Journal article
Documentation of acute kidney injury at discharge from the neonatal intensive care unit and role of nephrology consultation
Journal of perinatology, Vol.42(7), pp.930-936
07/01/2022
DOI: 10.1038/s41372-022-01424-3
PMCID: PMC9280854
PMID: 35676535
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 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.
Details
- Title: Subtitle
- Documentation of acute kidney injury at discharge from the neonatal intensive care unit and role of nephrology consultation
- Creators
- Jennifer Chmielewski - Indiana UniversityPaulomi M. Chaudhry - Indiana UniversityMatthew W. Harer - University of Wisconsin–MadisonShina Menon - University of WashingtonAndrew M. South - Wake Forest UniversityAshley Chappell - University of AlabamaRussell Griffin - University of AlabamaDavid Askenazi - University of AlabamaJennifer Jetton - University of IowaMichelle C. Starr - Indiana UniversityNeonatal Kidney Collaborative
- Contributors
- Tarah T Colaizy (Contributor) - University of Iowa, NeonatologyJonathan M Klein (Contributor) - University of Iowa, Neonatology
- Resource Type
- Journal article
- Publication Details
- Journal of perinatology, Vol.42(7), pp.930-936
- DOI
- 10.1038/s41372-022-01424-3
- PMID
- 35676535
- PMCID
- PMC9280854
- NLM abbreviation
- J Perinatol
- ISSN
- 0743-8346
- eISSN
- 1476-5543
- Publisher
- Springer Nature
- Number of pages
- 7
- Grant note
- UL1TR001417 / UAB Center for Clinical and Translational Sciences (National Institutes of Health); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA U54TR001356 / University of Iowa Institute for Clinical and Translational Science UAB Department of Pediatrics Canberra Hospital Private Practice Fund Children's of Alabama hospital UAB School of Medicine UL1TR001449 / Clinical and Translational Science Center at The University of New Mexico (National Institutes of Health); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 100 Women Who Care Grant from the 100 Women Charitable Foundation Cincinnati Children's Hospital Center for Acute Care Nephrology
- Language
- English
- Date published
- 07/01/2022
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984353832702771
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