与急性损伤严重程度和持续时间相关的围产期危险因素在极度早产的婴儿中
Keia Sanderson1, Russell Griffin2, Nekayla Anderson2
1University of North Carolina Department of Medicine-Nephrology, Chapel Hill, NC, USA. keia_sanderson@med.unc.edu.
Pediatric research
|March 4, 2024
概括
妊娠期糖尿病,NSAID和万科米与早产婴儿早期严重急性损伤 (AKI) 有关. 败血症,血管压力剂和利尿剂与晚期AKI有关,影响其持续时间.
科学领域:
- 新生儿医学 新生儿医学
- 儿科脏病学 儿科脏病学
- 产周研究 产周研究
背景情况:
- 严重急性损伤 (AKI) 是一个重要的关注在28周怀孕之前出生的婴儿.
- 在这个脆弱人群中,严重的AKI和其持续时间的时间依赖的围产期风险因素尚未得到很好的定义.
研究的目的:
- 评估随时间变化的围产期风险因素,与妊娠28周之前出生的婴儿严重AKI的发生和持续时间相关.
- 为了确定可修改的风险因素发展严重的AKI和其长期的过程.
主要方法:
- 预预期红蛋白神经保护试验的二次分析.
- 使用新生儿改性病定义的严重AKI:改善全球结果标准 (第二或第三阶段).
- 调整后的考克斯比例危险和负二项式回归模型用于评估AKI发生前72小时内的风险因素和影响AKI持续时间的因素.
主要成果:
- 妊娠糖尿病,非类固醇抗炎药物 (NSAIDs) 和万科米辛与早期严重的AKI (≤7天) 有关.
- 晚期严重的AKI (>7天) 与早期严重的AKI,败血症,血管压力剂和利尿剂有关.
- 死性肠球炎和NSAID暴露与更长的严重AKI持续时间有关.
结论:
- 已经确定了几种严重的AKI发生和持续时间的主要时间依赖的围产期风险因素.
- 这些发现可以为风险分层和临床决策提供信息,以减轻早产婴儿严重的AKI.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91
Renal Failure: Dose Adjustments
88
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
88
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Nephrons
2.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.4K
Factors Affecting Renal Clearance: Drug's Physicochemical Properties and Plasma Levels
223
Renal clearance of a drug is influenced by various factors, including its physicochemical properties and plasma levels. These factors play a significant role in determining how efficiently the kidneys eliminate a drug.
One important factor is the drug's molecular size. The kidneys readily excrete smaller molecules below 300 Daltons (Da). On the other hand, molecules weighing between 300 and 500 Da are excreted through both urine and bile. Larger molecules above 500 Da tend to be excreted...
One important factor is the drug's molecular size. The kidneys readily excrete smaller molecules below 300 Daltons (Da). On the other hand, molecules weighing between 300 and 500 Da are excreted through both urine and bile. Larger molecules above 500 Da tend to be excreted...
223
Factors Affecting Protein-Drug Binding: Patient-Related Factors
59
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
59


