Acute Kidney Injury and Cardiorenal Syndromes in Pediatric Cardiac Intensive Care

作者：Cooper David S^*; Kwiatkowski David M; Goldstein Stuart L; Krawczeski Catherine D

来源：Pediatric Critical Care Medicine, 2016, 17(8): S250-S256.

DOI：10.1097/PCC.0000000000000820

• acute kidney injury
• cardiorenal syndrome
• congenital heart disease
• congenital heart surgery
• fluid overload

Objectives: The objectives of this review are to discuss the definition, diagnosis, and pathophysiology of acute kidney injury and its impact on immediate, short-, and long-term outcomes. In addition, the spectrum of cardiorenal syndromes will be reviewed including the pathophysiology on this interaction and its impact on outcomes.
Data Source: MEDLINE and PubMed.
Conclusion: The field of cardiac intensive care continues to advance in tandem with congenital heart surgery. As mortality has become a rare occurrence, the focus of cardiac intensive care has shifted to that of morbidity reduction. Acute kidney injury adversely impact outcomes of patients following surgery for congenital heart disease as well as in those with heart failure (cardiorenal syndrome). Patients who become fluid overloaded and/or require dialysis are at a higher risk of mortality, but even minor degrees of acute kidney injury portend a significant increase in mortality and morbidity. Clinicians continue to seek methods of early diagnosis and risk stratification of acute kidney injury to prevent its adverse sequelae.

• 出版日期2016-8