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Revista Uruguaya de Medicina Interna

On-line version ISSN 2393-6797


JIMENEZ RAMIREZ, Rigoberto et al. Characterization of acute kidney injury in a Dominican Republic hospital. Rev. Urug. Med. Int. [online]. 2022, vol.7, n.3, pp.26-.  Epub Dec 01, 2022. ISSN 2393-6797.


To characterize acute kidney injury (AKI) and describe its etiological pattern, clinical and laboratory manifestations.

Material and methods:

Retrospective, observational design, case series type. We analyzed the records of 88 patients treated in the nephrology unit of a hospital in the Dominican Republic, regardless of the stage of the disease.


We found that the average age is 64 years with a GFR 17mL/min/1.73 m2. The main reason for admission and consultation is the “elevation of BUN and creatinine levels” with 7.51% (n= 19 / 253) and 29.90% (n=58 / 194), respectively. The most common final diagnosis was anemia 17.09% (n=50 / 396), hypertension with 34.16% (n=55 / 151) was the predominant comorbidity. The majority of patients had no medication history with 31.17% (n=48 / 154), the most common intervention performed was fluid use with 40.83% (n=49 / 120). The most frequently described clinical finding was hypoventilated lungs with 42, 72% (n=44 / 103). Conclusions: We recommend the implementation of actions to improve the timely diagnosis and management of AKI in the hospital.

Keywords : Nephrology; Acute kidney injury; Dominican Republic.

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