Urinary output of very low birth weight infants during the first weeks of life.

Neonatology Pub Date : 2024-11-30 DOI:10.1159/000542755
Zülfü Cem Cosgun, Kathrin Burgmaier, Melanie Zeiher, Anna Weber, Ruth Klein, Aynur Aydin, Angela Kribs, Katrin Mehler, Sandra Habbig
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Abstract

Introduction: Daily urinary output (UOP) serves as important tool to identify acute kidney injury (AKI) in preterm infants. However, reference values for UOP, especially stratified for gestational age, are missing.

Methods: This retrospective single-center study assessed UOP during the first 28 days of life in 128 very low birth weight (VLBW) infants.

Results: VLBW infants exhibit a highly dynamic daily UOP profile in the first 28 days of life with a maximum at day 12 with 4.78 ml/kg bodyweight/h. In the subcohort of 64 extremely low gestational age neonates (ELGAN), the highest UOP is measured during the second week of life. Infants born before 24 weeks of gestation have significantly higher UOP than more mature infants.

Conclusion: UOP is dynamic in the postnatal period and differs significantly between gestational age cohorts in the subgroup of ELGANs. These data might point to an adaption of the UOP threshold for neonatal AKI in preterm infants.

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出生体重极低的婴儿在生命最初几周的尿量。
每日尿量(UOP)是识别早产儿急性肾损伤(AKI)的重要工具。然而,UOP的参考值,特别是胎龄分层,是缺失的。方法:本回顾性单中心研究评估128名极低出生体重(VLBW)婴儿出生后28天的UOP。结果:VLBW婴儿在出生后的前28天表现出高度动态的每日UOP特征,在第12天达到最大值,为4.78 ml/kg体重/h。在64名极低胎龄新生儿(ELGAN)的亚队列中,最高的UOP是在生命的第二周测量的。妊娠24周前出生的婴儿UOP明显高于更成熟的婴儿。结论:在elgan亚组中,产后UOP是动态的,不同胎龄组间差异显著。这些数据可能指向早产儿新生儿AKI的UOP阈值的调整。
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