Daño renal agudo grave en niños críticosEpidemiología y factores pronósticos

  1. Paula Touza Pol
  2. Corsino Rey Galán
  3. Alberto Medina Villanueva
  4. P. Martínez Camblor
  5. Jesús López Herce Cid
Journal:
Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

ISSN: 1695-4033 1696-4608

Year of publication: 2015

Volume: 83

Issue: 6

Pages: 367-375

Type: Article

More publications in: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

Metrics

Cited by

  • Dialnet Métricas Cited by: 1 (25-02-2024)

JCR (Journal Impact Factor)

  • Year 2015
  • Journal Impact Factor: 0.773
  • Journal Impact Factor without self cites: 0.53
  • Article influence score: 0.132
  • Best Quartile: Q4
  • Area: PEDIATRICS Quartile: Q4 Rank in area: 106/120 (Ranking edition: SCIE)

SCImago Journal Rank

  • Year 2015
  • SJR Journal Impact: 0.224
  • Best Quartile: Q3
  • Area: Pediatrics, Perinatology and Child Health Quartile: Q3 Rank in area: 188/309

Scopus CiteScore

  • Year 2015
  • CiteScore of the Journal : 1.0
  • Area: Pediatrics, Perinatology and Child Health Percentile: 38
  • Area: Medicine (all) Percentile: 28

Abstract

Introduction Acute kidney injury (AKI) is a severe complication in critically ill children. The aim of the study was to describe the characteristics of AKI, as well as to analyse the prognostic factors for mortality and renal replacement therapy (RRT) in children admitted to Paediatric Intensive Care Units (PICUs) in Spain. Patients and methods Prospective observational multicentre study including children from 7 days to 16 years old who were admitted to a PICU. A univariate and multivariate logistic regression analysis of the risk factors for mortality and renal replacement therapy at PICU discharge were performed. Results A total of 139 cases of AKI were analysed. RRT was necessary in 60.1% of cases. Mortality rate was 32.6%. At PICU discharge RRT was necessary in 15% of survivors. Thrombopenia and low creatinine clearance values were prognostic markers of RRT at PICU discharge. High values of platelets, serum creatinine and weight were associated with higher survival. Conclusions Critically ill children with AKI had a high mortality and morbidity rate. Platelet values and creatinine clearance are markers of RRT at PICU discharge, whereas number of platelets, serum creatinine and weight were associated with mortality.