RESULTS OF TREATMENT OF CHILDREN WITH ACUTE KIDNEY DAMAGE

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Abstract

The aspects of present-day terminology and classification of acute  kidney injury are considered in the article. Retrospective study of  245 patients with AKI over the last 5 years was performed. The analysis of AKI severity depending on pediatric classification  RIFLE criteria was performed. It had shown that the RIFLE classification is highly informative for predicting disease outcome It  had shown that the anuria duration period constituted on the average 12.1±6.4 days. Renal replacement therapy was required  in 72.2% of patients, and conservative treatment turned  out to be effective in 27.8% children. The study demonstrated that requirement in renal replacement therapy and/or neurological disorders presence and the need of performing artificial lung  ventilation is the predictor of poor prognosis in children with AKI.

About the authors

A. L. Muzurov

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Author for correspondence.
Email: al_muz@mail.ru

Кандидат медицинских наук, заведующий отделением Центра гравитационной
хирургии крови и гемодиализа ГБУЗ «ДГКБ святого Владимира ДЗМ»; доцент кафедры анестезиологии, реаниматологии и токсикологии детского возраста ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» МЗ РФ

Россия

T. Yu. Abaseeva

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, старший научный сотрудник отделения детского  диализа и гемокоррекции ГБУЗМО «Московский областной научно- исследовательский клинический институт им. М. Ф. Владимирского»

Россия

G. A. Generalova

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, врач Центра гравитационной хирургии крови и гемодиализа ГБУЗ «ДГКБ святого Владимира ДЗМ»

Россия

T. E. Pankratenko

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, заведующая отделением детского диализа и  гемокоррекции ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М. Ф. Владимирского»

Россия

K. M. Emirova

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, доцент кафедры педиатрии ГБОУ ВПО Московский государственный медико-стоматологический университет им. А. И. Евдокимова МЗ РФ

Россия

O. M. Orlova

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, врач Центра гравитационной хирургии крови и  гемодиализа ГБУЗ «ДГКБ святого Владимира ДЗМ», ассистент кафедры педиатрии  ГБОУ ВПО Московский государственный медико- стоматологический университет им. А. И. Евдокимова МЗ РФ

Россия

M. V. Kvaratskheliya

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, врач Центра гравитационной хирургии крови и  гемодиализа ГБУЗ «ДГКБ святого Владимира ДЗМ», доцент кафедры педиатрии ФГБОУ ВО «Российский национальный исследовательский  медицинский университет имени Н. И. Пирогова» МЗ РФ

Россия

A. V. Popa

Center of gravitational blood surgery and hemodialysis of St. Vladimir Municipal Children’s Clinical Hospital

Email: fake@neicon.ru

Кандидат медицинских наук, врач Центра гравитационной хирургии крови и гемодиализа ГБУЗ «ДГКБ святого Владимира ДЗМ»

Россия

References

  1. Mendonca A., Vincent J. L. Acute renal failure in the ICU: Risk factors and outcome evaluated by the SOFA score. Intens Care Med 2000; 26:915–921.
  2. Vivino G., Antonelli M., Moro M., Cottini F., Conti G., Bufi M., Cannata F., Gasparetto A. Risk factors for acute renal failure in trauma patients. Intens Care Med 1998; 24:808–814.
  3. Garg A. X., Suri R. S., Barrowman N. Long-term renal prognosis of diarrhea-associated hemolytic uremic syndrome: a systematic review, meta-analysis, and meta-regression. JAMA. 2003 Sep 10; 290 (10):1360–70.
  4. Bellomo R., Ronco C., Kellum J. A., Mehta R. L., Palevsky P. Acute Dialysis Quality Initiative workgroup. Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. 2004 Aug; 8 (4):R204–12.
  5. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Inter. Suppl. 2012; Issue 1:1–126.
  6. Mehta R. L., Kellum J. A., Shah S. V., Molitoris B. A., Ronco C., Warnock D. G., Levin A. Acute Kidney Injury Network. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007; 11 (2):R31.
  7. Akcan-Arikan A., Zappitelli M., Loftis L. L., Washburn K. K., Jefferson L. S., Goldstein S. L. Modified RIFLE criteria in critically ill children with acute kidney injury. Kidney Int. 2007 May; 71 (10):1028–35.
  8. Ricci Z., Ronco C. Neonatal RIFLE. Nephrol Dial Transplant. 2013 Sep; 28 (9):2211–4.
  9. Schwartz G. J., Furth S. L. Glomerular filtration rate measurement and estimation in chronic kidney disease. Pediatr Nephrol. 2007 Nov; 22 (11):1839–48.
  10. George J. Schwartz, Alvaro Munoz, Michael F. Schneider, Robert H. Mak, Frederick Kaskel, Bradley A. Warady, and Susan L. Furth. New Equations to Estimate GFR in Children with CKD. J Am Soc Nephrol 20: 629–637, 2009.
  11. Silver S. A., Long J., Zheng Y., Chertow G. M. Cost of Acute Kidney Injury in Hospitalized Patients. J Hosp Med. 2017 Feb;12 (2):70–76.
  12. Gómez Polo J. C., Alcaraz Romero A. J., Gil-Ruíz Gil-Esparza M. A. Morbimortality associated to acute kidney injury in patients admitted to pediatric intensive care units. Med Intensiva. 2014 Oct; 38 (7):430–7.
  13. Slater M. B., Anand V., Uleryk E. M., Parshuram C. S. A systematic review of RIFLE criteria in children, and its application and association with measures of mortality and morbidity. Kidney Int. 2012 Apr; 81 (8):791–8.
  14. Werner H., Buder K., Landolt M. A., Neuhaus T. J., Laube G. F., Spartà G. Long-term health-related quality of life and psychological adjustment in children after haemolytic- uraemic syndrome. Pediatr Nephrol. 2016 Dec 23. doi: 10.1007/s00467-016-3569-0
  15. Riyuzo M. C., Silveira L. V., Macedo C. S., Fioretto J. R. Predictive factors of mortality in pediatric patients with acute renal injury associated with sepsis. J Pediatr. 2017 Jan – Feb; 93 (1):28–34.
  16. Fitzgerald J. C., Basu R. K., Akcan-Arikan A. Sepsis PRevalence, OUtcomes, and Therapies Study Investigators and Pediatric Acute Lung Injury and Sepsis Investigators Network. Acute Kidney Injury in Pediatric Severe Sepsis: An Independent Risk Factor for Death and New Disability. Crit Care Med. 2016 Dec; 44 (12):2241–2250.
  17. Greenberg J. H., Coca S., Parikh C. R. Long-term risk of chronic kidney disease and mortality in children after acute kidney injury: a systematic review. BMC Nephrol. 2014 Nov 21; 15:184.
  18. Mammen С. et al. Long-term Risk of CKD in Children Surviving Episodes of Acute Kidney Injury in the Intensive Care Unit: A Prospective Cohort Study. Am J Kidney Dis. 2012; 59 (4):52.
  19. Garg A. X., Suri R. S., Barrowman N. Long-term renal prognosis of diarrhea-associated hemolytic uremic syndrome: a systematic review, meta-analysis, and meta-regression. JAMA. 2003 Sep 10; 290 (10):1360–70.

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Copyright (c) 2017 Muzurov A.L., Abaseeva T.Y., Generalova G.A., Pankratenko T.E., Emirova K.M., Orlova O.M., Kvaratskheliya M.V., Popa A.V.

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