on discharge from ICU (Cr2),HB and BMI. Besides, there was statistically significant positive correlation between IVP1 and exposure to surgery, sepsis, renal replacement therapy and ascites. Meanwhile in AKI group, there was significant negative correlation between IVP1 and AST, INR, PH on ICU admission, PH after 48 hours from ICU admission and HCO3 on ICU admission.There was a strong positive correlation between IVP as a marker of IAH and development of AKI in ICU patients. Measuring IVP in the first day of the study was able to predict the development of AKI. Repeating IVP measurement did not show superiority over the first evaluation for prediction of AKI. |