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Abstract Acute Kidney Injury (AKI) affects over 13 million people per year globally, and results in 1.7 million deaths1,2. AKI is diagnosed in up to 20% of hospitalized patients3 and in 30–60% of critically ill patients(4,5,6,7). It is the most frequent cause of organ dysfunction in intensive care units (ICUs) and the occurrence of even mild AKI is associated with a 50% higher risk of death8. AKI results in a significant burden for the society in terms of health resource use during the acute phase, and the potential long-term sequelae including development of chronic kidney disease (CKD) and kidney failure(9,10,11,12). Four in five cases of AKI occur in the developing world(1,2). Geographical, etiological, cultural, and economic reasons may underlie potential disparities in the risk of AKI between and within higher and lower income countries. In developing countries, the risk of AKI varies between urban and rural areas, by season and cultural mores, and according to the distribution of infectious agents. The risk and prognosis of AKI vary with the availability of transportation services and health care resources, including medications, equipment, trained personnel, and dialysis facilities(13,14). The International Society of Nephrology has called the nephrology and the broader health care community to work collaboratively to develop effective programs to stem the tide of preventable deaths due to untreated AKI in developing countries. The ―0 by 25‖ initiative has been launched with a goal that no one should die of untreated AKI by 202515. One major barrier to these initiatives is the limited information about the epidemiology of AKI in developing countries(3,16). Accurate estimates of the risk of AKI and factors affecting AKI-related |