Descriptive study of acute kidney injury in neonates over 1 year

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Abstract

Background
Acute kidney injury is a complicated condition that can occur in a variety of ways ranging from mild dysfunction to total kidney failure. It causes a sudden and rapid decrease in renal excretory function within hours to days, as well as an accumulation of waste products such as creatinine, urea, and other clinically significant products that are not measured.
Aim
Over a year, from December 2018 to November 2019, define the present continuum of acute kidney injury in neonates in the NICU at Assuit University Children's Hospital in terms of etiological causes.
Patients and methods
All cases were subjected to full histories, such as the presence of family history, use of nephrotoxic drugs, gestational age, presence of vomiting and diarrhea, obstetric history, and complete physical examination, including temperature, heart rate, respiratory rate, blood pressure, and investigations that included complete blood count, serum electrolytes, renal function tests, arterial blood gases, C-reactive protein, urine output, and urine analysis.
Results
Regarding the etiological classification, 84% were due to prerenal causes, 10% were due to renal causes, and 6% of cases were due to postrenal causes.
Conclusion
The etiology of 84% of cases was due to prerenal causes and 10% due to renal causes, and 6% due to postrenal causes.

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Journal of Current Medical Research and Practice
Volume 7, Issue 3
July 2022
Pages 242-247

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