Association between acute kidney injury and brain injury on term-equivalent age brain magnetic resonance imaging in very preterm infants.

Background: This study aimed to investigate the relationship between acute kidney injury (AKI) in the first 2 weeks of life and brain injury on term-equivalent age magnetic resonance imaging in very preterm infants. Methods: We included 116 infants with a birth weight of < 1500 g who were born at th...

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Published in:Pediatric Nephrology Vol. 37; no. 12; pp. 3235 - 3243
Main Authors: Al-Mouqdad, Mountasser M., Jamjoom, Dima Z., Abdalgader, Ayman T., Ameen, Waleed S., Khalil, Thanaa M., Asfour, Yasmeen S., Al-Anazi, Maha R., Asfour, Suzan S.
Format: research tables/charts Journal Article
Published: Springer Nature Dec2022
Online Access:View this record in EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00467-022-05534-0
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        atl: Association between acute kidney injury and brain injury on term-equivalent age brain magnetic resonance imaging in very preterm infants.
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          Al-Mouqdad, Mountasser M.
          Jamjoom, Dima Z.
          Abdalgader, Ayman T.
          Ameen, Waleed S.
          Khalil, Thanaa M.
          Asfour, Yasmeen S.
          Al-Anazi, Maha R.
          Asfour, Suzan S.
        affil: Neonatal Intensive Care, Hospital of Paediatrics, King Saud Medical City, Al Imam Abdul Aziz Ibn Muhammad Ibn Saud, 12746, Riyadh, Saudi Arabia
      sug:
        subj:
          Infant, Premature
          Kidney Failure, Acute Complications
          Brain Injuries Risk Factors
          Risk Assessment
          Magnetic Resonance Imaging
          Human
          Univariate Statistics
          Infant
          Cerebellum Pathology
          Infant: 1-23 months
      ab: Background: This study aimed to investigate the relationship between acute kidney injury (AKI) in the first 2 weeks of life and brain injury on term-equivalent age magnetic resonance imaging in very preterm infants. Methods: We included 116 infants with a birth weight of < 1500 g who were born at the King Saud Medical City at ≤ 32 gestational weeks. They were admitted to the neonatal intensive care unit and underwent term-equivalent age and pre-discharge brain magnetic resonance imaging. A negative binomial with generalized linear models and a robust variance estimator (Huber–White) was applied for univariate relative risk analysis. The Kidokoro score was then used to determine the effect of AKI on brain morphology and growth at term-equivalent age. Results: Sixty-eight (64.2%) infants had developed an AKI in the first 2 weeks of life. AKI was significantly associated with cerebellum signal abnormalities, cerebellar volume reduction, and a high total cerebellum score (P = 0.04, P < 0.001, P < 0.001, respectively). Conclusions: AKI in the first 2 weeks of life is associated with brain insult, especially in the cerebellum. More well-designed studies are required to investigate the association and impact of AKI on the central nervous system. A higher resolution version of the Graphical abstract is available as Supplementary information
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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