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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.28.Ph.D.2019.Em.B
100 0 _aEmad Gamal Eldin Mohammed Nasr
245 1 0 _aBiomarkers of acute kidney injury in children with congenital heart disease after cardiopulmonary bypass /
_cEmad Gamaleldin Mohemmed Nasr ; Supervised Sonia Ali Elsaiedi , Manal Fuad Elshamaa , Ahmed Mohammed Badr
246 1 5 _aالدلالات الحيويه لاعتلال الكلى الحاد فى الاطفال المصابين بعيوب القلب الخلقية بعد ماكينة القلب الصناعى
260 _aCairo :
_bEmad Gamal Eldin Mohammed Nasr ,
_c2019
300 _a76 P. :
_bcharts ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Acute kidney injury (AKI) is a serious postoperative complication after cardiac surgery in children and is a major contributor to patient outcome. This study aims to identify the incidence of AKI in children undergoing cardiac surgery and the role of Interleukin 18 (IL-18) and Kidney Injury Molecule 1 (KIM-1) in diagnosis of AKI in comparison to creatinine. Material and methods: 44 children who underwent open heart surgery (on cardiopulmonary bypass) for congenital heart disease. Patients were assessed for AKI diagnosis according the KDIGO criteria, urinary IL-18 and KIM-1 were measured in addition to the UOP, GFR, length of stay and outcome and the effect of AKI on these parameters. Results: twenty three percent of the patient developed AKI, there were no statistical correlation between AKI and the factors (Age, gender, CPB and RACHS complexity score). Eight of our patients needed peritoneal dialysis (PD), seven of them developed AKI and the 8th patient didn{u2019}t develop due to the early initiation of PD. There was strong correlation between the development of AKI and the Length of stay in ICU. Both IL-18 and KIM-1 were higher in the patients who didn{u2019}t develop AKI than the patients who developed AKI. Conclusion: AKI is common among children undergoing open heart surgery. Creatinine is the gold standard biomarker in diagnosis of AKI. Early initiation of PD could prevent the development of AKI
530 _aIssued also as CD
653 4 _aAcute kidney injury
653 4 _aIL-18
653 4 _aKIM-1
700 0 _aAhmed Mohammed Badr ,
_eSupervisor
700 0 _aManal Fuad Elshamaa ,
_eSupervisor
700 0 _aSonia Ali Elsaiedi ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c74734
_d74734