Neonatal Acute Kidney Injury
Conditions
Keywords
Neonatal Acute Kidney Injury, Long-Term Prognosis, Prognosis and Predictive Factors, Biomarkers
Brief summary
The goal of this observational study is to conduct a multicenter, prospective neonatal acute kidney injury (AKI) follow-up cohort to describe the clinical characteristics of chronic kidney disease (CKD) in AKI cases within 1 year of follow-up and screen for effective biomarkers that can early warn of CKD progression. Ultimately, a neonatal AKI adverse prognosis warning model based on multidimensional data will be established to provide new data and new models for CKD management.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Delivered in this hospital and subsequently admitted to the NICU during the study period; * Diagnosed with neonatal AKI according to the 2015 KDIGO neonatal AKI criteria; * Age \<28 days.
Exclusion criteria
* Severe hydronephrosis diagnosed by prenatal renal ultrasound; * Patients with congenital urinary malformations, including solitary kidney, cystic dysplasia, multicystic dysplastic kidney, renal dysplasia, and obstructive uropathy; * Newborns who required congenital heart surgery within the first 7 days after birth; * Newborns whose mothers had a history of renal failure; * Death within 48 hours after birth; * Other genetic syndromes or medical conditions were not eligible for inclusion according to the attending neonatologist's judgment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of chronic kidney disease (CKD) | 1-3 years | The incidence of CKD stage 3-5 (eGFR \< 60 ml/min) within 1, 2, and 3 years of follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Mortality | 1-3 years |
| Incidence of renal replacement therapy | 1-3 years |
| Incidence of proteinuria | 1-3 years |
| Incidence of height retardation | 1-3 years |
| Incidence of hypertension | 1-3 years |