112 OUTCOMES OF RENAL REPLACEMENT THERAPY IN INTENSIVE CARE UNITS IN THAILAND

medical records in the hospital information system.Results were analyzed using SPSS version 23.Results: A total of 78 patients fulfilled the inclusion criteria.The mean age was 52.4 and predominantly male (66.6%).Comorbidities identified in this cohort were diabetes mellitus, hypertension and ischemic heart disease bringing to a total of 52.5%, followed by patients with preexisting CKD stage 2 to 4 (23%), retroviral disease (RVD) (7.7%) and there were 2 patients with underlying malignancy.13 patients (16.7%) had no known medical illness.Main causes of AKI requiring HD in the group with comorbidities were sepsis (56.4%), cardiogenic shock(12.7%),obstructive uropathy(7.7%),trauma related(6.4%),ingestion of traditional medicine and nephrotoxic drugs(6.4%),hypertensive emergency(6.3%),burn related disease(2.5%)and radiocontrast agents(1.6%).Amongst the cohort with no medical illness, non-sepsis cause (medication and trauma related) predominated (76.4%).17.9% of the study group developed hospital acquired AKI requiring HD.Within 90 days, 39.7% died during hospitalization.Amongst those alive at 90 days, 51.3% achieved full renal recovery, 29.7% were rendered end stage renal disease requiring regular dialysis and 19% were diagnosed with new onset chronic kidney disease or developed progression of their chronic kidney disease but did not require regular dialysis.Conclusion: AKI requiring HD should be identified as a predictor of inpatient mortality and long term morbidity .It is imperative that early recognition and intervention is undertaken to reduce the burden of disease.

Abstract licence: CC BY-NC-ND

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