Abstract
Survival of critically ill neonates in the intensive care unit has improved over the past decades reflecting improvements in obstetric, delivery room and neonatal intensive care, however, morbidity remains significant. Acute kidney injury is a common occurrence in these neonates and despite improved understanding of the pathophysiology and management of acute kidney injury in full term and preterm infants, the mortality remains as high as 61%. Furthermore, there is growing evidence that despite recovery from the acute injury, these infants are at risk for developing hypertension and chronic kidney disease later in life. Emphasis on improving our capability to detect renal insult and injury early, before renal failure occurs, and identification of novel therapeutic agents to prevent and treat acute kidney injury may impact mortality and morbidity. This review focuses on our current knowledge of acute kidney injury in the newborn, approaches to investigating and managing this complication and what future trends in this field may bring.
Keywords: Acute kidney injury, acute renal failure, AKI, newborn, neonate, preterm.
Current Pediatric Reviews
Title:Renal and Urological Diseases of the Newborn Neonatal Acute Kidney Injury
Volume: 10 Issue: 2
Author(s): Kirtida Mistry
Affiliation:
Keywords: Acute kidney injury, acute renal failure, AKI, newborn, neonate, preterm.
Abstract: Survival of critically ill neonates in the intensive care unit has improved over the past decades reflecting improvements in obstetric, delivery room and neonatal intensive care, however, morbidity remains significant. Acute kidney injury is a common occurrence in these neonates and despite improved understanding of the pathophysiology and management of acute kidney injury in full term and preterm infants, the mortality remains as high as 61%. Furthermore, there is growing evidence that despite recovery from the acute injury, these infants are at risk for developing hypertension and chronic kidney disease later in life. Emphasis on improving our capability to detect renal insult and injury early, before renal failure occurs, and identification of novel therapeutic agents to prevent and treat acute kidney injury may impact mortality and morbidity. This review focuses on our current knowledge of acute kidney injury in the newborn, approaches to investigating and managing this complication and what future trends in this field may bring.
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Cite this article as:
Mistry Kirtida, Renal and Urological Diseases of the Newborn Neonatal Acute Kidney Injury, Current Pediatric Reviews 2014; 10 (2) . https://dx.doi.org/10.2174/157339631002140513101649
DOI https://dx.doi.org/10.2174/157339631002140513101649 |
Print ISSN 1573-3963 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6336 |
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