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Border crossers are a unique population of generally young individuals exposed to high temperatures and extreme conditions. Many border crossers survive the journey, but some develop life-threatening medical complications. Immigrants attempting to cross the border often wander for days without food or water, subsequently developing acute kidney injury (AKI).
Records from all patients in the custody of the border patrol from June 1st, 2010 to June 30th 2011, who had AKI defined by the Acute Kidney Injury Network (AKIN) criteria and a CK > 1000 IU/L, were reviewed. The age, gender, temperature, days in the desert, initial serum creatinine, CK on presentation, need for dialysis, length of hospital stay, and serum creatinine at discharge were recorded and analyzed. Among them, 38 were males and four females. There was a mean of 4.2 days in the desert. Seven had stage 1 AKI, 10 stage 2, and 25 stage 3. 5 patients required hemodialysis. Only one patient had a temperature >100.6ºF on arrival. CKs ranged between 1101 and 447,966 IU/L.
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