Acute Kidney Injury
Conditions
Brief summary
Acute kidney injury (AKI) is common in children after cardiac surgery with a reported incidence of 20-40%. Pediatric AKI has been found to be associated with important short and long-term adverse outcomes. A major challenge to management of AKI after cardiac surgery and cardiopulmonary bypass is the lack of early diagnostic markers. Current diagnostic criteria for AKI in children relies exclusively on elevation of serum creatinine concentration and oliguria. Both of these markers lack sensitivity and specificity, and result in delayed detection of kidney injury. This study aims to determine if UDP-glucose can be used as a urinary biomarker to detect subclinical acute kidney injury following pediatric cardiac surgery with cardiopulmonary bypass.
Interventions
Collection of discarded urine during surgery and following surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* less than or equal to 8 years of age * scheduled for cardiac surgery
Exclusion criteria
* severe pre-existing renal insufficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| AKI | within 72 hours after surgery | development of AKI |
Countries
United States
Contacts
Boston Children's Hospital