Retrospective analysis reveals risk factors for acute kidney injury in children with congenital heart disease, suggesting interventions could help reduce complications.
Key Points
This research investigates the incidence and risk factors for acute kidney injury following cardiac surgery in children with congenital heart disease.
Retrospective analysis of children in the pediatric cardiac intensive care unit at King Abdulaziz University Hospital
Utilized KDIGO definitions and stages of acute kidney injury
Included data from 2014 to 2021 involving 628 children who underwent cardiac surgery
186 out of 628 children (29.6%) developed acute kidney injury after surgery
Significant risk factors included age under one year, higher RACHS-1 scores, renal anomalies, and hypoalbuminemia
Intraoperative factors linked to AKI included longer cardiopulmonary bypass times and need for ECMO and respiratory support