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Evaluation of UDP-glucose as a Urinary Biomarker for Early Detection of Cardiac Surgery-associated Pediatric Acute Kidney Injury

Recruiting
Conditions
Acute Kidney Injury
Interventions
Other: Discarded urine sample
Registration Number
NCT03263325
Lead Sponsor
Boston Children's Hospital
Brief Summary

Acute kidney injury (AKI) is common in children after cardiac surgery with a reported incidence of 20-40%. Pediatric AKI has been found to be associated with important short and long-term adverse outcomes.

A major challenge to management of AKI after cardiac surgery and cardiopulmonary bypass is the lack of early diagnostic markers. Current diagnostic criteria for AKI in children relies exclusively on elevation of serum creatinine concentration and oliguria. Both of these markers lack sensitivity and specificity, and result in delayed detection of kidney injury.

This study aims to determine if UDP-glucose can be used as a urinary biomarker to detect subclinical acute kidney injury following pediatric cardiac surgery with cardiopulmonary bypass.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • less than or equal to 8 years of age
  • scheduled for cardiac surgery
Exclusion Criteria
  • severe pre-existing renal insufficiency

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
AKI GroupDiscarded urine samplePatients developing AKI after surgery
No AKI GroupDiscarded urine samplePatients who do not develop AKI after surgery
Primary Outcome Measures
NameTimeMethod
AKIwithin 72 hours after surgery

development of AKI

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

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