To study the outcome of acute renal failure in patients who are known case of diabetes mellitus at a tertiary care hospital in Karachi

Aim:to find out the outcomes of acute renal failure indiabetic patients,at a tertiary care hospital in karachi. methods: the study was conducted from may 2013 to december 2013. the inclusion criteria,was all adult patients who are diagnosed with type ii diabetes mellitus and who presented with suspected arf. patients were either managed on a conservative basis or through dialysis,patients were assessed for a total period of 6 weeks and outcome was determined as either complete recovery,need for dialysis or mortality. results:we conducted our study on a total of 100 patients 56 were males and 44 were females. sepsis was the single most important factor for causing arf in 69% of the patients,while uti being the most important focus of infection in 71.2% of patients. other factors of arf were included hypovolemia (20%),cardio renal in (13.7%),acute glomerulonephritis in (3.15%) and contrast exposure in (2.1%) patients. among the study population75 patients required dialysis,while 25 were managed conservatively. eventually (67.39%) patients recovered,(15.21%) became dialysis dependent,and (17.39%) died. among those who expired,all underwent dialysis and sepsis was the leading cause of death in (81.25%) of patients. conclusion: it is a well-documented fact that diabetics are prone to developing arf,and uti being the common case. with appropriate antibiotic regimen the patients show improvement. patients who require dialysis as an intervention show high levels of morbidity and mortality. it is necessary to take the necessary measures to screen the diabetic patients to avoid any preventable causes of arf,as this measure may result in fewer incidences in dialysis dependency and mortality.