Expanded discussion of kidney health monitoring for critically ill term and late preterm infants after acute kidney injury: a report from the Neonatal Kidney Health Consensus Workshop.
Background: Acute kidney injury (AKI) is common in the neonatal intensive care unit (NICU) and is associated with increased morbidity and mortality. Mounting evidence suggests infants with AKI in the NICU have higher risks of long-term kidney dysfunction, such as chronic kidney disease. However, gui...
| Publicado en: | Pediatric Nephrology Vol. 40; no. 9; pp. 2993 - 3005 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186910311&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186910311 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: Sep2025 vid: 40 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 186910311 184488548 186910311 186910311 10.1007/s00467-025-06757-7 186910311 ppf: 2993 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Expanded discussion of kidney health monitoring for critically ill term and late preterm infants after acute kidney injury: a report from the Neonatal Kidney Health Consensus Workshop. aug: au: Vuong, Kim T. Liberio, Brianna M. Schwartz, Samantha R. Menon, Shina Mohamed, Tahagod H. Soranno, Danielle E. Johnson, Kara Short Jetton, Jennifer G. Merrill, Kyle A. Hanna, Mina Starr, Michelle C. Selewski, David T. Steflik, Heidi J. Harer, Matthew W. Gorga, Stephen M. Ambalavanan, Namasivayam Beck, Tara Chaudhry, Paulomi M. Chmielewski, Jennifer L. DeFreitas, Marissa J. affil: https://ror.org/02pttbw34 Division of Pediatric Nephrology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA sug: subj: Kidney Failure, Acute Therapy Critically Ill Patients Monitoring, Physiologic Infant, Premature, Diseases Funding Source Congresses and Conferences United States United States Human Infant, Newborn Intensive Care Units, Neonatal Inpatients Delphi Technique Consensus Seminars and Workshops Infant, Newborn: birth-1 month ab: Background: Acute kidney injury (AKI) is common in the neonatal intensive care unit (NICU) and is associated with increased morbidity and mortality. Mounting evidence suggests infants with AKI in the NICU have higher risks of long-term kidney dysfunction, such as chronic kidney disease. However, guidelines for outpatient kidney-focused follow-up practices are lacking. Methods: As part of the National Institutes of Health-sponsored Consensus Workshop to Address Kidney Health in Neonatal Intensive Care Unit Graduates, a multidisciplinary workgroup within the US performed an in-depth review of the medical literature on term and late preterm (i.e. ≥ 34 weeks gestation) neonates admitted to the NICU with AKI to inform consensus recommendations for outpatient kidney health monitoring for high-risk and at-risk infants. Results: In this modified Delphi consensus statement, the workgroup developed three consensus recommendations and identified priority research gaps and opportunities for future study. Specific recommendations include completing a NICU discharge kidney health evaluation followed by a comprehensive kidney health assessment six months after discharge for high-risk infants and at two years of age for high-risk and at-risk infants. Conclusions: Critically ill term and late preterm infants with AKI have an increased risk of long-term kidney dysfunction and merit evaluation at NICU discharge with subsequent comprehensive kidney health assessments based on risk factors. Current research gaps and opportunities for improved care include identifying optimal pre-discharge planning approaches, examining the impacts of different etiologies and severity of AKI on long-term kidney and overall health, exploring modification to current AKI diagnosis standards, and development of high-yield educational tools for families and providers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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