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Acute kidney injury (AKI) is common in high-risk neonates and is associated with increased morbidity and mortality [1]. Neonates who experience AKI are also at an increased risk for recurrent AKI, progression to chronic kidney disease, and other long-term health outcomes such as hypertension [2]. Despite its clinical importance, standardized programs to identify AKI in high-risk infants exist in few institutions [3].

急性肾损伤（AKI）在高危新生儿中很常见，并且与发病率和死亡率增加有关（1）。经历AKI的新生儿复发AKI，进展为慢性肾病以及其他长期健康结局（如高血压）的风险也增加（2）。尽管其临床重要性，但在少数机构中存在识别高危婴儿AKI的标准化程序（3）。

We have previously reported on implementing a standardized consult program that aims to promote earlier diagnosis of AKI and consequently reduce disease progression through improved awareness [4]. The sustainability and clinical impact of such programs have not been described.We sought to characterize changes in AKI incidence, neonatal nephrology consultation and outpatient neonatal nephrology visits after implementation of a neonatal nephrology program [4] (Supplemental Items in Reference [4]).

我们之前曾报道过实施标准化咨询计划，旨在促进AKI的早期诊断，从而通过提高认识来减少疾病进展。尚未描述此类计划的可持续性和临床影响。我们试图描述实施新生儿肾脏病计划后AKI发病率，新生儿肾脏病咨询和门诊新生儿肾脏病就诊的变化（参考文献[4]中的补充项目）。

We also assessed neonatal provider (attendings, advanced practice providers, and fellows) knowledge, attitudes, and practices of AKI management and perceptions of the neonatal nephrology consultation program (Supplemental Item 1). We hypothesized that neonatal AKI incidence would decrease in the post-implementation era..

我们还评估了新生儿提供者（主治医师，高级实践提供者和研究员）对AKI管理的知识，态度和实践以及对新生儿肾脏病咨询计划的看法（补充项目1）。我们假设新生儿AKI发病率在实施后时代会下降。。

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Fig. 1: Statistical process control chart of AKI Incidence from 2019 to 2023.

图1:2019年至2023年AKI发病率的统计过程控制图。

Data availability

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MCS had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

MCS可以完全访问研究中的所有数据，并负责数据的完整性和数据分析的准确性。

ReferencesAskenazi DJ. AWAKEN-Ing a new frontier in neonatal nephrology. Front Pediatr. 2020;8:21.Article

参考文献Askenazi DJ。唤醒新生儿肾脏病学的新前沿。前儿科。2020年；8： 21、条款

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Starr MC, Harer MW, Steflik HJ, Gorga S, Ambalavanan N, Beck TM, et al. Kidney health monitoring in neonatal intensive care unit graduates: a modified delphi consensus statement. JAMA Netw Open. 2024;7:e2435043.Article

Starr MC，Harer MW，Steflik HJ，Gorga S，Ambalavanan N，Beck TM等。新生儿重症监护病房毕业生的肾脏健康监测：修改后的德尔菲共识声明。JAMA网络打开。2024年；7： e2435043.条款

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Feeney A, Slagle CL, Harer MW, Charlton JR, Mohamed T, Askenazi DJ, et al. Approaches to neonatal acute kidney injury consultation and follow-up: results of a provider survey. J Perinatol. 2024. https://doi.org/10.1038/s41372-024-02016-z Epub ahead of print.Starr MC, Chaudhry P, Brock A, Vincent K, Twombley K, Bonachea EM, et al.

Feeney A，Slagle CL，Harer MW，Charlton JR，Mohamed T，Askenazi DJ等。新生儿急性肾损伤咨询和随访的方法：提供者调查的结果。J Perinatol。2024https://doi.org/10.1038/s41372-024-02016-zEpub领先于印刷品。Starr MC，Chaudhry P，Brock A，Vincent K，Twombley K，Bonachea EM等。

Improving the identification of acute kidney injury in the neonatal ICU: three centers’ experiences. J Perinatol. 2022;42:243–6.Article .

改善新生儿ICU急性肾损伤的识别：三个中心的经验。J Perinatol。2022年；42:243-6。文章。

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Stoops C, Stone S, Evans E, Dill L, Henderson T, Griffin R, et al. Baby NINJA (nephrotoxic injury negated by just-in-time action): reduction of nephrotoxic medication-associated acute kidney injury in the neonatal intensive care unit. J Pediatr. 2019;215:223–8.e226.Article

Stoops C，Stone S，Evans E，Dill L，Henderson T，Griffin R等。婴儿忍者（及时行动抵消肾毒性损伤）：减少新生儿重症监护病房肾毒性药物相关的急性肾损伤。儿科杂志。2019年；215:223–8.e226.文章

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Download referencesAcknowledgementsPrior Presentation of Study Data: International Neonatal Nephrology Symposium, Birmingham, Alabama, September 12, 2024.FundingThis work was supported in part by the Physician Scientist Fund at IUSM (MS) and through an award made by the National Heart, Lung, and Blood Institute of the National Institutes of Health, under the award number K23HL168362 (MS).

下载参考文献致谢研究数据的先前介绍：国际新生儿肾脏病研讨会，阿拉巴马州伯明翰，2024年9月12日。资助这项工作得到了IUSM（MS）医师科学家基金的部分支持，并获得了美国国立卫生研究院国家心肺血液研究所（National Heart，Lung，and Blood Institute of the National Institutes of Health）的奖项，奖项编号为K23HL168362（MS）。

This work was funded, in part, with support from IUSM IMPRS and the Indiana Clinical and Translational Sciences Institute funded, through an award made by the National Center for Advancing Translational Sciences of the National Institutes of Health, under the award number UL1TR00252 (BH). This work was funded, in part, with support from IUSM MPESC, through an award made by the National Heart, Lung, and Blood Institute of the National Institutes of Health, under the award number R25HL163860 (MK).

。这项工作的部分资金来自IUSM MPESC的支持，由美国国立卫生研究院国家心肺血液研究所颁发的奖项，奖项编号为R25HL163860（MK）。

Role of Funding Sources: Funding sources for this study had no role in design and conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.Author informationAuthor notesThese authors contributed equally: Mayra Kotlik, Benjamin Holland.Authors and AffiliationsIndiana University School of Medicine, Department of Pediatrics, Indianapolis, IN, USAMayra Kotlik & Benjamin HollandDivision of Nephrology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USAKathryn Lowe, Danielle E.

资金来源的作用：本研究的资金来源在研究的设计和实施中没有任何作用；数据的收集、管理、分析或解释；稿件的准备，审查或批准；并决定提交稿件出版。作者信息作者注意到这些作者做出了同样的贡献：MayraKotlik，Benjamin Holland。作者和附属机构印第安纳波利斯印第安纳波利斯印第安纳大学医学院儿科，USAMayra Kotlik＆Benjamin Holland印第安纳波利斯印第安纳大学医学院儿科肾脏科，USAKathryn Lowe，Danielle E。

Soranno & Michelle C. StarrDivision of Child Health Service Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USASamantha Wallace, Anna Latimer & Michelle C. StarrDivision of Neonatology, Department o.

美国印第安纳州印第安纳波利斯市印第安纳大学医学院儿科儿童健康服务研究部Soranno＆Michelle C.Starrdistration of Child Health Service Research，Samantha Wallace，Anna Latimer＆Michelle C.Starrdistration of Neonatology，Department o。

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PubMed Google ScholarContributionsConcept and design: MCS. Acquisition, analysis or interpretation of data: MK, BH, JLC, CLS and MCS. Drafting of the manuscript: MK, BH, MCS. Critical revision of the manuscript for important intellectual content: KL, SW, AL, JLC, PC, CLS, DES and MCS.

PubMed谷歌学术贡献概念与设计：MCS。数据的采集、分析或解释：MK、BH、JLC、CLS和MCS。手稿的起草：MK，BH，MCS。重要知识内容手稿的批判性修订：KL，SW，AL，JLC，PC，CLS，DES和MCS。

Obtained funding: MCS. Administrative, technical, or material support: MCS. Supervision: CLS and MCS.Corresponding authorCorrespondence to.

获得资金：MCS。行政、技术或物质支持：MCS。监督：CLS和MCS。对应作者对应。

Michelle C. Starr.Ethics declarations

米歇尔·C·斯塔尔。道德宣言

Competing interests

相互竞争的利益

All authors report no real or perceived conflicts of interest that could affect the study design, collection, analysis, and interpretation of data, the writing of the report, or the decision to submit the manuscript for publication. For full disclosure, we provide the additional list of authors’ other funding not directly related to this study: Dr.

所有作者均未报告可能影响研究设计，数据收集，分析和解释，报告撰写或提交稿件出版决定的真实或感知的利益冲突。。

Starr receives funding from NIH (K23HL168362-01, R13DK137550-01), Gerber Foundation..

斯塔尔获得了美国国立卫生研究院（K23HL168362-01，R13DK137550-01），格伯基金会的资助。。

Additional informationPublisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.Supplementary informationSupplemental Item 1Rights and permissionsSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.Reprints and permissionsAbout this articleCite this articleKotlik, M., Holland, B., Lowe, K.

Additional informationPublisher的注释Springer Nature在已发布的地图和机构隶属关系中的管辖权主张方面保持中立。补充信息补充项目1权利和许可Pringer Nature或其许可方（例如协会或其他合作伙伴）根据与作者或其他权利持有人的出版协议对本文拥有专有权；本文接受稿件版本的作者自行存档仅受此类出版协议和适用法律的条款管辖。转载和许可本文引用本文Kotlik，M.，Holland，B.，Lowe，K。

et al. Acute kidney injury in neonates after implementation of a standardized neonatal nephrology consult program: a single center experience..

等。实施标准化新生儿肾脏病咨询计划后新生儿急性肾损伤：单中心经验。。

J Perinatol (2024). https://doi.org/10.1038/s41372-024-02197-7Download citationReceived: 12 November 2024Revised: 03 December 2024Accepted: 04 December 2024Published: 11 December 2024DOI: https://doi.org/10.1038/s41372-024-02197-7Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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