NEONATAL ACUTE KIDNEY INJURY: AWARENESS OF PHYSICIANS OF NEONATAL INTENSIVE CARE UNITS AND DOCTORS OF ANOTHER PEDIATRIC PROFILE
| Autor: | T.Yu. Abaseeva, O.M. Tarbeeva, Dentistry named after A.I. Evdokimov, Moscow, Russia, O.V. Zaitseva, Anastasya Makulova, L.S. Zolotareva, A.A. Korsunsky, G.P. Tukobaev |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Pediatria. Journal named after G.N. Speransky. 100:40-48 |
| ISSN: | 1990-2182 0031-403X |
| Popis: | Neonatal acute kidney injury (AKI) is common in newborns in critical condition in the intensive care units and significantly reduces the chances of recovery. The analysis of attitudes to this problem and the practical experience of pediatric doctors working with newborns regarding the risks of development and outcomes of AKI is an important step in improving the prognosis of the disease. Objective of the study: determination of awareness of the problem of neonatal AKI. Materials and methods of research: the study was carried out in the form of a sociological survey (questionnaire) of doctors (n=63) working in neonatal intensive care units (NICU) (n=34, 54%), and pediatricians not associated with work in the NICU (n=29, 46%). The questionnaire contained 34 questions. 51% of the respondents (n=32) were under 40 years old, 49% – over 40 years old (n=31). Results: there is a lack of awareness of specialists regarding definitions, diagnostics, treatment tactics, prognosis of the disease, as well as insufficient availability of treatment facilities for access to nephrological and dialysis care. 29% (95% CI 14–44%, n=10) NICU doctors and 21% (95% CI 6–36%, n=6) doctors from other departments were unaware of the existing AKI classifications in newborns (p=0,615). 62% (95% CI 46–78%, n=21) of NICU staff and 55% (95% CI 37–73%, n=16) by doctors of other specialties (p=0,785) reported that nephrology counseling was available. The availability of renal replacement therapy was reported by 27% (95% CI 12–42%, n=9) by NICU doctors and 35% (95% CI 18–52%, n=10) by doctors from other departments (p=0,678). Only 52 (83%) (95% CI 74–92%) doctors believe that the child should be examined by a nephrologist. Conclusion: it is necessary to raise awareness among doctors about neonatal AKI. |
| Databáze: | OpenAIRE |
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