Childhood Chronic Kidney Disease, Neonatal Acute Kidney Injury
Conditions
Brief summary
The purpose of this study is to learn more about how to identify signs of early chronic kidney diseases in children who were born prematurely with low birth weight (less than 3 ½ pounds). Researchers plan to compare the kidney function in children who experienced acute kidney injury (AKI) in the Neonatal Intensive Care Unit (NICU) with those who did not experience it. Evidence from several studies and our experience at UVA show that older children who experienced AKI while in the Pediatric Intensive Care Unit (PICU) have increased risk of developing early chronic kidney disease, and they also show early changes in the urine and blood that is consistent with early chronic kidney disease. In this study, the investigators hope to determine if any of these changes can be detected in early childhood, and if so, at what age we can start detecting these changes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Premature birth for Premature groups * UVA NICU admission prior to 2 days of life * Birth weight less than 1500 grams for premature groups * Premature AKI Study group: Acute Kidney Injury as defined by KDIGO modified criteria during NICU stay at UVA * Premature no AKI Control group: No AKI during NICU stay * Term no AKI Control group: No AKI and born at term * Parental or legal guardian consent obtained
Exclusion criteria
\- Patients with Congenital Anomalies of the Kidney and Urinary Tract
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite Abnormality | Age 2-7 years | Either eGFR \> 90, urine protein/creatinine \> 0.2, or BP \> 95th percentile for age and height |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Growth | Age 2-6 years | Evaluation of height, weight and BMI |
| Kidney Size | Age 2-6 years | Evaluation of kidney size |
| Urinary Biomarkers | Age 2-6 years | Evaluation of urine for biomarkers which can be used to detect early chronic kidney disease |
Countries
United States