The objective of this protocol is to investigate the impact of prematurity, with or without associated acute kidney injury (AKI), on the future risk of chronic kidney disease (CKD) by establishing a patient registry and biorepository. Serum and urine samples will be collected serially from premature infants admitted to the neonatal intensive care unit (NICU) at Albert Einstein College of Medicine/Weiler Hospital and subsequently followed in the NICU follow-up and pediatric nephrology ambulatory subspecialty clinics. The biorepository will be linked to a comprehensive clinical database.
This is an observational pilot study to enhance understanding of the pathophysiology and epidemiology associated with effects of AKI in premature infants and the role that neonatal AKI plays in future development of CKD. In eligible preterm infants, blood and urine samples will be collected at pre-specified time points during hospitalization and at outpatient follow-up appointments at 6 months, 1 year, 2 years, and 5 years of age and stored in the biorepository. Blood pressure will be measured and recorded at NICU discharge and at all follow-up visits. A renal ultrasound will be performed to monitor renal growth at 2 and 5 years of age. All data will be entered into a comprehensive clinical database, including laboratory results.
Study Type
OBSERVATIONAL
Enrollment
25
Jack D. Weiler Hospital
The Bronx, New York, United States
Chronic kidney disease (incidence of chronic renal insufficiency in childhood)
Determine the incidence of chronic renal insufficiency in childhood
Time frame: 5 years
Acute kidney injury (incidence of acute kidney injury in preterm infants)
Determine the incidence of acute kidney injury in preterm infants
Time frame: 0-5 months
Assessment of serum biomarkers - cystatin C
Determination of serum and urinary biomarkers to predict the development of acute kidney injury and chronic renal insufficiency
Time frame: 0 months - 5 years
Assessment of urinary biomarkers - urinary neutrophil gelatinase-associated lipocalin, interlukin 18 and kidney-injury molecule-1
Determination of serum and urinary biomarkers to predict the development of acute kidney injury and chronic renal insufficiency
Time frame: 0 months - 5 years
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