Vásquez‑Hoyos P, González‑Clavijo T, Méndez‑García DP, Monje‑Cardona I, Saavedra‑Soler N

Language: Spanish
References: 15
Page: 181-184
PDF size: 245.65 Kb.

ABSTRACT

Introduction: There are few studies on acute kidney injury (AKI) in preterm infants; currently, there are no criteria for its definition and management. Objective: To determine the incidence of AKI in preterm infants hospitalized in a neonatal care unit (NICU). Material and methods: Descriptive cohort study of newborns weighing ≤ 1,500 grams admitted to the NICU of a university hospital in Bogotá, over a period of one year. All the patients were sampled serum creatinine at 24 and 72 hours of life. ARI was defined as an increase of creatinine ≥ 0.3 mg/mL or increased 150% of the initial value. Results: 53 patients were included. Eleven patients were excluded because they died before 72 hours after birth. Ten patients met the definition of ARI and correspond to an incidence of 23.8% (95% CI 11.7 to 34.6%). There were three cases that also presented oliguria. Conclusions: Our definition shows a high incidence of AKI in premature newborns. More studies are needed to confirm these findings and establish risk factors associated with AKI.

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