ОСТРОЕ ПОВРЕЖДЕНИЕ ПОЧЕК У НОВОРОЖДЕННЫХ И ДЕТЕЙ ГРУДНОГО ВОЗРАСТА С ВРОЖДЕННЫМИ ПОРОКАМИ СЕРДЦА ПОСЛЕ КАРДИОХИРУРГИЧЕСКИХ ВМЕШАТЕЛЬСТВ

THE AIM. To determine frequency and severity of cardiac surgery-associated acute kidney injury (CSA-AKI) according to the predictive RACHS system of 6 risk categories in newborns and infants with CHD. PATIENTS AND METHODS. The study included 65 children under 1 year with CHD, 29 of them (44.62%) neonates and 36 newborns (55.38%) from 1 month to 1 year underwent surgery. The diagnosis of AKI was set up according to AKIN criteria (2007), with allocating 3 stages using the serum creatinine level (SCr). The severity of cardiac surgery associated AKI was distributed by categories of RACHS system of 6 risk categories in newborns and infants with CHD. RESULTS. 72,1% of neonates and 41,67% of infants developed cardiac surgeryassociated AKI. Statistically significant differences in the incidence of AKI in newborns operated on with or without cardiopulmonary bypass were not revealed. In infants from 1 month to 1 year there were differences in AKI frequency with regard to using bypass for surgical correction (p 0,05). The high incidence of AKI in 4-6 categories established both in neonates and infants. CONCLUSION. The high incidence of CSA-AKI in neonates and infants requires a multidisciplinary approach for diagnosis and treatment in the cardiac ICU. The distribution of patients by RACHS categories allows to predict the risk and severity of CSA-AKI in newborns and infants.