Acute kidney injury, fluid balance and risks of intraventricular hemorrhage in premature infants

被引:8
作者
Adcock, Brittnea [1 ]
Carpenter, Sean [2 ]
Bauer, John [2 ]
Giannone, Peter [2 ]
Schadler, Aric [2 ]
Chishti, Aftab [2 ]
Hanna, Mina [2 ]
机构
[1] East Tennessee State Univ, Johnson City, TN 37614 USA
[2] Univ Kentucky, Lexington, KY USA
关键词
OUTCOMES;
D O I
10.1038/s41372-020-0613-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective Evaluate association between fluid balance and intraventricular hemorrhage (IVH). Study design Retrospective review of infants Results Infants with acute kidney injury (AKI) had a 2.4-fold increased risk of IVH (OR 2.38, 95% CI 1.46-3.87) and a 3.5-fold increased risk of severe IVH (OR 3.45, 95% CI 1.98-6.04). Infants above birthweight on day 4 had a 1.9-fold increased risk of IVH (OR 1.86, 95% CI 1.05-3.27) and a 2.0-fold increased risk of severe IVH (OR 1.96, 95% CI 1.03-3.74). When controlling for confounding factors, infants with AKI or above birthweight on day 4 had a 4.6-fold (aOR 4.60, 95% CI 1.80-11.78) and 3.0-fold (aOR 2.96, 95% CI 1.01-8.65) increased risk of severe IVH, respectively. Conclusion Infants with AKI during the first week of life had a higher association of severe IVH even after controlling for confounding factors.
引用
收藏
页码:1296 / 1300
页数:5
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