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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Dec 25, 2025; 14(4): 109382
Published online Dec 25, 2025. doi: 10.5527/wjn.v14.i4.109382
Published online Dec 25, 2025. doi: 10.5527/wjn.v14.i4.109382
Baseline predictors of in-hospital mortality among patients with chronic kidney disease admitted to the emergency department
Arun Prabhahar, Niranjan A Vijaykumar, Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Harpreet Kaur, Navneet Sharma, Ashok K Pannu, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Prabhahar A, Vijaykumar NA, Kaur H, Sharma N, and Pannu AK collected data; Pannu AK designed the research study and analyzed the data; Prabhahar A, Vijaykumar NA, Kaur H, Sharma N, and Pannu AK wrote the manuscript; all authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Postgraduate Institute of Medical Education and Research, approval No. INT/IEC/2021/SPL-1062.
Informed consent statement: Informed consent was waived as the study involved the anonymized retrospective patient data.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ashok K Pannu, MD, Additional Professor, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, 4th Floor, F Block, Chandigarh 160012, India. gawaribacchi@gmail.com
Received: May 9, 2025
Revised: June 17, 2025
Accepted: September 17, 2025
Published online: December 25, 2025
Processing time: 228 Days and 18 Hours
Revised: June 17, 2025
Accepted: September 17, 2025
Published online: December 25, 2025
Processing time: 228 Days and 18 Hours
Core Tip
Core Tip: Despite the high burden of chronic kidney disease (CKD) in Indian emergency departments, baseline prognostic markers remain underexplored. This study found a high in-hospital mortality rate among adult patients with CKD. Independent predictors of mortality included a low Glasgow coma scale, hyperglycemia, and low serum albumin at admission. These findings highlight the importance of early risk stratification and targeted interventions to improve short-term survival in acutely ill patients with CKD.