Lactate Clearance in Acute Kidney Injury | ||||
Al-Azhar International Medical Journal | ||||
Volume 2025, Issue 1, January 2025 | ||||
DOI: 10.58675/2682-339X.2851 | ||||
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Authors | ||||
Ahmed Ragheb1; Mohamed Saad Eldeen1; Mohamed El Mahallawy2; Mohamed Habib1 | ||||
1Clinical Pathology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
2Internal Medicine, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
Abstract | ||||
Background: One of the most prevalent clinical syndromes is acute kidney damage (AKI). Hospitalized patients, especially those who are very sick or who have had significant surgery, are at a higher risk, albeit it can exacerbate community-acquired illnesses. Aim and objectives: To assess the diagnostic role of lactate clearance in AKI. Patients and methods: This cross-sectional study was carried out from November 2023 to October 2024 on a total of 30-patients who were admitted in the wards of Internal Medicine El Hussein and Sayed Galal University hospital who have developed AKI whether on top of normal kidney function or on top of chronic kidney disease(CKD) according to AKIN guidelines diagnostic criteria. Results: The lactate was increased in all AKI patients in relation to control group. Lactate has no relation to progression of disease while, lactate clearance has relation to progression of disease. Conclusion: We can use lactate clearance as a prognostic factor for AKI, in which lactate clearance is better than lactate. Moreover, minus lactate clearance is associated with bad prognosis while, positive lactate clearance is associated with good prognosis. | ||||
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