An Observational Prospective Study to Find Out the Incidence of Acute Kidney Injury who are Taking Non-Steroidal Anti-inflammatory Drugs

1Department of Pharmacy, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, INDIA

2Department of Pharmacy Practice, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, INDIA

3Department of Nephrology, SBKS Medical Institute and Research Centre, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, INDIA

Corresponding author.

Correspondence: Dr. Rajesh Hadia Assistant Professor, Department of Pharmacy Practice, Sumandeep Vidyapeeth (Deemed to be University), Vadodara-391760, Gujarat, IRAN. Email: docrajesh.hadia@gmail.com
Received June 14, 2023; Revised July 17, 2023; Accepted August 13, 2023.
Copyright 2023 Authors
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Citation

1.Maheshwari RA, Gulati NR, Prajapati PJ, Vekariya NP, Joshi H, Hadia R, et al. An Observational Prospective Study to Find Out the Incidence of Acute Kidney Injury who are Taking Non-Steroidal Anti-inflammatory Drugs. Journal of Young Pharmacists [Internet]. 2023 Dec 22;15(4):711–5. Available from: http://dx.doi.org/10.5530/jyp.2023.15.97
Copy to clipboard
Published in: Journal of Young Pharmacists, 2023; 15(4): 711-715. Published online: 07 December 2023DOI: 10.5530/jyp.2023.15.97

ABSTRACT

Background: Acute Kidney Injury (AKI) is a common condition and can happen due to drugs like Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and which can be reversible by discontinuing NSAIDs. This research aims to examine the risk factors and occurrence of AKI in individuals using NSAIDs, while also investigating the potential correlations between AKI and conditions such as hypertension, gout, and emergency medical situations. Materials and Methods: A comprehensive total of 125 patients were included based on specific criteria, encompassing both inclusion and exclusion parameters. The medical histories of these patients were meticulously reviewed, with relevant data duly documented, and concludingly subjected to statistical examination. Results: Among the 125 patients studied, 10 individuals were diagnosed with AKI, resulting in an incidence rate of 8%. Notably, 80% of these AKI cases were observed in the older age group (45-65 years), with 60% being male and 40% female, indicating a higher risk in male patients. Additionally, 40% of the AKI patients had a pre-existing condition of hypertension, which posed a higher susceptibility to AKI development. The diagnosis of AKI was based on laboratory parameter changes, particularly serum creatinine levels, and adhered to the KDIGO scale (Kidney Disease Improving Global Outcomes). Conclusion: Following the examination of NSAID users, it was concluded that the elderly population and individuals with a history of hypertension face the highest risk of developing AKI, leading to elevated serum creatinine levels. Additionally, male patients exhibited a higher frequency of AKI compared to their female counterparts. Notably, a significant number of patients were found to have taken Diclofenac for an extended duration, which correlated with increased serum creatinine levels and a potential link to AKI development. Consequently, Diclofenac usage warrants consideration as a drug that may contribute to the onset of AKI.

Keywords: Acute kidney injury, Non-steroidal anti-inflammatory drugs, Serum creatinine, KDIGO scale