Acute renal failure SNAPPE and mortality

Turker, Gülcan; Özsoy, Gamze; Günlemez, Ayla; Gökalp, Ayşe Sevim; Arısoy, Ayşe Engin; Bircan, Zelâl

doi:10.1111/j.1442-200x.2011.03377.x

Cited by 3 publications

(4 citation statements)

References 23 publications

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“… a Studies: I = ( 12 ); II = ( 22 ); III = ( 23 ); IV = ( 4 ); V = ( 24 ); VI = ( 25 ); VII = ( 26 ); VIII = ( 28 ); IX = ( 29 ); and X = ( 31 ) . ∧ One point .…”

Section: Resultsmentioning

confidence: 99%

“…Nowadays, the diagnosis of neonatal AKI has not been unified. There are five definitions that describe the state of neonatal AKI in our meta-analysis: (1) arbitrary definition mainly based on absolute serum creatinine (SCr) ≥1.5 mg/dl;( 4 , 23 , 24 , 27 ), (2) arbitrary definition based on absolute SCr >1 mg/dl and >1.3 mg/dl (for ≥33 weeks and <33 weeks, respectively) after 48 h of life;( 12 , 22 ), (3) AKIN definition based on absolute SCr ≥ 0.3mg/dl or SCr ≥1.5 times baseline within 48 h or urine volume <0.5 ml/kg/h for 6 h;( 11 , 21 , 25 ), (4) KDIGO definition based on absolute SCr ≥0.3 mg/dl within 48 h or SCr ≥1.5 times baseline, which is known or presumed within 7 days, or urine volume <0.5 ml/kg/h for 6 h;( 1 , 6 , 29 ), and (5) modified KDIGO definition changes the baseline to previous trough value in SCr ( 2 , 5 , 20 , 26 , 28 , 30 , 31 , 45 ). As we can see, the arbitrary definitions are mainly dependent on an absolute increase in SCr for at least 1 mg/dl, whose critical value is higher than that of AKIN and KDIGO.…”

Section: Discussionmentioning

confidence: 99%

“…Third, birth asphyxia was not included in this analysis for only one study that provided corresponding data ( 4 ). Fourth, among the 17 included studies, only 10 studies excluded congenital anomalies of the kidney and urinary tract ( 2 , 5 , 6 , 22 , 24 , 26 , 28 – 31 ), and 2 studies excluded lethal chromosomal anomaly ( 2 , 5 ), which may bring some bias to the results. Finally, the studies included have a large time span, and different clinical factors, such as different treatment methods, may bring some bias.…”

Section: Limitationsmentioning

confidence: 99%

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Risk Factors for Acute Kidney Injury in Critically Ill Neonates: A Systematic Review and Meta-Analysis

Chen³

et al. 2021

Front. Pediatr.

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Background and Objective: Acute kidney injury (AKI) is recognized as an independent risk factor for mortality and long-term poor prognosis in neonates. The objective of the study was to identify the risk factors for AKI in critically ill neonates to provide an important basis for follow-up research studies and early prevention.Methods: The PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, WanFang Med, SinoMed, and VIP Data were searched for studies of risk factors in critically ill neonates. Studies published from the initiation of the database to November 19, 2020, were included. The quality of studies was assessed by the Newcastle-Ottawa Scale and the Agency for Healthcare Research and Quality (AHRQ) checklist. The meta-analysis was conducted with Stata 15 and drafted according to the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement.Results: Seventeen studies (five cohort studies, ten case-control studies, and two cross-sectional studies) were included in meta-analysis, with 1,627 cases in the case group and 5,220 cases in the control group. The incidence of AKI fluctuated from 8.4 to 63.3%. Fifteen risk factors were included, nine of which were significantly associated with an increased risk of AKI in critically ill neonates: gestational age [standardized mean difference (SMD) = −0.31, 95%CI = (−0.51, −0.12), P = 0.002], birthweight [SMD = −0.37, 95%CI = (−0.67, −0.07), P = 0.015], 1-min Apgar score [SMD = −0.61, 95%CI = (−0.78, −0.43), P = 0.000], 5-min Apgar score [SMD = −0.71, 95%CI = (−1.00, −0.41), P = 0.000], congenital heart disease (CHD) [odds ratio (OR) = 2.94, 95%CI = (2.08, 4.15), P = 0.000], hyperbilirubinemia [OR = 2.26, 95%CI = (1.40, 3.65), P = 0.001], necrotizing enterocolitis (NEC) [OR = 6.32, 95%CI = (2.98, 13.42), P = 0.000], sepsis [OR = 2.21, 95%CI = (1.25, 3.89), P = 0.006], and mechanical ventilation [OR = 2.37, 95%CI = (1.50, 3.75), P = 0.000]. Six of them were not significantly associated with AKI in critically ill neonates: age [SMD = −0.25, 95%CI = (−0.54, 0.04), P = 0.095], male sex [OR = 1.10, 95%CI =(0.97, 1.24), P = 0.147], prematurity [OR = 0.90, 95%CI(0.52, 1.56), P = 0.716], cesarean section [OR = 1.52, 95%CI(0.77, 3.01), P = 0.234], prenatal hemorrhage [OR = 1.41, 95%CI = (0.86, 2.33), P = 0.171], and vancomycin [OR = 1.16, 95%CI = (0.71, 1.89), P = 0.555].Conclusions: This meta-analysis provides a preliminary exploration of risk factors in critically ill neonatal AKI, which may be useful for the prediction of AKI.Systematic Review Registration: PROSPERO (CRD42020188032).

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“… a Studies: I = ( 12 ); II = ( 22 ); III = ( 23 ); IV = ( 4 ); V = ( 24 ); VI = ( 25 ); VII = ( 26 ); VIII = ( 28 ); IX = ( 29 ); and X = ( 31 ) . ∧ One point .…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Risk Factors for Acute Kidney Injury in Critically Ill Neonates: A Systematic Review and Meta-Analysis

Chen³

et al. 2021

Front. Pediatr.

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“…Parallel to the rise in assisted reproductive technique rates, publications that demonstrate intrauterine growth retardation, premature birth, perinatal mortality, very low birth weight, and congenital anomalies as contributing factors for poor perinatal outcomes have also increased [1-7]. The mortality of premature infants has decreased in our country and in neonatal intensive care units (preterm mortality 5%) over the past decades; yet, our country still has higher mortality than other developed countries [8,9]. In particular, multiple gestations are increased after in vitro fertilization (IVF) [10-12].…”

Section: Introductionmentioning

confidence: 99%

The effect of IVF pregnancies on mortality and morbidity in tertiary unit

et al. 2013

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BackgroundThere are several studies that have shown an increased risk of premature birth and developmental abnormalities with in vitro fertilization (IVF); however, the data on preterm mortality and morbidity are limited.AimOur aim is to investigate whether IVF had an effect on the mortality and morbidity in neonates admitted to the neonatal intensive care unit.MethodsA total of 940 term and preterm babies who were admitted to the intensive care unit over a period of 2 years were enrolled. Of these, 121 babies were born after IVF and 810 were born after a natural conception and 9 were born after ovulation induction. Of these, 112 preterm babies were born after IVF and 405 preterm babies were born after a natural conception.ResultsIn the IVF group, the gestational age and birth weight were significantly lower than in the non-IVF group. Additionally, in the IVF group, multiple births were significantly higher than in the non-IVF group. IVF pregnancies increase preterm delivery but did not increase preterm mortality, and preterm morbidity did not differ among groups, except for intraventricular hemorrhage (IVH). Gestational age was shown to be the primary risk factor for IVH using a logistic regression analysis. Also when newborns at gestational age <32 weeks were compared using regression analysis, gestational age was the major risk factor for IVH.ConclusionIVF appears to be associated with premature delivery and the known risks associated with prematurity.

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Current World Literature

2012

Current Opinion in Pediatrics

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Acute renal failure SNAPPE and mortality

Cited by 3 publications

References 23 publications

Risk Factors for Acute Kidney Injury in Critically Ill Neonates: A Systematic Review and Meta-Analysis

Risk Factors for Acute Kidney Injury in Critically Ill Neonates: A Systematic Review and Meta-Analysis

The effect of IVF pregnancies on mortality and morbidity in tertiary unit

Current World Literature

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