Outcomes of acute kidney injury continuum in children
2024

Outcomes of Acute Kidney Injury in Children

Sample size: 2346 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chisavu Flavia, Gafencu Mihai, Stroescu Ramona, Chisavu Lazar, Schiller Adalbert

Primary Institution: University of Medicine and Pharmacy ‘Victor Babes’ from Timisoara

Hypothesis

The study aims to evaluate the impact of acute kidney injury (AKI) duration on mortality and the risk of new-onset chronic kidney disease (CKD) in children.

Conclusion

The continuum of acute kidney injury expressed as acute kidney disease resulted in an increased risk of new-onset chronic kidney disease.

Supporting Evidence

  • Children with acute kidney disease had the highest mortality rate at 16.42%.
  • Transient AKI was present in 27.9% of patients, while persistent AKI was in 43%.
  • New-onset CKD occurred in 4.05% of patients after an AKI episode.

Takeaway

This study found that children who have acute kidney injury for a longer time are more likely to develop serious kidney problems later on.

Methodology

A retrospective cohort study was conducted on 2346 children with AKI over a 9-year period.

Potential Biases

Potential bias due to the retrospective nature and exclusion of certain data points.

Limitations

The study is limited by its single-center and retrospective design, and the lack of urine output data.

Participant Demographics

Children aged 1 day to 18 years from a tertiary care hospital in Romania.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s40620-024-02097-1

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