Risk factors and mortality rate in premature babies with acute kidney injury

Risk factors and mortality rate in premature babies with acute kidney injury
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DOI:
10.1002/jcla.22441
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发表时间:
2018-09-01
影响因子:
2.7
通讯作者:
Ozdemir, Ramazan
Ozdemir, Ramazan
中科院分区:
医学4区
文献类型:
--
作者:
Elmas, Ahmet Taner;Tabel, Yilmaz;Ozdemir, Ramazan

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背景急性肾损伤(AKI)是新生儿重症监护病房常见的并发症,预后不良。本研究旨在确定AKI的患病率,并提供与死亡率和发病率相关的人口学数据和危险因素。方法对105例早产儿进行回顾性研究。AKI的诊断依据新生儿KDIGO分类标准。根据入院时的AKI情况将婴儿分为两组。结果105例早产儿中发生AKI 21例(20.0%),病死率为61.9%。孕周较短、5分钟Apgar评分较低、收缩压较低和正性肌力支持是早产儿发生AKI的独立危险因素(P
BackgroundAcute kidney injury (AKI) is a common morbidity in neonatal intensive care units and associated with poor outcome. This study aimed to determine the prevalence of AKI and provide a demographic data and risk factors associated with the mortality and morbidity.MethodsThis is a retrospective study included 105 premature babies. Diagnosis of AKI was based on neonatal KDIGO classification criteria. The babies were stratified into two groups according to AKI status during the hospitalization. Clinical and laboratory characteristics of the AKI group were compared to non-AKI group.ResultsAKI occurred in 21 (20.0%) of 105 premature babies, and mortality rate in these babies was 61.9%. Lower gestational weeks, lower Apgar scores at 5minutes, lower systolic blood pressures, and inotropic supports were independent risk factors for the development of AKI in preterm babies (P