About this trial
This study aims to evaluate the incidence of acute kidney injury (AKI) among patients presenting with acute upper gastrointestinal bleeding (UGIB) at Sohag University Hospitals, and to identify predictors associated with renal impairment in these patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients aged 18 years or older
Patients presenting with clinical features suggestive of acute upper gastrointestinal bleeding (UGIB), including hematemesis, coffee-ground vomiting, or melena
Diagnosis of UGIB confirmed by upper gastrointestinal endoscopy or strong clinical evidence when endoscopy is not immediately available
Patients admitted to Sohag University Hospitals (medical wards or intensive care unit)
Disqualifiers
Patients with end-stage renal disease (ESRD) on chronic dialysis
Patients with a history of renal transplantation
Patients with advanced chronic kidney disease stage 5 (eGFR <15 mL/min/1.73 m²) not on dialysis
Patients with lower gastrointestinal bleeding
Trial population
Adult patients presenting with acute upper gastrointestinal bleeding and admitted to Sohag University Hospitals, including both ward and ICU patients, who meet the eligibility criteria and have available renal function data.
Trial design
Cohort
Prospective
Treatments tested in this trial
Observational assessment
Other interventionNo therapeutic intervention is applied. Patients are managed according to standard hospital care, and data are collected observationally.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Acute Kidney Injury (AKI) According to KDIGO Criteria
The incidence of acute kidney injury (AKI) among patients presenting with acute upper gastrointestinal bleeding (UGIB), defined according to KDIGO criteria based on changes in serum creatinine and/or urine output during hospitalization.
Secondary outcomes
Percentage of Patients Developing AKI According to Bleeding Etiology
Comparison of AKI incidence between variceal and non-variceal UGIB patients.
Change in Serum Creatinine Concentration
Serum creatinine concentration (mg/dL) measured at admission and during hospitalization to assess changes in renal function.
Sponsors and contacts
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