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Evidence · Systematic review or meta-analysis

In-Hospital Outcomes of Acute Kidney Injury After Pediatric Cardiac Surgery: A Meta-Analysis.

Systematic review or meta-analysisFrontiers in Pediatrics2021Full text
  • Acute kidney injury
  • Arrhythmias
  • Cardiovascular
  • Congenital heart disease
  • Mechanical ventilation
  • Medical
  • Nursing
  • Renal and metabolic
  • Renal replacement therapy

Summary

Meta-analysis of 58 studies (over 18,000 children) comparing in-hospital outcomes in paediatric patients with and without cardiac surgery-associated acute kidney injury. AKI was associated with higher in-hospital mortality, greater need for renal replacement therapy and more arrhythmias, plus longer ventilation, PICU and hospital stays. Relevant to PICU teams caring for postoperative cardiac children, highlighting AKI as a marker of burden and the need for aetiology-specific approaches.

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