Access to Dialysis for Acute Kidney Injury in Low-Resource Settings.

Authors :: Cullis B
Calice da Silva V
McCulloch M
Ulasi I
Wijewickrama E
Iyengar A
Source :: Seminars in nephrology [Semin Nephrol] 2022 Sep; Vol. 42 (5), pp. 151313. Date of Electronic Publication: 2023 Feb 22.
Publication Year :: 2022
Abstract: Acute kidney injury (AKI) is estimated to occur in approximately 13.3 million patients per year with an estimated mortality of 1.7 million. Approximately 85% of cases occur in low-resource settings where access to kidney replacement therapy (KRT) may be limited or nonexistent. The true extent of AKI, including access to KRT in developing countries, is largely unknown because appropriate systems are not in place to detect AKI or report it. Barriers to provision of KRT in low-resource settings revolve around systems management and funding, however, there also are region-specific issues. This review focuses on the epidemiology, obstacles, and solutions to improving access to KRT for AKI.<br /> (Copyright © 2023 Elsevier Inc. All rights reserved.)