The impact of increased awareness of acute kidney injury in the Neonatal Intensive Care Unit on acute kidney injury incidence and reporting: results of a retrospective cohort study.

Journal of Perinatology : Official Journal of the California Perinatal Association
Michelle C StarrSangeeta Hingorani

Abstract

To evaluate the impact of nephrology integration in the NICU on acute kidney injury (AKI) incidence, provider reporting, and nephrology referral. Cohort study in a single-center NICU from January 2012 to December 2017 (n = 1464). We assessed the impact of clinical practice changes including neonatal-nephrology rounds on the incidence of AKI. AKI occurred in 318 neonates (22%). AKI occurred less frequently in those admitted after clinical practice changes (P < 0.001). After multivariable adjustment, clinical practice changes were associated with reduced odds of AKI (adjusted odds ratio, 0.31; 95% CI 0.22-0.44, P < 0.001). Provider reporting of AKI improved (P < 0.001) and more neonates were referred for nephrology follow-up (P < 0.001). Increased nephrology integration in the NICU was associated with decreased AKI incidence. While recognition of AKI improved, AKI remained poorly reported and nephrology AKI follow-up did not routinely occur. This study supports the importance of increased nephrology involvement in the NICU.

References

Jul 2, 2003·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Carolyn L AbitbolGastón Zilleruelo
Dec 24, 2005·Kidney International·D J AskenaziS L Goldstein
Dec 17, 2008·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·David J AskenaziStuart L Goldstein
Apr 19, 2011·Journal of Pediatric Surgery·Samir K GadepalliGeorge B Mychaliska
Jul 30, 2011·The Journal of Thoracic and Cardiovascular Surgery·Joshua J BlinderJohn L Jefferies
Dec 31, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Cherry MammenDouglas G Matsell
Jun 6, 2014·Obstetrics and Gynecology·Elaine L DuryeaKenneth J Leveno
Oct 5, 2014·Clinical Journal of the American Society of Nephrology : CJASN·J Bryan CarmodyJennifer R Charlton
Apr 26, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·William A PrimackLarry A Greenbaum
Jul 15, 2015·Pediatrics·David T SelewskiAlison L Kent
Jan 27, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Swasti ChaturvediCherry Mammen
Aug 4, 2016·Frontiers in Pediatrics·Jennifer G JettonUNKNOWN Neonatal Kidney Collaborative
Dec 5, 2016·Blood Purification·Lilia Maria Rizo-TopeteClaudio Ronco
Dec 7, 2016·Blood Purification·D J AskenaziUNKNOWN American Society of Nephrology Acute Kidney Injury Advisory Group
Dec 14, 2016·The New England Journal of Medicine·Ahmad KaddourahUNKNOWN AWARE Investigators
Mar 4, 2017·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Matthew W HarerJennifer R Charlton
Feb 2, 2018·Current Opinion in Pediatrics·David T SelewskiJennifer R Charlton
May 8, 2018·The Lancet Child & Adolescent Health·Jennifer G JettonUNKNOWN Neonatal Kidney Collaborative (NKC)
Aug 30, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Megan J KirkleyUNKNOWN Neonatal Kidney Collaborative (NKC)
Dec 14, 2018·Pediatric Research·Jennifer R CharltonUNKNOWN Neonatal Kidney Collaborative (NKC)
May 3, 2019·BMJ : British Medical Journal·Casey CrumpKristina Sundquist
Oct 1, 2019·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Katherine VincentKatherine E Twombley
Oct 13, 2019·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Heidi J MurphyJennifer G Jetton

❮ Previous
Next ❯

Citations

Feb 18, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Michelle C Starr, Shina Menon
Apr 9, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·O N Ray BignallMichelle C Starr
Aug 1, 2021·Pediatric Research·Rajit K BasuUNKNOWN SPARC Investigators
Aug 6, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Chih-Chia ChenUNKNOWN Preterm Research Group includes Chao-Ching Huang
Sep 5, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Michelle C StarrTahagod H Mohamed

❮ Previous
Next ❯

Software Mentioned

SPSS
SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Kidney Journal
Joana GameiroJosé António Lopes
Nihon Jinzo Gakkai shi
Hirotsugu Kitayama, Naohiro Wada
Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Mohamed A ShalabyJameela A Kari
© 2021 Meta ULC. All rights reserved