Acute intermittent hemodialysis management in childhood: A single center experience

Ther Apher Dial. 2022 Apr 17. doi: 10.1111/1744-9987.13854. Online ahead of print.

Abstract

Introduction: The objective of this study was to determine the common indications of acute intermittent hemodialysis (IHD) treatment in childhood and to assess the characteristics of the procedure, complications, and prognosis.

Methods: The study included 102 patients aged between 0 and 18 years, who had been acute dialysis indication and treated with IHD.

Results: In terms of acute kidney injury (AKI) etiology, glomerular diseases were prominent in 56% of the patients, and 8.6% of surviving patients progressed to end-stage renal disease. Regarding the cause of AKI, having the glomerular disease was determined to be directly associated (p = 0.01) with the risk of progression to chronic kidney disease (CKD) regardless of age, gender, onset time of renal replacement therapy.

Conclusion: Glomerular diseases were the most common in AKI etiology and were associated with the progression to CKD, independent of age, gender and the time of IHD onset in our study.

Keywords: acute kidney injury; childhood; glomerular diseases; intermittent hemodialysis.