Documentation of acute kidney injury at discharge from the neonatal intensive care unit and role of nephrology consultation.
J Perinatol
; 42(7): 930-936, 2022 07.
Article
em En
| MEDLINE
| ID: mdl-35676535
ABSTRACT
OBJECTIVE:
To investigate whether NICU discharge summaries documented neonatal AKI and estimate if nephrology consultation mediated this association. STUDYDESIGN:
Secondary analysis of AWAKEN multicenter retrospective cohort. EXPOSURES AKI severity and diagnostic criteria.OUTCOME:
AKI documentation on NICU discharge summaries using multivariable logistic regression to estimate associations and test for causal mediation.RESULTS:
Among 605 neonates with AKI, 13% had documented AKI. Those with documented AKI were more likely to have severe AKI (70.5% vs. 51%, p < 0.001) and SCr-only AKI (76.9% vs. 50.1%, p = 0.04). Nephrology consultation mediated 78.0% (95% CL 46.5-109.4%) of the total effect of AKI severity and 82.8% (95% CL 70.3-95.3%) of the total effect of AKI diagnostic criteria on documentation.CONCLUSION:
We report a low prevalence of AKI documentation at NICU discharge. AKI severity and SCr-only AKI increased odds of AKI documentation. Nephrology consultation mediated the associations of AKI severity and diagnostic criteria with documentation.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Injúria Renal Aguda
/
Nefrologia
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article