Volume : VII, Issue : II, February - 2018
INCIDENCE OF ACUTE KIDNEY INJURY IN BIRTH ASPHYXIA AND ITS CORRELATION WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY (HIE) STAGING
Saurabh Singh
Abstract :
Background: Acute Kidney Injury (AKI) is a recognized complication of birth asphyxia and may result in renal damage. Early recognition of AKI is important.
Objective and Design: In this case control study, we determined the incidence of AKI in birth asphyxia and correlated the severity of acute kidney injury with HIE staging. Duration from Feuary 2013 to August 2014.
Setting: Tertiary care neonatal unit in eastern India.
Material and Methods: 100 term (37–42wks) neonates with Apgar score of 7/<7 at 1 minutes were selected as cases and 50 normal term (37–42 wks) neonates were as controls. All asphyxiated neonates ( WHO definition) were staged by Sarnat and Sarnat staging. Between 72 hrs to 96 hrs of life blood was collected for relevant investigations.
Results: Incidence of AKI was more in cases (75.0% vs 4.0%) . Among 75 cases of AKI 64 had pre–renal and 11 had intrinsic AKI and based on urine output 24 had oliguric and 51 had non–oliguric AKI, among 50 controls 2 neonates had pre–renal and non–oliguric type of AKI. Among 75 cases 64 improved after fluid therapy and 11 did not . 9 neonates died, among them 7 had associated morbidities and refused Peritoneal Dialysis(PD), 2 underwent PD and died and 2 went LAMA(Leave Against Medical Advice).Among 9 neonates who died 4 had oliguric and 5 had non oliguric AKI.
Conclusion: AKI in birth asphyxia is predominantly pre–renal and non oliguric type and correlates well with HIE staging.
Keywords :
Article:
Download PDF
DOI : 10.36106/ijsr
Cite This Article:
Saurabh Singh, INCIDENCE OF ACUTE KIDNEY INJURY IN BIRTH ASPHYXIA AND ITS CORRELATION WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY (HIE) STAGING, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH :
Volume-7 | Issue-2 | February-2018
Number of Downloads : 332
References :
Saurabh Singh, INCIDENCE OF ACUTE KIDNEY INJURY IN BIRTH ASPHYXIA AND ITS CORRELATION WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY (HIE) STAGING, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-2 | February-2018
Our Other Journals...
-
Indian Journal of
Applied Research Visit Website -
PARIPEX Indian Journal
of Research Visit Website -
Global Journal for
Research Analysis Visit Website