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Revista mexicana de pediatría
versión impresa ISSN 0035-0052
Resumen
VASQUEZ-HOYOS, Pablo et al. Incidence of acute renal injury in prematures under 1500 grams in a Neonatal Colombian Unit. Rev. mex. pediatr. [online]. 2019, vol.86, n.5, pp.181-184. Epub 02-Oct-2020. ISSN 0035-0052.
Introduction:
There are few studies on acute kidney injury (AKI) in preterm infants; currently, there are no criteria for its definition and management.
Objective:
To determine the incidence of AKI in preterm infants hospitalized in a neonatal care unit (NICU).
Material and methods:
Descriptive cohort study of newborns weighing ≤ 1,500 grams admitted to the NICU of a university hospital in Bogotá, over a period of one year. All the patients were sampled serum creatinine at 24 and 72 hours of life. ARI was defined as an increase of creatinine ≥ 0.3 mg/mL or increased 150% of the initial value.
Results:
53 patients were included. Eleven patients were excluded because they died before 72 hours after birth. Ten patients met the definition of ARI and correspond to an incidence of 23.8% (95% CI 11.7 to 34.6%). There were three cases that also presented oliguria.
Conclusions:
Our definition shows a high incidence of AKI in premature newborns. More studies are needed to confirm these findings and establish risk factors associated with AKI.
Palabras llave : Acute renal injury; premature; creatinine; incidence.