Challenges in estimating the severity of kidney dysfunction in critically ill children

Acute kidney injury (AKI) is a common problem in critical care settings and conferred an increased risk of morbidities and mortality. The pendulum has shifted to the increasing number of children with comorbidities exposed to potential kidney damage. AKI is a complex clinical syndrome due to heterog...

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Bibliografiske detaljer
Main Authors: Ramachandran Rameshkumar, Muthu Chidambaram, Rohit Bhowmick
Format: Article
Sprog:English
Udgivet: Wolters Kluwer Medknow Publications 2024-07-01
Serier:Journal of Pediatric Critical Care
Fag:
Online adgang:https://journals.lww.com/10.4103/jpcc.jpcc_44_24
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author Ramachandran Rameshkumar
Muthu Chidambaram
Rohit Bhowmick
author_facet Ramachandran Rameshkumar
Muthu Chidambaram
Rohit Bhowmick
author_sort Ramachandran Rameshkumar
collection DOAJ
description Acute kidney injury (AKI) is a common problem in critical care settings and conferred an increased risk of morbidities and mortality. The pendulum has shifted to the increasing number of children with comorbidities exposed to potential kidney damage. AKI is a complex clinical syndrome due to heterogeneous etiology. There has been an evolution in the definition and staging of AKI over the past two decades. However, estimating glomerular filtration rate in rapidly changing kidney function remains challenging. Although biomarkers are promising in AKI identification, timing is crucial in deciding which biomarker to measure. The outcome of AKI is not always recovery, but it is an interconnected syndrome with acute and chronic kidney disease.
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spelling doaj.art-19e1f4d29abf42c394eeb51a4ef84ab32024-08-04T09:55:39ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992024-07-0111415416110.4103/jpcc.jpcc_44_24Challenges in estimating the severity of kidney dysfunction in critically ill childrenRamachandran RameshkumarMuthu ChidambaramRohit BhowmickAcute kidney injury (AKI) is a common problem in critical care settings and conferred an increased risk of morbidities and mortality. The pendulum has shifted to the increasing number of children with comorbidities exposed to potential kidney damage. AKI is a complex clinical syndrome due to heterogeneous etiology. There has been an evolution in the definition and staging of AKI over the past two decades. However, estimating glomerular filtration rate in rapidly changing kidney function remains challenging. Although biomarkers are promising in AKI identification, timing is crucial in deciding which biomarker to measure. The outcome of AKI is not always recovery, but it is an interconnected syndrome with acute and chronic kidney disease.https://journals.lww.com/10.4103/jpcc.jpcc_44_24acute kidney injurybiomarkerschildrendefinitionspediatric intensive care unit
spellingShingle Ramachandran Rameshkumar
Muthu Chidambaram
Rohit Bhowmick
Challenges in estimating the severity of kidney dysfunction in critically ill children
Journal of Pediatric Critical Care
acute kidney injury
biomarkers
children
definitions
pediatric intensive care unit
title Challenges in estimating the severity of kidney dysfunction in critically ill children
title_full Challenges in estimating the severity of kidney dysfunction in critically ill children
title_fullStr Challenges in estimating the severity of kidney dysfunction in critically ill children
title_full_unstemmed Challenges in estimating the severity of kidney dysfunction in critically ill children
title_short Challenges in estimating the severity of kidney dysfunction in critically ill children
title_sort challenges in estimating the severity of kidney dysfunction in critically ill children
topic acute kidney injury
biomarkers
children
definitions
pediatric intensive care unit
url https://journals.lww.com/10.4103/jpcc.jpcc_44_24
work_keys_str_mv AT ramachandranrameshkumar challengesinestimatingtheseverityofkidneydysfunctionincriticallyillchildren
AT muthuchidambaram challengesinestimatingtheseverityofkidneydysfunctionincriticallyillchildren
AT rohitbhowmick challengesinestimatingtheseverityofkidneydysfunctionincriticallyillchildren