STUDY CHARACTERISTICS ACUTE KIDNEY INJURY IN CRITICALLY ILL NEWBORN AT GENERAL HOSPITAL NINH THUAN PROVINCE
Main Article Content
Abstract
Introduction: Acute kidney injury is a common contributor to morbidity and mortality in newborns. Objective: Describe clinical, subclinical and some factors related to acute kidney injury in critically ill neonatal. Methods: Longitudinal study. Results: The most common clinical manifestations were anuria (72.7%), coma (36.4%), edema (27.3%), arrhythmia (18.2%), convulsions (9.1%). The rates of respiratory, hematological and cardiovascular dysfunction were 90.9%, 54.5% and 36.4%, respectively. Neonatal infection was the most common cause of acute kidney injury in critically ill neonates (90.9%). Tests: The rates of lowering Na+, Ca++ and increasing K+ were 9.1%, 36.4% and 27.3%, respectively. Median creatinine concentration 180.3 μmol/l. Echocardiography: patent ductus arteriosus 18.2%, heart failure 9.1, 27.3% other abnormalities. There was relationship between mode of delivery; gestational age to neonatal acute kidney injury critically ill (p < 0.05). Conclusion: Acute kidney injury increases mortality. It is thus recommended to prevent acute kidney injury by predicting and rapid diagnosis of in patients with potential risk factors.
Article Details
Keywords
Acute kidney injury, General hospital Ninh Thuan province
References
2. Nagaraj N, et al (2016). A Study of Acute Kidney Injury in Hospitalized Preterm Neonates in Nicu. Journal of Neonatal-Perinatal Medicine, 9(4), 417-421.
3. Timovska S. N, et al (2015). Acute Kidney Injury in Newborns. Prilozi, 36(3), 83-89.
4. Viswanathan S, et al (2012). Risk Factors Associated with Acute Kidney Injury in Extremely Low Birth Weight (Elbw) Infants. Pediatric Nephrology, 27(2), 303-311.
5. Momtaz H. E, et al (2014). The Main Etiologies of Acute Kidney Injury in the Newborns Hospitalized in the Neonatal Intensive Care Unit. Journal of Clinical Neonatology, 3(2), 99-102.
6. Nada A, et al (2017). Acute Kidney Injury in the Fetus and Neonate. In Seminars in Fetal and Neonatal Medicine 22(2), 90-97.
7. Phạm Võ Phương Thảo (2017). Nghiên Cứu Đặc Điểm Tổn Thương Thận Cấp Ở Trẻ Sơ Sinh Bệnh Nặng, Luận văn Thạc sĩ của bác sĩ nội trú, Đại học Y dược Huế.
8. Cataldi L, et al (2005). Potential Risk Factors for the Development of Acute Renal Failure in Preterm Newborn Infants: A Case-Control Study. Arch Dis Child Fetal Neonatal, 90, 514-519.
9. Nickavar A, et al (2017). Predictive Factors for Acute Renal Failure in Neonates with Septicemia. Archives of Pediatric Infectious Diseases, 5(4), e61627.