prediction and severity of hospital-acquired acute kidney injury in patients with and without hypertension and type 2 diabetes

Context: the impact and prognosis of acute kidney injury (aki) change considerably depending on theseverity, clinical setting, comorbid factors, and also geographic location.aims: to assess the severity and the risk factors of hospital‑acquired aki (ha‑aki) in diabetic and hypertensivepatients.settings and design: a prospective cohort study was conducted in 2019 with 88 hypertensive and diabeticin hospitalized patients of distrito federal.materials and methods: a structured questionnaire and charlson’s comorbidity index (cci) were the datacollection instruments.statistical analysis: the data were analyzed using descriptive and inferential methods.results: hypertensive and diabetic patients were older (70 [62–76] years old, p = 0.001), with a body massindex indicating overweight (26.9 [24.0–31.1] kg/m2, p = 0.01). aki predominated among the hypertensiveand diabetic patients (30 [52.6%]), and with higher severity stages (kidney disease improving global outcomes2 and 3) (22 [38.6%]). hypertensive and diabetic patients presented more severity (charlson >3, p = 0.03),suffered from kidney injury more frequently (30 [52.6%]), and with more severe stages (kidney injury orfailure) (22 [38.6%]). heart disease ([odds ratio (or) 17.94, confidence interval (ci) 2.23–144.44], p = 0.007)and older age ([or 1.05, ci 1.01–1.09], p = 0.009) were independent risk factors for predisposition tokidney injury in patients with hypertension and diabetes.conclusions: the hypertensive and diabetic patients were older, with a cci >3, and evolved to more severeaki. heart disease and older age contributed to ha‑aki. delays in identifying risk factors may predisposeto more severe impairments. risk assessments support early identification and can encourage professionalsin directing, decision‑making, and care management.