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Published on: July 17, 2016
Acute kidney injury in children and its potential consequences in adulthood
1Center for Acute Care Nephrology, Division of Nephrology and Hypertension, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45206, USA. stuart.goldstein@cchmc.org
Insights
Pediatric acute kidney injury (AKI) is increasing, with changing causes. This review examines AKI
Area of Science:
- Pediatric Nephrology
- Renal Medicine
- Public Health
Background:
- Rising incidence of pediatric acute kidney injury (AKI) and chronic kidney disease (CKD).
- Evolving etiologies of kidney disease in children.
- Limited understanding of the AKI to CKD transition in pediatric populations.
Purpose of the Study:
- Review the changing epidemiology of pediatric AKI.
- Investigate the potential impact of AKI on the development of CKD in children.
Main Methods:
- Review of recent data and literature on pediatric AKI.
- Analysis of validated multidimensional AKI classification systems for children.
- Examination of chronic kidney sequelae in at-risk pediatric populations.
Main Results:
- Emerging evidence suggests a growing trend in pediatric AKI and CKD.
- New classification systems aid in understanding AKI.
- Studies are investigating long-term outcomes in children with AKI or at risk.
Conclusions:
- Early intervention is crucial for improving outcomes in pediatric kidney disease.
- Further research is needed to understand and prevent AKI progression to CKD in children.
Abstract:
While emerging evidence indicates that the incidence of both acute kidney injury (AKI) and chronic kidney disease (CKD) in children is rising, and the etiologies are dramatically changing, relatively little is currently known regarding the potential for transition from AKI to CKD. In both situations, early intervention can significantly improve the dismal prognosis. Fortunately, recent data have validated a multidimensional AKI classification system for children, and led to the investigation of the chronic kidney sequelae in many pediatric populations with AKI, or at risk for AKI (children with hemolytic uremic syndrome, neonates or those exposed to repeated nephrotoxic medications). The purpose of this article is to review the changing epidemiology of pediatric AKI and its potential effect on the development of CKD in children.
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