Urine Quantification Following Furosemide for Severe Acute Kidney Injury Prediction in Critically Ill Children.

acute kidney injury critically ill furosemide pediatrics urine flow rate

Journal

Journal of pediatric intensive care
ISSN: 2146-4618
Titre abrégé: J Pediatr Intensive Care
Pays: Germany
ID NLM: 101592756

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 14 04 2021
accepted: 12 06 2021
medline: 29 7 2021
pubmed: 29 7 2021
entrez: 16 11 2023
Statut: epublish

Résumé

A standardized, quantified assessment of furosemide responsiveness predicts acute kidney injury (AKI) in children after cardiac surgery and AKI progression in critically ill adults. The purpose of this study was to determine if response to furosemide is predictive of severe AKI in critically ill children outside of cardiac surgery. We performed a multicenter retrospective study of critically ill children. Quantification of furosemide response was based on urine flow rate (normalized for weight) measurement 0 to 6 hours after the dose. The primary outcome was presence of creatinine defined severe AKI (Kidney Disease Improving Global Outcomes stage 2 or greater) within 7 days of furosemide administration. Secondary outcomes included mortality, duration of mechanical ventilation and length of stay. A total of 110 patients were analyzed. Severe AKI occurred in 20% (

Identifiants

pubmed: 37970140
doi: 10.1055/s-0041-1732447
pii: 2100049
pmc: PMC10631834
doi:

Types de publication

Journal Article

Langues

eng

Pagination

289-295

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest None declared.

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Auteurs

Katja M Gist (KM)

Department of Pediatrics, Division of Pediatric Cardiology, University of Colorado, Children's Hospital Colorado, Aurora, Colorado, United States.

Jamie Penk (J)

Department of Pediatrics, Division of Pediatric Critical Care, Northwestern University, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois, United States.

Eric L Wald (EL)

Department of Pediatrics, Division of Pediatric Critical Care, Northwestern University, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois, United States.

Laura Kitzmiller (L)

Pediatric Critical Care, Department of Pediatrics, Essentia Health St Mary's Medical Center, Duluth, Minnesota, United States.

Tennille N Webb (TN)

Division of Pediatric Nephrology, Department of Pediatrics, University of Alabama at Birmingham, Children's of Alabama, Birmingham, Alabama, United States.

Kelli Krallman (K)

Section of Pediatric Critical Care Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio, United States.

John Brinton (J)

Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.

Danielle E Soranno (DE)

Department of Pediatrics, Division of Pediatric Nephrology, University of Colorado, Children's Hospital Colorado, Aurora, Colorado, United States.

Stuart L Goldstein (SL)

Department of Pediatrics, University of Cincinnati, Center for Acute Care Nephrology, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio, United States.

Rajit K Basu (RK)

Department of Pediatrics, Division of Critical Care Medicine, Emory University, Children's Healthcare of Atlanta, Atlanta, Georgia, United States.

Classifications MeSH