Frequency and outcomes of acute kidney injury in pediatric intensive care unit.

Abstract

Objective: The objective of this study is to ascertain the prevalence of acute kidney damage (AKI) in pediatric patients who are hospitalized to the critical care unit at Fatima Memorial Hospital in Lahore. Study Design: Cross-sectional Descriptive study. Setting: Pediatric Intensive Care Unit, Fatima Memorial Hospital, Lahore. Period: Jan 10, 2023 to July 10, 2023. Methods: 100 PICU children had urine output and serum creatinine measured. Patients received the proper pRIFLE categorization (Table II). Duration and mortality in the PICU were recorded. Results: For this research, we included 100 children from the Pediatric Intensive Care Unit (PICU) with an average age of 8.17 ± 3.81 years. There were an equal number of men and females, with each gender comprising 50% of the total population. The male-to-female ratio was 1:1. Upon admission, the average creatinine level was 1.04 ± 0.39 mg/dl, however it considerably rose to 1.44 ± 0.81 mg/dl throughout the patient's stay (p<0.05). The RIFLE criteria revealed that 50% of the children were at risk, 14% had injury, 8% had failure, 16% suffered loss, and 12% reached the end-stage. AKI was seen in 36% of the children. Conclusion: The risk of AKI is high in children admitted to PICU.