Associated factors for acute kidney injury in preterm infants

• Published in: Revista Brasileira de Enfermagem Vol. 72; no. suppl 3; pp. 118 - 124
• Main Authors: Felipin, Larissa Carolina Segantini, Oliveira, Rosana Rosseto de, Merino, Maria de Fátima Garcia Lopes, Rodrigues, Bruna Caroline, Higarashi, Ieda Harumi
• Format: Journal Article
• Language: English
• Published: Brazil Associação Brasileira de Enfermagem 01-12-2019
• Subjects: Acute Kidney Injury; Age; Antibiotics; Birth weight; Catheters; Child Health Services; Data analysis; Ethics; Hospitalization; Hospitals; Infant; Intensive care; Intensive Care Units; Kidneys; Mortality; Neonatal; Newborn; Newborn babies; Nursing; Premature; Premature babies; Premature birth; Variables; Ventilators
• ISSN: 0034-7167; 1984-0446
• DOI: 10.1590/0034-7167-2018-0231

to analyze the prevalence and factors associated with acute kidney injury in preterm newborns.
a cross-sectional study based on records data of preterm newborns hospitalized in two neonatal units in northwest Paraná State in 2015. For data analysis, the logistic regression model was used by the stepwise forward method and Fisher's Exact Test.
132 preterm newborns, with a prevalence of 7.5% of acute kidney injury, were hospitalized. Majority of males, extremely preterm and very low birth weight. Associated factors were the use of non-nephrotoxic antibiotics and the presence of mechanical pulmonary ventilation, increasing the chance of developing acute kidney damage by 2.98 and 1.33/day, respectively. Hospitalization days constituted a protection factor.
this study was able to identify the prevalence, and outline the variables associated with acute kidney injury in preterm newborns in a particular care situation.