Subject Area
Emergency Medicine
Article Type
Original Study
Abstract
Background: Acute Kidney Injury (AKI) poses a critical challenge in emergency care, necessitating efficient diagnostic tools. This prospective study evaluates the diagnostic efficacy of Point-of-Care Ultrasound (POCUS) in AKI management, considering sociodemographic, clinical, and laboratory characteristics.
Objectives: To assess the role of pocus in the form of combining IVC Ultrasonography and renal ultrasonography to guide the assessment and management of patient presented with AKI in the Emergency department.
Methods: Ninety-two participants in the Emergency Department with Acute kidney Injury (AKI) underwent comprehensive assessments, including history taking, sociodemographic and clinical data, laboratory investigations and POCUS. Preliminary diagnosis of cause of AKI suggested by emergency data including POCUS either pre-renal, renal or post-renal was compared with final diagnosis.
Results: Participants had an average age of 60 ±18 years, with a gender distribution of 43.5% females and 56.5% males. Smoking, high blood pressure, and diabetes were prevalent. POCUS identified 15.3% post-renal, 47.5% prerenal, and 37.3% renal cases, mirroring provisional diagnoses. Significant association was found between POCUS diagnosis of causes of AKI and final diagnosis after admission and thorough investigations. Weighted kappa analysis revealed substantial agreement between POCUS and final diagnoses (kappa = 0.803).
Conclusion: This study highlighted the importance of POCUS as a reliable and accurate tool in distinguishing AKI etiologies.
Recommended Citation
Sultan, Hatem M.; Zahran, Ahmed M.; Lashen, Karem E.R; and Tantawy, Mohamed F.
(2024)
"Role of point of care Ultrasonography in Acute Kidney Injury at Emergency Department,"
Menoufia Medical Journal: Vol. 37:
Iss.
2, Article 11.
DOI: https://doi.org/10.59204/2314-6788.1154
Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
