ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY
Sabry, A., Naga, Y., Guirguis Baskharon, M., Mohamed Moselhy, Y. (2025). ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY. EKB Journal Management System, 7(3), 19-20. doi: 10.21608/alexpo.2025.403855.2219
Ahmed Aabdelfatah Sabry; Yasmine Naga; Mina Montasser Guirguis Baskharon; Yosra KamalElDin Mohamed Moselhy. "ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY". EKB Journal Management System, 7, 3, 2025, 19-20. doi: 10.21608/alexpo.2025.403855.2219
Sabry, A., Naga, Y., Guirguis Baskharon, M., Mohamed Moselhy, Y. (2025). 'ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY', EKB Journal Management System, 7(3), pp. 19-20. doi: 10.21608/alexpo.2025.403855.2219
Sabry, A., Naga, Y., Guirguis Baskharon, M., Mohamed Moselhy, Y. ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY. EKB Journal Management System, 2025; 7(3): 19-20. doi: 10.21608/alexpo.2025.403855.2219

ANION GAP VALUE AS A PREDICTOR OF SHORT-TERM MORTALITY IN CRITICALLY ILL PATIENTS WITH ACUTE KIDNEY INJURY

ALEXMED ePosters
Article 1, Volume 7, Issue 3, July 2025, Pages 19-20
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2025.403855.2219
Authors
Ahmed Aabdelfatah Sabry1; Yasmine Naga2; Mina Montasser Guirguis Baskharon3; Yosra KamalElDin Mohamed Moselhy* 4
1Department of Surgery , faculty of medicine , Alexandria university
2Department of Internal Medicin, Faculty of Medicine, University of Alexandria. Egypt
3Department of Emergency Medicine3, Faculty of Medicine, Alexandria University
4Department of Emergency Medicine, Faculty of Medicine, Alexandria University
Abstract
Introduction
Acute Kidney Injury (AKI) is a common and potentially reversible condition marked by a sudden decline in renal function, often detected through reduced glomerular filtration rate (GFR). According to KDIGO, AKI is diagnosed by a rise in serum creatinine or reduced urine output. It is classified into prerenal, intrinsic, and postrenal causes. Sepsis remains the most frequent trigger, with AKI pathophysiology involving both structural damage and functional impairment.
Effective management requires close monitoring of renal function and fluid balance, withdrawal of nephrotoxins, dietary adjustments, and, when needed, dialysis. Metabolic acidosis is a frequent complication, especially in critically ill patients, and may present with a high or normal anion gap. The anion gap (AG), a key diagnostic tool, also has prognostic value. Correcting AG for hypoalbuminemia improves accuracy. Management of high AG acidosis targets the underlying cause, with alkalinization reserved for severe acidemia (pH < 7.1).

AIM OF THE WORK
This study investigated the prognostic significance of admission anion gap levels in predicting mortality among critically ill patients with acute kidney injury.
Keywords
ANION GAP; MORTALITY; PREDICTOR
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