Documentation of acute kidney injury at discharge from the neonatal intensive care unit and role of nephrology consultation.

ABSTRACT:

Objective

To investigate whether NICU discharge summaries documented neonatal AKI and estimate if nephrology consultation mediated this association.

Study design

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

SUBMITTER: Chmielewski J 

PROVIDER: S-EPMC9280854 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature