Short term outcomes of children with acute kidney injury treated with hemodialysis in a tertiary pediatric hospital: A six-year review
- Author:
Socorro Marie V. Buensalido
;
Nathan C. Bumanglag
- Publication Type:Review
- Keywords:
Pediatric AKI;
Outcomes
- MeSH:
Hemodialysis;
Renal Dialysis;
Severe Sepsis;
Sepsis;
Severe Dengue
- From:
The Philippine Children’s Medical Center Journal
2024;20(2):16-28
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE:This paper aimed to describe the clinical profile and short-term clinical outcomes of children with Acute Kidney Injury (AKI) requiring hemodialysis in a tertiary pediatric hospital.
MATERIALS AND METHODS:A retrospective cohort on in-patients who received hemodialysis treatments at our institution was performed. Medical charts of patients admitted between July 2018 and July 2023 were retrieved. Demographic data, clinical profiles and subsequent outcomes in terms of mortality and recovery or non-recovery from AKI were recorded.
RESULTS:After meeting the inclusion and exclusion criteria, 129 patients were included in the study‘s statistical analysis. There was an even distribution between males and females. The average age of treated patients was 10 years old (SD ± 4.3). The average weight of patients was 35kg (SD ± 16.9). The most common diagnosis of patients was severe dengue (21.7%), followed by severe sepsis (14.7%). More than half of patients (51.9%) had an existing co-morbidity, of which Systemic Lupus Erythematosus (22.4%) and solid tumors (22.4%) were most common. The most common indication for hemodialysis was uremia (52.7%). In terms of short-term outcome, majority of patients died during the same admission (56.5%), while 31 patients (24.0%) recovered.
CONCLUSION:The clinical profile of patients who underwent hemodialysis treatments for AKI were comparable to international data. The study did not differentiate deaths from AKI or underlying illness, but demonstrated a higher mortality rate compared to other existing studies. This study is the first known local paper to describe the profile and outcomes of children who received hemodialysis for AKI.
- Full text:202412231529138789416-28.pdf
