KIDNEY DISEASE AWARENESS AND KNOWLEDGE AMONG SURVIVORS OF ACUTE KIDNEY INJURY- A CROSS-SECTIONAL STUDY.

 

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https://storage.unitedwebnetwork.com/files/1099/81de0a1fdd3685d62afe259606e7f179.pdf
KIDNEY DISEASE AWARENESS AND KNOWLEDGE AMONG SURVIVORS OF ACUTE KIDNEY INJURY- A CROSS-SECTIONAL STUDY.

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Dr. Shayoli
Sarkar
Dr. Shayoli Sarkar shayoli.kmcmpl.2024@learner.manipal.edu kasturba medical college, Manipal, MAHE, Manipal Nephrology udupi India *
Dr. Indu Ramachandra Rao indu.rao@manipal.edu kasturba medical college, Manipal, MAHE, Manipal Nephrology udupi India -
Dr. Dharshan Rangaswamy dharshan.r@manipal.edu kasturba medical college, Manipal, MAHE, Manipal Nephrology udupi India -
Veena N K veena.nk@manipal.edu Renal Replacement Therapy and Dialysis Technology, Manipal College of Health Professional, Manipal, MAHE, Manipal Renal Replacement Therapy and Dialysis Technology udupi India -
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Acute Kidney Injury (AKI) survivors are at risk for chronic kidney disease, recurrent AKI, cardiovascular disease, end-stage kidney disease, mortality, and neurocognitive decline. Given the growing burden of AKI, it is important to assess how well the AKI survivors understand their condition. The purpose of this study was to identify awareness and disease-specific knowledge among AKI survivors.

A descriptive cross-sectional study was conducted at Kasturba Hospital, Manipal,among 300 AKI survivors aged 18 years and above who were alive at the time of hospital discharge, during the period from April to September 2025. Data was collected using a structured validated questionnaire. The questionnaire consists of two parts: knowledge and awareness. The knowledge component of the questionnaire was designed to assess two domains: recognition of the etiological factors contributing to Acute Kidney Injury (AKI) and understanding of its potential long-term sequelae. The awareness component consists of five domains: awareness of the AKI diagnosis during hospitalization, knowledge of current kidney functional status, recognition of the need for nephrology follow-up, awareness of necessary dietary and lifestyle modifications, and awareness of specific medications that require discontinuation or avoidance following an AKI episode

The mean age of participants was 58.3± 14.2 years, and 75.7% were male. 47.3% were aware they had experienced AKI or other kidney-related diseases during hospitalization, while 52.6% were unaware of AKI or any kidney-related disease. Prior exposure to the term “AKI” was limited (2.7%). Knowledge of AKI causes varied, with 11% attributing it to infection, 9.3% to painkiller use, and 14.7% to diseases affecting other organs. Self-perceived awareness of current kidney status was low, with 95.3% unaware of their current kidney condition, and understanding of long-term consequences was similarly poor (0.3%). In terms of management, only 2.3% reported high awareness of the need for follow-up care, 2.3% were aware of necessary lifestyle and dietary modifications, 1.3% knew which medications should be avoided, and 1% knew drugs that require adjustment or temporary cessation.

In this cohort of AKI patients, awareness and understanding of the condition, its causes, and necessary preventive measures were markedly low. These results underscore the urgent need for targeted patient education programs, structured counselling at discharge, and improved communication strategies tailored to patients’ literacy levels. Enhancing AKI awareness may help prevent recurrence, slow CKD progression, and improve long-term outcomes.

Kewords