Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit
Abdulsamea, S., Attia, A. (2023). Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit. EKB Journal Management System, 90(1), 815-820. doi: 10.21608/ejhm.2023.279943
Sameh Elsayed Zaki Abdulsamea; Ahmed Attia. "Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit". EKB Journal Management System, 90, 1, 2023, 815-820. doi: 10.21608/ejhm.2023.279943
Abdulsamea, S., Attia, A. (2023). 'Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit', EKB Journal Management System, 90(1), pp. 815-820. doi: 10.21608/ejhm.2023.279943
Abdulsamea, S., Attia, A. Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit. EKB Journal Management System, 2023; 90(1): 815-820. doi: 10.21608/ejhm.2023.279943

Study of Morbidity and Mortality of The Cardio-Renal Syndrome in The Pediatric Intensive Care Unit

The Egyptian Journal of Hospital Medicine
Article 118, Volume 90, Issue 1, January 2023, Page 815-820  XML PDF (665.49 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.279943
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Authors
Sameh Elsayed Zaki Abdulsamea email orcid ; Ahmed Attia
Lecturer of paediatric Benha Faculty of Medicine Benha University
Abstract
Background: Cardio-renal syndrome (CRS) is a term that describes the acute or choric comorbid state of the heart and kidney. Cardio renal axis is of significant importance in pediatric patients in acute conditions as identification and optimum management of this condition improves the survival in the PICU.
Objectives: This study aimed to describe the pattern of CRS in our unit and to compare it with other PICU centers and to highlight the impact of this condition on PICU-admitted children.
Patient and methods: This study was carried out in Benha University Hospital, Egypt on 321 critically ill patients aged from 1 month to 18 years.
Results: In this study, we described 321 children patients admitted to the PICU, out of which 79 (24.9%) acquired cardio-renal syndrome. The primary diagnosis leading to admission to PICU was attributed to CVS causes like heart failure and arrhythmia in 51 patients (15.9%), CNS in 109 cases (34%) with the predominance of CNS infection being the commonest. There was no significant correlation between the severity of kidney injury and the stage of the heart failure in all types of CRS expect in type III. PICU stay significantly longer with CRS III (mean 10.4 ± 5.1 days) compared to other types. The mortality was the highest in type 5 (72.8% compared to other types).
Conclusion: CRS is an important PICU phenomenon that needs to be early recognized and managed to improve the survival of PICU patients and to reduce the mortality.    
 
Keywords
Cardio-renal syndrome; AKI; CKD; PICU; Heart failure
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