ACUTE KIDNEY FAILURE IN NEONATAL PERIOD

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MORTAZAVI F.A.S.; HOSSEINPOUR SAKHA S.; NEJATI N.

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Journal: Iranian Journal of Kidney Diseases Year:2009 | Volume:3 | Issue:3 Page(s): 136-140

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Information Journal Paper

Title

ACUTE KIDNEY FAILURE IN NEONATAL PERIOD

Author(s)

MORTAZAVI F.A.S. | HOSSEINPOUR SAKHA S. | NEJATI N. | Issue Writer Certificate

Keywords

ACUTE KIDNEY FAILURE

NEWBORN INFANTS

ASPHYXIA

SEPSIS

Abstract

Introduction: ACUTE KIDNEY FAILURE (AKF) is a common clinical problem in neonatal intensive care units and is usually associated with a contributing condition such as SEPSIS, ASPHYXIA, and heart failure. The aim of this study was to determine the types, frequency of associated contributing conditions, and short-term outcome of neonatal AKF.Materials and Methods: Medical records of neonates with a diagnosis of AKF from March 2003 to September 2006 were studied in a tertiary care children’s hospital in Tabriz, Iran. Results: Of 6042 hospitalized neonates, 151 with documented AKF (100 boys and 51 girls) were reviewed in the study. Ninety-one patients (60.3%) had been referred from other cities. Fifty-seven patients (37.7%) developed AKF following a surgery. Causes of AKF were intrinsic kidney failure in 52.3%, prerenal in 42.4%, and postrenal in 5.3%. Oliguria was observed in 72.2% of the patients. Perinatal ASPHYXIA was present in 29.8% of the neonates, SEPSIS in 28.5%, respiratory distress syndrome in 25.2%, dehydration in 24.2%, and heart failure in 21.2%. Most patients (85.4%) had more than 1 associated contributing condition. Mortality rate was 20.5%. Most patients (76.2%) were discharged with normal kidney function and 3.3% with diminished kidney function. Initial admission to NICU, female sex, septicemia, and the need for mechanical ventilation were associated with a higher mortality rate.Conclusions: The frequency of associated contributing conditions and short-term outcome of neonatal AKF in our institution is comparable with other studies; however, intrinsic kidney failure comprises the most common form of AKF in our patients.

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APA: Copy

MORTAZAVI, F.A.S., HOSSEINPOUR SAKHA, S., & NEJATI, N.. (2009). ACUTE KIDNEY FAILURE IN NEONATAL PERIOD. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 3(3), 136-140. SID. https://sid.ir/paper/308742/en

Vancouver: Copy

MORTAZAVI F.A.S., HOSSEINPOUR SAKHA S., NEJATI N.. ACUTE KIDNEY FAILURE IN NEONATAL PERIOD. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2009;3(3):136-140. Available from: https://sid.ir/paper/308742/en

IEEE: Copy

F.A.S. MORTAZAVI, S. HOSSEINPOUR SAKHA, and N. NEJATI, “ACUTE KIDNEY FAILURE IN NEONATAL PERIOD,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 3, no. 3, pp. 136–140, 2009, [Online]. Available: https://sid.ir/paper/308742/en

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