Acute Kidney Injury
Conditions
Keywords
paediatric, kidney
Brief summary
Acute kidney injury (AKI) is a frequent clinical condition in hospitalized, in particular, in critically ill children. Moreover, AKI is an independent predictor of mortality. An incidence of AKI in pediatric intensive care units (PICU) between 10 and 62% has been reported in recent clinical trials adopting pRIFLE or AKIN criteria, with the highest risk present in cardiac surgery patients. Despite significant developments in the management of AKI, the overall mortality rate of patients with AKI has not improved significantly. Currently, there is no consensus concerning the optimum dialysis modalities to adopt in pediatric AKI. No studies have prospectively compared the efficacy of different types of RRT for pediatric AKI. While PD remains the most commonly used modality in children worldwide, over the last decade CRRT has become the preferred treatment modality for critically ill children with AKI in North America. The investigators have recently conducted a survey among 34 European Pediatric Nephrology Centers in the ESCAPE Network to obtain current information on dialysis management practices in children. Approximately 900 children with AKI requiring dialysis are managed at these 34 centers per year. This number supports the creation of a prospective European AKI registry.
Detailed description
The main scope of the Registry is to report the epidemiology and outcome of children with AKI treated with dialysis in over 30 Pediatric Nephrology Centers in Europe. Secondary aims are to verify the association of a specific dialysis modality with the outcome and the association of primary disease, co-morbidities, nephrotoxic agents, fluid overload, anuria, basic hemodynamic parameters (BP, HR), basic nutritional intakes (protein and calorie supply) with the outcome. Data capture will be exclusively web-based via electronic case report forms. Every participating site will be provided with a unique code and password that identify the corresponding site.
Interventions
None listed
Sponsors
Baxter Healthcare Corporation
Mariella Enoc
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Children with AKI at Hospital admission or who developed AKI during hospitalization treated with dialysis (PD, HD, CRRT) * Age: 0-18 yrs
Exclusion criteria
* Children with known preexisting CKD (i.e.: AKI on CKD)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of AKI requiring dialysis in PICU and non-PICU children | 3 years | urine output and serum creatinine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| difference in mortality related to dialysis modality | 3 years | CRRT modality (CVVH, CVVHD, CVVHDF) |
| difference in the primary outcome related to duration of mechanical ventilation | 3 years | duration of mechanical ventilation |
| difference in the primary outcome related to severity score | 3 years | severity score |
| Mortality rates | 3 years | mortality |
| difference in the primary outcome related to FiO2 | 3 years | FiO2 |
| difference in the primary outcome related to Mean Airway Pressure | 3 years | Mean Airway Pressure |
| difference in the primary outcome related to paO2 | 3 years | paO2 |
| difference in the primary outcome related to SpO2 | 3 years | SpO2 |
Countries
Italy
Outcome results
None listed