G380 Paediatric acute kidney injury is poorly recognised in the hospital setting

Aims Acute kidney injury (AKI) is a significant cause of morbidity and mortality among adult in-patients. High incidence and under-recognition has lead to the development of a national AKI programme. The aims of this study were to determine the incidence of AKI in a paediatric setting and to investigate recognition and management of AKI. This multi-centre project was supported by the British Association for Paediatric Nephrology. Methods Creatinine measurements performed at six centres (3 tertiary and 3 district general hospitals) over a six-month period (01/07/12–31/12/12) were evaluated using the NHS AKI alert algorithm. Patients age 29 days to 17 years old were included. A subset of children were randomly selected for case note review. Information was obtained from paper and electronic patient notes. AKI stage 1 was defined as a rise of 1.5- 3x baseline. Results 57,278 creatinine measurements were analysed during the study period with 5325 (10.8%) AKI alerts in 1112 patients. There were AKI 1 (62%), AKI 2 (16%) and AKI 3 (22%) alerts during the study period. Age distribution: 222 (20%) Conclusions Our data indicate that AKI remains clinically under-recognised in children and there is a need for education about its management. Timely recognition and optimal management of AKI is important to improve long term renal outcomes. Future investigations will aim to determine the impact of the NHS AKI alert algorithm