A RESEARCH STUDY ON THE ASSESSMENT OF THE REASONS OF ACUTE KIDNEY FAILURE IN NEONATES

Objective: Acute kidney failure (AKF) is very frequent disorder among the admitted newborns in the ICU. In majority of patients, acute kidney failure goes together with a prompting factor like sepsis, failure of heart, perinatal asphyxia and/or prematurity. This research work aimed to find out the reasons and consequences of AKF in the neonates getting treatment in the hospital. Methodology: This is an elaborate transverse research work. In this study, we assessed the newborns suffering admitted in DHQ Hospital, Faisalabad from April 2017 to October 2018. Results: There were total eighty five patients suffering from acute kidney failure among three thousand hospitalized newborns (2.830%). Male patients outnumbered the female patients. Majority of the involved cases were term(70.60%). The occurrence of renal, pre-renal & post-renal reasons of AKF was 49.40%, 43.50% &7.10% correspondingly. The very frequent prompting features for AKF in this research work were surgery in 43.50% patients, perinatal asphyxia in 36.50% patients, sepsis in 32.90% patients, and syndrome of distress respiratory system in 25.90% patients, failure of heart in 20.0% patients& problem related to feeding in 20.0% patients. All the patients were available with more than one prompting factor. Among the newborn patients with AKF, the rate of mortality was 20.0% & this mortality rate was much high as compared to the patients on ventilation &sepsis. Conclusion: In time identification of the factors of risks like sepsis, asphyxia or problems during surgery and fast effectual therapy of these causative conditions will decrease the AKF in the period of neonate life of newborns. Keywords: Sepsis, Prompting, Mortality, Renal, Neonate, Newborn, Frequent, Correspondingly, Syndrome, Asphyxia, Transverse