Urine Albumin Creatinine Ratio as a Predictor of Acute Kidney Injury in Cirrhotic Patient with Hepatic Encephalopathy | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 12 January 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.261043.3097 | ||||
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| Authors | ||||
Shrouq Magdy ELshahat  1; Talaat Fathy Aly1; Mohammed Ahmed Hasuna1; Ahmed Mokhtar Ahmed2; Ahmed S Mohammed3
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| 1Tropical Medicine Department, Faculty of Medicine, Zagazig University | ||||
| 2Clinical Pathology Department, Faculty of Medicine, Zagazig University | ||||
| 3Tropical Medicine Department, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: Higher mortality risk is linked with acute kidney injury in hospitalized cases with chronic liver disease; however, early detection and treatment could minimize this risk with better prognosis achieved. Little information is currently available to predict Hepatic Encephalopathy-Acute Kidney Injury (HIE–AKI). In this study, we aimed for evaluation of the role of the urine albumin creatinine ratio to early predict occurrence of acute kidney injury among hepatic encephalopathy patients. Methods: This case-control research included forty-eight patients with liver cirrhosis who were categorized into two equal groups: Group I: 24 cirrhotic cases without hepatic encephalopathy and Group II: 24 cirrhotic cases with hepatic encephalopathy. Hepatic encephalopathy was assessed using the West Haven criteria. Urinary albumin creatinine ratio (UACR) was measured on day one of admission. Acute kidney injury was diagnosed following kidney disease: Improving Global Outcomes criteria. Results: As regards AKI in the current study, 83.3% developed AKI in cirrhotic patients with HE versus 54.2% in cirrhotic patients without HE, with significant differences among the 2 groups (p=0.029). Urinary creatinine was our study's only predictor for AKI, which was significantly lower among cases with AKI (p=0.013). At the same time, UACR did not differ significantly among HE patients with AKI. Conclusion: Cases who had cirrhotic hepatic encephalopathy are at higher risk of developing AKI with increased in-hospital mortality. To better understand how UACR predicts hepatic encephalopathy-acute kidney injury, more research is required. | ||||
| Keywords | ||||
| Urine Albumin Creatinine Ratio; Acute kidney Injury; Liver Cirrhosis; Hepatic Encephalopathy | ||||
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