A Prospective Observational Study To Analyse The Efficacy Of RENAL ANGINA INDEX In Predicting The Course Of ACUTE KIDNEY INJURY In Critically Ill Adult Patients

AKI can increase the risk of Chronic Kidney Disease through a number of mechanisms that lead to tubulointerstitial damage and fibrosis. Hence Timely Diagnosis and Timely management can save the nephrons from going for a irreversible injury leading to Chronic Kidney Disease. Recently, the Renal angina index (RAI), which is determined based on changes in renal function, was proposed to risk stratify critically ill children at high risk of AKI.The concept of renal angina has come into use to highlight the characteristics of renal injury as an analogy to the concept of angina pectoris, which is used to increase the suspicion of acute coronary syndrome in cardiology. The RAI is assumed to serve as a potential biomarker for detecting early signs of persistent AKI for 1 week. The RAI in adults was proposed.In our study we want to analyse the efficacy of Renal Angina Index in early prediction of AKI , so that Nephroprotective measures can be initiated early to prevent the further Renal injury. In our Study , we have hypothesized that Renal Angina Index more than 8 does not correlate with Acute Kidney Injury in critically ill adult patients.