STUDY CHARACTERISTICS ACUTE KIDNEY INJURY IN CRITICALLY ILL NEWBORN AT GENERAL HOSPITAL NINH THUAN PROVINCE

Huy Thạch Lê1,, Thị Hường Nguyễn1, Quốc Thắng Lê1, Thanh Hải Phạm 1, Tiến Đạt Nguyễn1
1 Ninh Thuan general hospital

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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.

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References

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