Renal function estimation in critically ill newborns in Erbil.

Abstract

Background and objectives: Acute kidney injury is a common in critically ill neonates all over the world, characterized by an acute decline in renal function, the result of which ranges from minimal alteration in serum creatinine to an a uric renal failure our objective is to estimate renal function and aetiologies of renal function deteriorated in critically ill neonates.

Methods: This study was done in Rapareen teaching hospital in the neonatal care unit from the period of first January 2015 until first of January 2016. Two hundred cases collected including term and preterm babies, term baby defined as any labour 37 weeks, preterm labour defined as any labour between 28 weeks and 37 weeks.

Results: The total number of the studied sample was 200 neonates. The mean age ± SD of the sample was 8.6 ± 9.9 days, ranging from one to 30 days. The median was 3 days. Two thirds 64.5% of the sample were less than seven days old. More than half 58.5% of the sample was males, and 57.5% of the neonates born by Cesarean section. Acute kidney injury was associated with significantly longer intensive care unit and hospital stay, making it a major burden on the healthcare system.

Conclusions: Acute kidney injury in critically ill pediatric was more common in female neonate than males’ neonate; high blood urea was more common in female than in male. Lower age and cardiac disease were independent risk factors for acute kidney injury.