An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience

Exercise-induced rhabdomyolysis (EIR) is an uncommon cause of severe rhabdomyolysis and a very rare cause of acute kidney injury (AKI). A prospective observational study of 25 patients diagnosed with EIR was conducted in a multispecialty hospital in Dubai, from 2009 to 2015. Five out of 25 patients...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	W L Jabur [verfasserIn] P Nasa [verfasserIn] K A Mohammed [verfasserIn] A Kulkarni [verfasserIn] S N Tomaraei [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Acute kidney injury exercise-induced rhabdomyolysis rhabdomyolysis

Übergeordnetes Werk:	In: Indian Journal of Nephrology - Wolters Kluwer Medknow Publications, 2017, 28(2018), 2, Seite 101-104
Übergeordnetes Werk:	volume:28 ; year:2018 ; number:2 ; pages:101-104

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4103/ijn.IJN_350_16

Katalog-ID:	DOAJ009587837

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spellingShingle	W L Jabur misc RC870-923 misc Acute kidney injury misc exercise-induced rhabdomyolysis misc rhabdomyolysis misc Diseases of the genitourinary system. Urology An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience
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topic_title	RC870-923 An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience Acute kidney injury exercise-induced rhabdomyolysis rhabdomyolysis
topic	misc RC870-923 misc Acute kidney injury misc exercise-induced rhabdomyolysis misc rhabdomyolysis misc Diseases of the genitourinary system. Urology
topic_unstemmed	misc RC870-923 misc Acute kidney injury misc exercise-induced rhabdomyolysis misc rhabdomyolysis misc Diseases of the genitourinary system. Urology
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title_sort	observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: a single-center experience
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title_auth	An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience
abstract	Exercise-induced rhabdomyolysis (EIR) is an uncommon cause of severe rhabdomyolysis and a very rare cause of acute kidney injury (AKI). A prospective observational study of 25 patients diagnosed with EIR was conducted in a multispecialty hospital in Dubai, from 2009 to 2015. Five out of 25 patients experienced AKI necessitating temporary renal replacement therapy. The initial presentation, biochemical parameters, and clinical course of patients were monitored, to understand epidemiology and risk factors for the development of AKI. There was male preponderance (4 out of 5 patients), higher rate of systemic symptoms (all 5 patients) versus 60% in NRAKI), oligo-anuria (all 5 patients), compartment syndrome (3 out \of 5) and severe dehydration seen in patients with RAKI group. On laboratory evaluation, there was higher rise in creatinine kinase (CK) enzyme, serum and urine myoglobin levels impaired renal function on presentation, hyperuricemia, high D-dimer level, PCV of more than 55%, found to be associated with RAKI as compared to NRAKI group. Hematuria by positive urine dipstick with absent red blood cells on urinalysis, is an insensitive tool as was present in only 62% and 43% of RAKI and NRAKI groups, respectively. It was also observed that delayed pesentation for medical care, metabolic acidosis, were commonly associated with AKI. All patients with RAKI required RRT for a comparable period of time (3–4 weeks). In all of them, no deterioration or relapse reported on follow-up of 3 months.
abstractGer	Exercise-induced rhabdomyolysis (EIR) is an uncommon cause of severe rhabdomyolysis and a very rare cause of acute kidney injury (AKI). A prospective observational study of 25 patients diagnosed with EIR was conducted in a multispecialty hospital in Dubai, from 2009 to 2015. Five out of 25 patients experienced AKI necessitating temporary renal replacement therapy. The initial presentation, biochemical parameters, and clinical course of patients were monitored, to understand epidemiology and risk factors for the development of AKI. There was male preponderance (4 out of 5 patients), higher rate of systemic symptoms (all 5 patients) versus 60% in NRAKI), oligo-anuria (all 5 patients), compartment syndrome (3 out \of 5) and severe dehydration seen in patients with RAKI group. On laboratory evaluation, there was higher rise in creatinine kinase (CK) enzyme, serum and urine myoglobin levels impaired renal function on presentation, hyperuricemia, high D-dimer level, PCV of more than 55%, found to be associated with RAKI as compared to NRAKI group. Hematuria by positive urine dipstick with absent red blood cells on urinalysis, is an insensitive tool as was present in only 62% and 43% of RAKI and NRAKI groups, respectively. It was also observed that delayed pesentation for medical care, metabolic acidosis, were commonly associated with AKI. All patients with RAKI required RRT for a comparable period of time (3–4 weeks). In all of them, no deterioration or relapse reported on follow-up of 3 months.
abstract_unstemmed	Exercise-induced rhabdomyolysis (EIR) is an uncommon cause of severe rhabdomyolysis and a very rare cause of acute kidney injury (AKI). A prospective observational study of 25 patients diagnosed with EIR was conducted in a multispecialty hospital in Dubai, from 2009 to 2015. Five out of 25 patients experienced AKI necessitating temporary renal replacement therapy. The initial presentation, biochemical parameters, and clinical course of patients were monitored, to understand epidemiology and risk factors for the development of AKI. There was male preponderance (4 out of 5 patients), higher rate of systemic symptoms (all 5 patients) versus 60% in NRAKI), oligo-anuria (all 5 patients), compartment syndrome (3 out \of 5) and severe dehydration seen in patients with RAKI group. On laboratory evaluation, there was higher rise in creatinine kinase (CK) enzyme, serum and urine myoglobin levels impaired renal function on presentation, hyperuricemia, high D-dimer level, PCV of more than 55%, found to be associated with RAKI as compared to NRAKI group. Hematuria by positive urine dipstick with absent red blood cells on urinalysis, is an insensitive tool as was present in only 62% and 43% of RAKI and NRAKI groups, respectively. It was also observed that delayed pesentation for medical care, metabolic acidosis, were commonly associated with AKI. All patients with RAKI required RRT for a comparable period of time (3–4 weeks). In all of them, no deterioration or relapse reported on follow-up of 3 months.
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title_short	An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience
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A prospective observational study of 25 patients diagnosed with EIR was conducted in a multispecialty hospital in Dubai, from 2009 to 2015. Five out of 25 patients experienced AKI necessitating temporary renal replacement therapy. The initial presentation, biochemical parameters, and clinical course of patients were monitored, to understand epidemiology and risk factors for the development of AKI. There was male preponderance (4 out of 5 patients), higher rate of systemic symptoms (all 5 patients) versus 60% in NRAKI), oligo-anuria (all 5 patients), compartment syndrome (3 out \of 5) and severe dehydration seen in patients with RAKI group. On laboratory evaluation, there was higher rise in creatinine kinase (CK) enzyme, serum and urine myoglobin levels impaired renal function on presentation, hyperuricemia, high D-dimer level, PCV of more than 55%, found to be associated with RAKI as compared to NRAKI group. Hematuria by positive urine dipstick with absent red blood cells on urinalysis, is an insensitive tool as was present in only 62% and 43% of RAKI and NRAKI groups, respectively. It was also observed that delayed pesentation for medical care, metabolic acidosis, were commonly associated with AKI. All patients with RAKI required RRT for a comparable period of time (3–4 weeks). In all of them, no deterioration or relapse reported on follow-up of 3 months.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Acute kidney injury</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">exercise-induced rhabdomyolysis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">rhabdomyolysis</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the genitourinary system. 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An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience

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