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Echocardiographic predictors of acute kidney injury in neonates with a patent ductus arteriosus

Journal of Perinatology volume 40, pages 510–514 (2020)Cite this article

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Abstract

Objective

To investigate acute kidney injury (AKI) in neonates with a patent ductus arteriosus (PDA) including incidence, risk factors, and possible correlations between PDA-related echocardiographic measurements and AKI incidence.

Study design

We conducted a single-center retrospective cohort study of infants admitted to the neonatal intensive care unit with a diagnosis of a PDA between July 2015 and July 2017. Infants were evaluated for development of AKI based on the KDIGO criteria and a multivariable logistic regression analysis was performed.

Results

A total of 142 neonates with moderate or large PDAs were included, 43 (30%) developed AKI. Patients who developed AKI had longer length of stay, lower birth weights, lengths, and gestational ages. No echocardiographic measurements were predictive of an increased risk for developing AKI.

Conclusion

There are no significant differences in commonly measured echocardiographic markers of PDA hemodynamic significance in neonates who develop AKI.

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Acknowledgements

The authors would like to thank Andres Contreras-Vega for his assistance in data collection on this project.

Funding

This research received no specific grant from any funding agency, commercial or not-for-profit sectors. SMC was supported by NIH/NHLBI HL133447.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC, 29425, USA

    Zachary Coffman, David Steflik, Shahryar M. Chowdhury & Jason Buckley

  2. Department of Pediatrics, Division of Pediatric Nephrology, Medical University of South Carolina, Charleston, SC, 29425, USA

    Katherine Twombley

Authors
  1. Zachary Coffman
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  2. David Steflik
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  3. Shahryar M. Chowdhury
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  4. Katherine Twombley
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  5. Jason Buckley
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Correspondence to Zachary Coffman.

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Coffman, Z., Steflik, D., Chowdhury, S.M. et al. Echocardiographic predictors of acute kidney injury in neonates with a patent ductus arteriosus. J Perinatol 40, 510–514 (2020). https://doi.org/10.1038/s41372-019-0560-1

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