Starr, Michelle C.Kula, AlexanderLieberman, JoshuaMenon, ShinaPerkins, Anthony J.Lam, TeresaChabra, ShilpiHingorani, Sangeeta2022-05-102022-05-102020-09Starr MC, Kula A, Lieberman J, et al. The impact of increased awareness of acute kidney injury in the Neonatal Intensive Care Unit on acute kidney injury incidence and reporting: results of a retrospective cohort study. J Perinatol. 2020;40(9):1301-1307. doi:10.1038/s41372-020-0725-yhttps://hdl.handle.net/1805/28886Objective: To evaluate the impact of nephrology integration in the NICU on acute kidney injury (AKI) incidence, provider reporting, and nephrology referral. Study design: Cohort study in a single-center NICU from January 2012 to December 2017 (n = 1464). We assessed the impact of clinical practice changes including neonatal-nephrology rounds on the incidence of AKI. Results: AKI occurred in 318 neonates (22%). AKI occurred less frequently in those admitted after clinical practice changes (P < 0.001). After multivariable adjustment, clinical practice changes were associated with reduced odds of AKI (adjusted odds ratio, 0.31; 95% CI 0.22-0.44, P < 0.001). Provider reporting of AKI improved (P < 0.001) and more neonates were referred for nephrology follow-up (P < 0.001). Conclusions: Increased nephrology integration in the NICU was associated with decreased AKI incidence. While recognition of AKI improved, AKI remained poorly reported and nephrology AKI follow-up did not routinely occur. This study supports the importance of increased nephrology involvement in the NICU.en-USPublisher PolicyAcute kidney injuryNewborn infantIntensive care unitsRisk factorsArticle