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.
Abstract

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