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Neonatal nephrotoxic medication exposure and early acute kidney injury: results from the AWAKEN study
by
Sarkar, Subrata
, Ohls, Robin
, Goldstein, Stuart L
, Fuloria, Mamta
, Askenazi, David
, Mian, Ayesa
, Brophy, Patrick D
, Raina, Rupesh
, Rademacher, Erin
, Woroniecki, Robert
, Revenis, Mary
, Bonachea, Elizabeth
, Khokhar, Surender
, Nada, Arwa
, Chishti, Aftab S
, Smith, Alexandra
, Steflik, Heidi J
, DuPont, Tara
, D’Angio, Carl
, Ingraham, Susan
, Kumar, Deepak
, Soranno, Danielle E
, Cole, F. Sessions
, Hingorani, Sangeeta
, Colaizy, Tarah T
, Bhutada, Alok
, Staples, Amy
, Charlton, Jennifer R
, Gist, Katja M
, Briley, Meagan
, Synnes, Anne
, Davis, T. Keefe
, Mammen, Cherry
, Wintermark, Pia
, Rohatgi, Smriti
, Mhanna, Maroun J
, Ambalavanan, Namasivayam
, Fletcher, Jeffery
, Griffin, Russell
, Wazir, Sanjay
, Swanson, Jonathan R
, Starr, Michelle
, Kaskel, Frederick J
, Guillet, Ronnie
, Jetton, Jennifer
, Sethi, Sidharth K
, Wong, Craig S
, Mahan, John
, Abitbol, Carolyn L
, Reidy, Kimberly
, Gien, Jason
, Kent, Alison
, DeFreitas, Marissa
, Kupferman, Juan C
, Milner, Lawrence
, Duara, Shahnaz
, Selewski, David T
, Arikan, Ayse Akcan
, Ray, Patricio E
, Joseph, Catherine
, Sridhar, Shanthy
, Nathan, Amy T
, Rhee, Christopher J
, Hanna, Mina H
, Perazzo, Sofia
, Dow
in
Aminoglycosides
/ Drugs
/ Exposure
/ Human exposure
/ Intensive care
/ Kidneys
/ Neonatal care
/ Neonates
/ Newborn babies
/ Secondary analysis
/ Toxicity
2023
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Neonatal nephrotoxic medication exposure and early acute kidney injury: results from the AWAKEN study
by
Sarkar, Subrata
, Ohls, Robin
, Goldstein, Stuart L
, Fuloria, Mamta
, Askenazi, David
, Mian, Ayesa
, Brophy, Patrick D
, Raina, Rupesh
, Rademacher, Erin
, Woroniecki, Robert
, Revenis, Mary
, Bonachea, Elizabeth
, Khokhar, Surender
, Nada, Arwa
, Chishti, Aftab S
, Smith, Alexandra
, Steflik, Heidi J
, DuPont, Tara
, D’Angio, Carl
, Ingraham, Susan
, Kumar, Deepak
, Soranno, Danielle E
, Cole, F. Sessions
, Hingorani, Sangeeta
, Colaizy, Tarah T
, Bhutada, Alok
, Staples, Amy
, Charlton, Jennifer R
, Gist, Katja M
, Briley, Meagan
, Synnes, Anne
, Davis, T. Keefe
, Mammen, Cherry
, Wintermark, Pia
, Rohatgi, Smriti
, Mhanna, Maroun J
, Ambalavanan, Namasivayam
, Fletcher, Jeffery
, Griffin, Russell
, Wazir, Sanjay
, Swanson, Jonathan R
, Starr, Michelle
, Kaskel, Frederick J
, Guillet, Ronnie
, Jetton, Jennifer
, Sethi, Sidharth K
, Wong, Craig S
, Mahan, John
, Abitbol, Carolyn L
, Reidy, Kimberly
, Gien, Jason
, Kent, Alison
, DeFreitas, Marissa
, Kupferman, Juan C
, Milner, Lawrence
, Duara, Shahnaz
, Selewski, David T
, Arikan, Ayse Akcan
, Ray, Patricio E
, Joseph, Catherine
, Sridhar, Shanthy
, Nathan, Amy T
, Rhee, Christopher J
, Hanna, Mina H
, Perazzo, Sofia
, Dow
in
Aminoglycosides
/ Drugs
/ Exposure
/ Human exposure
/ Intensive care
/ Kidneys
/ Neonatal care
/ Neonates
/ Newborn babies
/ Secondary analysis
/ Toxicity
2023
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Neonatal nephrotoxic medication exposure and early acute kidney injury: results from the AWAKEN study
by
Sarkar, Subrata
, Ohls, Robin
, Goldstein, Stuart L
, Fuloria, Mamta
, Askenazi, David
, Mian, Ayesa
, Brophy, Patrick D
, Raina, Rupesh
, Rademacher, Erin
, Woroniecki, Robert
, Revenis, Mary
, Bonachea, Elizabeth
, Khokhar, Surender
, Nada, Arwa
, Chishti, Aftab S
, Smith, Alexandra
, Steflik, Heidi J
, DuPont, Tara
, D’Angio, Carl
, Ingraham, Susan
, Kumar, Deepak
, Soranno, Danielle E
, Cole, F. Sessions
, Hingorani, Sangeeta
, Colaizy, Tarah T
, Bhutada, Alok
, Staples, Amy
, Charlton, Jennifer R
, Gist, Katja M
, Briley, Meagan
, Synnes, Anne
, Davis, T. Keefe
, Mammen, Cherry
, Wintermark, Pia
, Rohatgi, Smriti
, Mhanna, Maroun J
, Ambalavanan, Namasivayam
, Fletcher, Jeffery
, Griffin, Russell
, Wazir, Sanjay
, Swanson, Jonathan R
, Starr, Michelle
, Kaskel, Frederick J
, Guillet, Ronnie
, Jetton, Jennifer
, Sethi, Sidharth K
, Wong, Craig S
, Mahan, John
, Abitbol, Carolyn L
, Reidy, Kimberly
, Gien, Jason
, Kent, Alison
, DeFreitas, Marissa
, Kupferman, Juan C
, Milner, Lawrence
, Duara, Shahnaz
, Selewski, David T
, Arikan, Ayse Akcan
, Ray, Patricio E
, Joseph, Catherine
, Sridhar, Shanthy
, Nathan, Amy T
, Rhee, Christopher J
, Hanna, Mina H
, Perazzo, Sofia
, Dow
in
Aminoglycosides
/ Drugs
/ Exposure
/ Human exposure
/ Intensive care
/ Kidneys
/ Neonatal care
/ Neonates
/ Newborn babies
/ Secondary analysis
/ Toxicity
2023
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Neonatal nephrotoxic medication exposure and early acute kidney injury: results from the AWAKEN study
Journal Article
Neonatal nephrotoxic medication exposure and early acute kidney injury: results from the AWAKEN study
2023
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Overview
BackgroundWe aimed to describe nephrotoxic medication exposure and investigate associations between exposure and acute kidney injury (AKI) in the neonatal intensive care unit during the first postnatal week.Design/methodsSecondary analysis of the AWAKEN cohort. We evaluated nephrotoxic medication exposure during the first postnatal week and associations with AKI using time-varying Cox proportional hazard regressions models. Nephrotoxic medication exposure categories were defined as: no nephrotoxic medication, nephrotoxic medications excluding aminoglycosides, aminoglycoside alone, and aminoglycoside and another nephrotoxic medication.ResultsOf 2162 neonates, 1616 (74.7%) received ≥1 nephrotoxic medication. Aminoglycoside receipt was most common (72%). AKI developed in 211(9.8%) neonates and was associated with a nephrotoxic medication exposure (p < 0.01). Nephrotoxic medication exposures including a nephrotoxic medication excluding aminoglycoside (aHR 3.14, 95% CI 1.31–7.55) and aminoglycoside and another nephrotoxic medication (aHR 4.79, 95% CI 2.19–10.50) were independently associated with AKI and severe AKI (stage 2/3), respectively.ConclusionsNephrotoxic medication exposure in critically ill infants is common during the first postnatal week. Specific nephrotoxic medication exposure, principally aminoglycosides with another nephrotoxic medication, are independently associated with early AKI.
Publisher
Nature Publishing Group
Subject
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