title: Acute kidney injury risk factor recognition in three teaching hospitals in Ethiopia.
abstract: BACKGROUND
  A key objective of the Nephrology Sister Centre Programme between the renal units in Cardiff and Addis Ababa, sponsored by the International Society of Nephrology, is to facilitate development of the local clinical service in Ethiopia specifically focused on the management of acute kidney injury (AKI).
  
  
  OBJECTIVE
  To examine the relationship between AKI risk factor recognition and monitoring of renal function in three hospitals in Ethiopia.
  
  
  METHODS
  Cross-sectional data were gathered regarding renal function monitoring, recording the presence of AKI risk-associated comorbidities and prescription of nephrotoxic medications across the disciplines of medicine, surgery, obstetrics and gynaecology. Results. Patients were more likely to have their renal function checked at the hospital with specialist services. Across all centres, the highest proportion of patients who had renal function measurements were those admitted to a medical ward. There was a positive relationship between documented comorbidities and the measurement of renal function but not between the prescription of nephrotoxic drugs and measurement of renal function.
  
  
  CONCLUSIONS
  There was great variability in the extent to which doctors recognised the presence of risk factors for the development of AKI. Failure to identify these risk factors represents a lost opportunity to identify patients at high risk of developing renal injury who would benefit from renal function monitoring.
authors.affiliation: Cardiff University School of Medicine, Cardiff, Wales, UK. l.phillips-4@sms.ed.ac.uk
authors.forename: Lowri Angharad
authors.initials: LA
authors.lastname: Phillips
authors.forename: Nicholas
authors.initials: N
authors.lastname: Allen
authors.forename: Bethan
authors.initials: B
authors.lastname: Phillips
authors.forename: Ammanuel
authors.initials: A
authors.lastname: Abera
authors.forename: Ermias
authors.initials: E
authors.lastname: Diro
authors.forename: Stephen
authors.initials: S
authors.lastname: Riley
authors.forename: Yewondwossen
authors.initials: Y
authors.lastname: Tadesse
authors.forename: John
authors.initials: J
authors.lastname: Williams
authors.forename: Aled Owain
authors.initials: AO
authors.lastname: Phillips
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology*; D000328:Adult; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D012307:Risk Factors