Acute Kidney Injury

Pediatric Care Online ◽

10.1542/aap.ppcqr.396265 ◽

2020 ◽

Keyword(s):

Acute Kidney Injury ◽

Congenital Heart Disease ◽

Heart Disease ◽

Serum Creatinine ◽

Early Identification ◽

Urine Output ◽

Congenital Heart ◽

Kidney Injury ◽

Key Points

Key Points Awareness and early identification are important. Serum creatinine and urine output are key to assessing acute kidney injury. Congenital heart disease, sepsis, and nephrotoxic medications are major causes.

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Acute kidney injury following contrast administration in pediatric congenital heart disease patients: Time to move beyond the serum creatinine

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.25637 ◽

2014 ◽

Vol 84 (4) ◽

pp. 620-621 ◽

Cited By ~ 2

Author(s):

Anand Prasad

Keyword(s):

Acute Kidney Injury ◽

Congenital Heart Disease ◽

Heart Disease ◽

Serum Creatinine ◽

Congenital Heart ◽

Kidney Injury ◽

Contrast Administration

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Preoperative Albumin Level is not Associated with Acute Kidney Injury After Pediatric Cardiac Surgery: A Retrospective Cohort

Kosuyolu Heart Journal ◽

10.51645/khj.2021.m105 ◽

2021 ◽

Author(s):

Fatma Ukil Isildak ◽

Yasemin Yavuz ◽

Omer Faruk Savluk ◽

Nihat Cine ◽

Ufuk Uslu

Keyword(s):

Acute Kidney Injury ◽

Congenital Heart Disease ◽

Heart Disease ◽

Retrospective Cohort ◽

Congenital Heart ◽

Heart Surgery ◽

Open Heart Surgery ◽

Kidney Injury ◽

Open Heart ◽

Preoperative Albumin

Objectives: This study aimed to evaluate whether the development of acute kidney injury (AKI) was associated with preoperative albumin/prealbumin levels and other clinical features in pediatric patients who underwent open-heart surgery for congenital heart disease. Patients and Methods: In this retrospective cohort, patients aged between 1 – 60 months who underwent open-heart surgery (complete correction surgery) with a diagnosis of congenital heart disease at the XXXXXX, between January 1, 2018 - December 31, 2020, were retrospectively included (n = 100). Patient demographics, diagnoses, surgical characteristics, and laboratory findings were recorded and analyzed. Results: Mean age was 13.63 ± 12.05 (range 1.5 - 60) months. eGFR was decreased by more than 50% in 13% of the cases. Compared to the preoperative period, it was found that urea (24th and 48th hour) and creatinine levels increased significantly (p< 0.001, for each), and eGFR decreased significantly in the postoperative period (p< 0.001). Linear regression for eGFR value revealed that longer aortic cross-clamp time (ACCT) was associated with a greater decrease in eGFR (p= 0.046). Other variables included in the model, age (p= 0.128), gender (p= 0.358), RACHS (p= 0.865), body mass index (p= 0.862), prealbumin (p= 0.313), albumin (p= 0.806) and duration of cardiopulmonary bypass (p= 0.921) were found to be non-significant. Conclusion: While there was no relationship between eGFR and preoperative albumin/prealbumin levels in patients who underwent cardiac surgery due to congenital heart disease, longer ACCT was found to be associated with decreased eGFR.

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