Outcomes of Pediatric Acute Kidney Injury
The incidence of acute kidney injury (AKI) especially among critically ill infants and children is on the rise. Improved acute care has contributed to the increased prevalence of pediatric AKI survivors who are at risk for long-term adverse patient and renal outcomes. Recent studies both in adult and pediatric AKI survivors from either community or hospital settings have demonstrated that mortality risk persists even after hospital discharge. In addition, proteinuria, hypertension, incident or progressive chronic kidney disease, and end-stage kidney disease have been shown to occur among survivors of AKI. Despite the compelling evidence, there is no universal system in place addressing post-discharge care and long-term follow-up for risk stratification and management of adverse outcomes.
KeywordsChildren Acute kidney injury Long-term outcomes Proteinuria Hypertension Chronic kidney disease