Preterm birth and neonatal acute kidney injury: implications on adolescent and adult outcomes

Matthew W. Harer, Jennifer R. Charlton, Trent E. Tipple, Kimberly J. Reidy

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

As a result of preterm birth, immature kidneys are exposed to interventions in the NICU that promote survival, but are nephrotoxic. Furthermore, the duration of renal development may be truncated in these vulnerable neonates. Immaturity and nephrotoxic exposures predispose preterm newborns to acute kidney injury (AKI), particularly in the low birth weight and extremely preterm gestational age groups. Several studies have associated preterm birth as a risk factor for future chronic kidney disease (CKD). However, only a few publications have investigated the impact of neonatal AKI on CKD development. Here, we will review the evidence linking preterm birth and AKI in the NICU to CKD and highlight the knowledge gaps and opportunities for future research. For neonatal intensive care studies, we propose the inclusion of AKI as an important short-term morbidity outcome and CKD findings such as a reduced glomerular filtration rate in the assessment of long-term outcomes.

Original languageEnglish (US)
Pages (from-to)1286-1295
Number of pages10
JournalJournal of Perinatology
Volume40
Issue number9
DOIs
StatePublished - Sep 1 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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