Urology and Transplantation Nephro-urology patients...

This prospective study was carried out at nephrology unit of Sindh Institute of Urology and Transplantation (SIUT) Pakistan, from November 2012 to May 2013. SIUT is a big tertiary care center for nephro-urology patients. All adult patients with known underlying diabetes presenting with suspected acute renal failure in the setting of recognizable acute insult were included in the study. For the purpose of this study ARF was considered A) Definite: when 1. Diabetic patients with known baseline creatinine experienced ≠¥ 50% increase in serum creatinine during acute illness requiring hospitalization. 2. When baseline values were not available ARF was considered to be present at the end of six weeks if †¢ Patient requiring dialysis became†¦show more content†¦Renal biopsy was performed in selected patients in whom no cause of renal failure was established. All patients were followed for a period of six weeks. The outcome of the patients who were followed up was recorded under three categories. 1. Recovered. †¢ Renal functions return to baseline with/without dialysis. †¢ ≠¥ 50% reduction in serum creatinine from the admission value. †¢ Patients requiring dialysis become dialysis free. 2. Dialysis dependent. 3. Died, despite all of above. All the data was recorded in the pre-designed proforma and entered in SPSS 10 and analyzed for frequencies of the variables. Results: A total of 95 patients (58 males and 37 females) with suspected ARF were enrolled during this period, 77 patients (81%) had definite ARF and 18 patients (18.94%) had probable ARF. Three patients subsequently lost to follow up, were excluded from outcome analysis. Age of the patients ranged from 32 to 80 years [mean age= 56.5  ± 10.8s.d]. Duration of diabetes varied among these patients [mean 9.1 years  ± 6.5s.d.] but in 46 patients (48.2%), duration was ≠¥ 10 years. Majority of the patients had more than one comorbidity, particularly hypertension 67 (70.5%) and ischemic heart disease 26 (27.4%). 21 (22.1%) were smokers. Out of 67 hypertensive patients, only 42 (62.6%) were taking antihypertensive medicines. 21 (50%) were taking Angiotensin converting enzyme inhibitors (ACEI) or Angiotensin receptor blockers (ARB) alone orShow MoreRelatedOrganization Structure of Yashoda Hospital5398 Words   |  22 Pages 5 4. Procedure for Patient Admission 7 5. Summary of Departments visited 9 6. Medical Records Department 10 7. Medical Laboratory 13 8. Credit and Billing Department 15 9. Rajiv Arogyashree Health Insurance Scheme 17 10. Human Resources Department 18 11. Conclusions 20 12. Recommendations 21 INTRODUCTION Hospitals are very important for health care and providing patient treatment by specialized staff