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Acute Kidney Injury in the Newborn

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Kidney and Urinary Tract Diseases in the Newborn

Abstract

Acute kidney injury (AKI) is characterized by a sudden impairment in kidney function that results in the inability to maintain adequate fluid, electrolyte, and waste product homeostasis. It is increasingly recognized as a common and significant event for newborns cared for in the neonatal intensive care unit, with important implications for treatment decisions and clinical outcomes. Indeed, AKI is associated with mortality in critically ill children [2, 86] and adults [14, 25, 52, 65, 78], even after controlling for medical comorbidities, severity of illness scores, and patient demographics. Emerging data suggest a similar association in the neonatal population as well [32, 47, 48], such that kidney injury can no longer be viewed as an incidental finding but rather an important determinant of patient outcomes.

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Abbreviations

ACE I:

Angiotensin-converting enzyme inhibitor

ATN:

Acute tubular necrosis

AKI:

Acute kidney injury

BUN:

Blood urea nitrogen

CAKUT:

Congenital anomalies of the kidney and urinary tract

CVVHDF:

Continuous venovenous hemodi-afiltration

ECMO:

Extracorporeal membrane oxygen-ation

FENa:

Fractional excretion of sodium

GFR:

Glomerular filtration rate

K:

Potassium

kg:

Kilogram

L:

Liters

Ml:

Milliliters

mEq/dl:

Milliequivalents per deciliter

Mg/dl:

Milligrams per deciliter

Na:

Sodium

NGAL:

Neutrophil-gelatinase-associated lipocalin

NICU:

Neonatal intensive care unit

NSAIDs:

Nonsteroidal anti-inflammatory drugs

SCr:

Serum creatinine

VLBW:

Very low birth weight

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Jetton, J.G., Askenazi, D. (2014). Acute Kidney Injury in the Newborn. In: Chishti, A., Alam, S., Kiessling, S. (eds) Kidney and Urinary Tract Diseases in the Newborn. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39988-6_16

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