RecruitingNCT07351149

Postoperative Acute Kidney Injury in Children Undergoing Major Non-cardiac Surgery

An International Multicentre Prospective Study of Postoperative Acute Kidney Injury in Hospitalized Paediatric Patients


Sponsor

Uppsala University

Enrollment

2,000 participants

Start Date

Mar 1, 2026

Study Type

OBSERVATIONAL

Conditions

Summary

This project aims to conduct an international, prospective, multicentre, observational study to determine the incidence of Postoperative Acute Kidney Injury (PO-AKI) in hospitalized children after noncardiac surgery. Urinary biomarkers are intended to be evaluated as predictors of PO-AKI in the same subjects. The study employs modern standardized classifications for AKI to comprehensively address the issue of PO-AKI in children. Describing the incidence and identifying risk factors for PO-AKI will play a crucial role in developing preventive strategies aimed at reducing associated mortality and morbidity. Furthermore, investigating the relationship between urinary biomarkers of renal injury and PO-AKI will provide valuable insights into assessing postoperative renal function in paediatric patients, especially when repeated blood sampling is not feasible.


Eligibility

Min Age: 0 YearsMax Age: 16 Years

Inclusion Criteria2

  • Elective, urgent or emergency in-patient major non-cardiac surgical procedures performed under general anaesthesia with or without regional analgesia with a planned procedure duration of at least 60 minutes.
  • Paediatric patients (0-16 years old)

Exclusion Criteria9

  • Declined participation.
  • Ongoing renal replacement therapy
  • Acute Kidney Injury (according to KDIGO)
  • Known chronic kidney disease
  • Procedure involving surgery of the kidney
  • Procedures requiring clamping of blood flow to or from the kidney
  • Body weight \<2kg
  • Procedure involving contrast administration
  • Established rhabdomyolysis (CK-levels \>1500 U/L)

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Locations(13)

Perth Children's Hospital

Perth, Western Australia, Australia

The Kids Research Institute Australia

Perth, Western Australia, Australia

Hospital das Clínicas HCFMUSP

São Paulo, Brazil

Hospices Civils de Lyon

Lyon, France

IRCCS Istituto Giannina Gaslini

Genova, Italy

University Hospital of Belgrade

Belgrade, Serbia

Sahlgrenska University Hospital

Gothenburg, Sweden

Skåne University Hospital

Lund, Sweden

Karolinska University Hospital

Stockholm, Sweden

Uppsala University Hospital

Uppsala, Sweden

University Hospital Basel

Basel, Switzerland

University Hospital Bern

Bern, Switzerland

University Hospital Geneva

Geneva, Switzerland

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NCT07351149


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