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Neonatal Acute Kidney Injury: A Survey of Perceptions and Management Strategies Amongst Pediatricians and

Sidharth Kumar Sethi1, Gopal Agrawal2, Sanjay Wazir2

  • 1Department of Pediatric Nephrology, Medanta the Medicity, Gurgaon, India.

Frontiers in Pediatrics
|February 4, 2020
PubMed

Insights

Physicians in India show knowledge gaps in recognizing and managing neonatal Acute Kidney Injury (AKI), impacting care for critically ill newborns. Improved awareness of diagnostic criteria and follow-up is crucial for better infant outcomes.

Area of Science:

  • Neonatology
  • Pediatric Nephrology
  • Critical Care Medicine

Background:

  • Neonatal Acute Kidney Injury (AKI) affects 40-70% of critically ill newborns, significantly increasing morbidity and mortality.
  • Understanding physician practices in India is vital for optimizing neonatal AKI care and outcomes.

Purpose of the Study:

  • To identify differences in the perception and practice variations among Indian neonatologists and pediatricians regarding the diagnosis, management, and follow-up of neonatal AKI.

Main Methods:

  • An online survey was conducted among neonatologists and pediatricians in India who care for newborn infants with AKI.
  • The survey assessed awareness of diagnostic criteria, risk factors, management strategies, and follow-up protocols for neonatal AKI.

Main Results:

  • A low response rate (32.1%) was observed, with 257 physicians completing the survey.
  • Most respondents underestimated AKI risks from factors like prematurity and sepsis.
  • Awareness of standard AKI criteria (AKIN/KDIGO) and the need for pediatric nephrology follow-up was limited.

Conclusions:

  • A significant knowledge gap exists among Indian physicians regarding the early recognition, optimal management, and follow-up of neonatal AKI.
  • These findings highlight the need for targeted educational interventions to improve care for newborns with AKI in India.

Keywords:
AKIacute kidney injurydialysisneonatalpretermsurvey

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