Acute Kidney Injury in Internal Medicine Wards During a Period of Wartime Healthcare System Disruption: A Retrospective Cohort Study

: Wartime healthcare system disruption was associated with higher AKI incidence and less favorable AKI-related outcomes among internal medicine hospitalizations, independent of measured patient-level risk factors. These findings suggest that kidney outcomes may be sensitive to system-level stress during healthcare emergencies and underscore the importance of maintaining AKI prevention, monitoring, and recovery pathways under such conditions.