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Paediatric postoperative acute kidney injury after non-cardiac surgery: Protocol for a systematic review and
Arash Emami1, Ebba Sivertsson1, Johan Westerbergh2
1Anesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Insights
This systematic review examines pediatric acute kidney injury (AKI) after non-cardiac surgery. Understanding its incidence is crucial for improving outcomes in young patients undergoing these procedures.
Area of Science:
- Pediatric Nephrology
- Surgical Outcomes Research
- Critical Care Medicine
Background:
- Pediatric acute kidney injury (AKI) is linked to severe complications, including mortality and chronic kidney disease.
- Postoperative AKI is well-documented in adults and pediatric cardiac surgery patients.
- The incidence of AKI following pediatric non-cardiac surgery remains unclear.
Purpose of the Study:
- To systematically review and assess the incidence of AKI in pediatric patients after non-cardiac surgery.
- To synthesize current evidence on pediatric postoperative AKI in non-cardiac settings.
- To establish a foundation for future research in this understudied area.
Main Methods:
- Systematic review of observational studies and randomized controlled trials.
- Literature search across PubMed, Cochrane, and Web of Science databases.
- Data extraction and risk of bias assessment by independent reviewers, adhering to PRISMA and GRADE guidelines.
Main Results:
- The review will quantify the incidence of pediatric postoperative AKI after non-cardiac surgery.
- Analysis of risk of bias will assess the quality of included studies.
- Potential for meta-analysis if study homogeneity permits.
Conclusions:
- This review will elucidate the incidence of AKI in pediatric non-cardiac surgery.
- Findings will inform clinical practice and guide future research priorities.
- Improved understanding of pediatric postoperative AKI is expected to enhance patient care and outcomes.
Background:
Paediatric acute kidney injury (AKI) is associated with significant adverse outcomes such as increased mortality, progression to chronic kidney disease and longer length of stay in hospital. Postoperative AKI is a common and recognized complication after surgery in adults. In the paediatric population, AKI postoperatively to cardiac surgery has been extensively studied. However, the incidence of postoperative AKI after non-cardiac surgery is less clear. Therefore, we aim to assess the available literature on this topic.
Methods:
We will conduct a systematic review of observational and randomized controlled trials assessing the incidence of paediatric postoperative AKI after non-cardiac surgery. Pairs of reviewers will independently screen the literature and extract data and assess risk of bias from eligible studies. The databases Pubmed, Cochrane and Web of Sciences will be searched. We will conduct the review in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and the Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach. If sufficient homogeneity within the included trials we will conduct meta-analyses.
Discussion:
This systematic review aims to investigate the incidence of postoperative AKI in the paediatric non-cardiac surgery population. The results of this review will provide a foundation for future research in the field of paediatric postoperative AKI.
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