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Kidney Week

Abstract: FR-PO032

Pediatric Kidney Stone-Associated AKI

Session Information

Category: Acute Kidney Injury

  • 101 AKI: Epidemiology, Risk Factors, and Prevention

Authors

  • Kusumi, Kirsten, Akron Children''s Hospital, Akron, Ohio, United States
  • Schwaderer, Andrew L., Indiana University, Zionsville, Indiana, United States
  • Raina, Rupesh, Cleveland Clinic at Akron General Medical Center, Akron, Ohio, United States
Background

Rates of stone AKI in children may be as high as 30%. Retrospective review examined children for AKI at emergency department (ED) visits for renal colic.

Methods

Retrospective: 1-26 years Akron Childrens Hospital 1/08-1/17. ICD code and radiographic evidence of stones or documentation by nephrologist. ED visits with + imaging for stones or physician documentation. Anthropometric, lab and management data were collected. AKI defined by Kidney Disease: Improving Global Outcomes, Acute Kidney Injury Network and Pediatric Risk Injury Failure End Stage criteria.

Results

399 patients with 589 visits. 39% unique patients had data to assess AKI, with 33% AKI+. 36% visits had data to assess AKI with 27.7% +AKI. Data was not sufficent to assess for AKI in 65.6% of patients and 63.8% visits. Among AKI patients, 15% had documentation of AKI; 22% with Cr in lab documentation, but no mention of abnormal cr assessment/plan. 55.9% of AKI+ visits, patients were treated with NSAID in the ED; 47% of AKI visits were discharged home with NSAIDs.

Conclusion

Pediatric AKI due to stones is under recognized. 27.7% of ED stone visits AKI+. Only 64% of visits had data to asses for AKI. Only 15% of AKI+ had documentation by physician of AKI, and 55% of AKI patients received NSAIDs. Concerning given known association of stones with chronic kidney disease.