Early diagnosis of neonatal acute kidney injury in NICU
GONG Hai-rong
CAO Yun
XU Hong
Abstract：Objective To investigate the morbidity and mortality of neonatal AKI in NICU,evaluate the the performance of the different AKI diagnosis criteria of the Acute Kidney Injury Network (AKIN) and to study the importance of early diagnosis criteria for neonatal AKI.Methods This is a prospective cohort study performed in NICU,Children Hospital of Fudan University.We prospectively followed the neonates (less than 28 days) admitted from June 1 st,2012 to August 31,2012,until their discharge or death.For all the neonates we collected the clinical data at admission.Results AKI was diagnosed in 35 neonates,the incidence of neonatal AKI was 25.73％ according to the diagnosis criteria of AKIN in 2012.The mortality of neonatal AKI group was 51.43％ (18/35).Meanwhile,AKI was diagnosed only in 20 neonates,incidence of AKI being 14.71％ in the same study with the other diagnosis criteria of AKIN in 2005 and the mortality of neonatal AKI group was 45％ (9/20).Conclusion AKI is a common and severe clinical problem in NICU with high morbidity and mortality in NICU and is hard to diagnose.The criteria of AKIN in 2012 can improve the early diagnosis of newborn AKI in PICU.
Keywords：neonateneonatal intensive care unit (NICU)acute kidney injury (AKI)incidencemortality
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 122-126 )