Bibliographic Details
| Title: |
A reappraisal of risk factors for hypertension after pediatric acute kidney injury. |
| Authors: |
Patel, Mital1 mitpatel@wakehealth.edu, Hornik, Christoph2, Diamantidis, Clarissa3, Selewski, David T.4, Gbadegesin, Rasheed5 |
| Source: |
Pediatric Nephrology. May2024, Vol. 39 Issue 5, p1599-1605. 7p. |
| Subject Terms: |
*HYPERTENSION risk factors, *RISK assessment, *CONGENITAL heart disease, *RESEARCH funding, *MEDICAL prescriptions, *THERAPEUTICS, *RENAL replacement therapy, *SCIENTIFIC observation, *SEX distribution, *LOGISTIC regression analysis, *ACUTE kidney failure, *DISEASE prevalence, *AGE distribution, *ANTIHYPERTENSIVE agents, *MULTIVARIATE analysis, *HEMODIALYSIS, *EVALUATION of medical care, *TERTIARY care, *PEDIATRICS, *LONGITUDINAL method, *STATURE, *ODDS ratio, *CONFIDENCE intervals, *DATA analysis software, *HOSPITAL care of children |
| Abstract: |
Background: Acute kidney injury (AKI) is common in hospitalized children and increases the risk of chronic kidney disease (CKD) and hypertension, but little is known about the patient level risk factors for pediatric hypertension after AKI. The aims of this study are to evaluate the prevalence and risk factors for new onset hypertension in hospitalized children with AKI and to better understand the role of acute kidney disease (AKD) in the development of hypertension. Methods: This study was an observational cohort of all children ≤ 18 years old admitted to a single tertiary care children's hospital from 2015 to 2019 with a diagnosis of AKI. Hypertension was defined as blood pressure > 95th percentile for sex, age, height, diagnosis of hypertension on the problem list, or prescription of antihypertensive medication for > 90 days after AKI. Results: A total of 410 children were included in the cohort. Of these, 78 (19%) developed hypertension > 90 days after AKI. A multivariable logistic regression model identified AKD, need for kidney replacement therapy, congenital heart disease, and non-kidney solid organ transplantation as risk factors for hypertension after AKI. Conclusions: Incident hypertension after 3 months is common among hospitalized children with AKI, and AKD, need for dialysis, congenital heart disease, and non-kidney solid organ transplant are significant risk factors for hypertension after AKI. Monitoring for hypertension development in these high-risk children is critical to mitigate long-term adverse kidney and cardiovascular outcomes. [ABSTRACT FROM AUTHOR] |
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