http://dx.doi.org/10.14288/1.0379496
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Medicine, Department of
data provider: DSpace
identifier citation: Journal of Clinical Medicine 7 (10): 318 (2018)
creator: Piccoli, Giorgina
creator: Zakharova, Elena
creator: Attini, Rossella
creator: Ibarra Hernandez, Margarita
creator: Covella, Bianca
creator: Alrukhaimi, Mona
creator: Liu, Zhi-Hong
creator: Ashuntantang, Gloria
creator: Orozco Guillen, Alejandra
creator: Cabiddu, Gianfranca
creator: Li, Philip Kam Tao
creator: Garcia-Garcia, Gulliermo
creator: Levin, A. (Adeera)
issued: 2019-06-18T17:09:54Z
issued: 2018-10-01
description: Pregnancy-related acute kidney injury (pAKI), preeclampsia (PE), and the hypertensive disorders of pregnancy are closely related conditions, which are, in turn, frequently linked to pre-existing and often non-diagnosed chronic kidney disease (CKD). The current literature and research mainly underline the effects of pregnancy complications on the offspring; this review strongly emphasizes the maternal health as well. These conditions not only negatively affect pregnancy outcomes, but have a relevant effect on the future health of affected mothers and their children. Therefore, dedicated diagnostic and follow-up programs are needed, for optimizing materno-foetal health and reducing the impact of pregnancy-related problems in the mothers and in the new generations. This narrative review, performed on the occasion of the 2018 World Kidney Day dedicated to women’s health, focuses on three aspects of the problem. Firstly, the risk of AKI in the hypertensive disorders of pregnancy (the risk is the highest in developing countries; however PE is the main cause of pregnancy related AKI worldwide). Secondly, the effect of AKI and the hypertensive disorders of pregnancy on the development of CKD in the mother and offspring: long-term risks are increased; the entity and the trajectories are still unknown. Thirdly, the role of CKD in the pathogenesis of AKI and the hypertensive disorders of pregnancy: CKD is a major risk factor and the most important element in the differential diagnosis; pregnancy is a precious occasion for early diagnosis of CKD. Higher awareness on the importance of AKI in pregnancy is needed to improve short and long term outcomes in mothers and children.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/70682
note: Journal ofClinical MedicineReviewAcute Kidney Injury in Pregnancy: The Need forHigher Awareness. A Pragmatic Review Focused onWhat Could Be Improved in the Prevention and Careof Pregnancy-Related AKI, in the Year Dedicated toWomen and Kidney DiseasesGiorgina Barbara Piccoli 1,2,* , Elena Zakharova 3,4,5, Rossella Attini 6,Margarita Ibarra Hernandez 7, Bianca Covella 2, Mona Alrukhaimi 8, Zhi-Hong Liu 9 ,Gloria Ashuntantang 10, Alejandra Orozco Guillen 11, Gianfranca Cabiddu 12 ,Philip Kam Tao Li 13, Gulliermo Garcia-Garcia 7 and Adeera Levin 141 Department of Clinical and Biological Sciences, University of Torino, 10100 Torino, Italy2 Néphrologie, Centre Hospitalier Le Mans, 72000 Le Mans, France; biancacovella@gmail.com3 Nephrology, Moscow City Hospital n.a. S.P. Botkin, 101000 Moscow, Russia; helena.zakharova@gmail.com4 Nephrology, Moscow State University of Medicine and Dentistry, 101000 Moscow, Russia5 Nephrology, Russian Medical Academy of Continuous Professional Education, 101000 Moscow, Russia6 Obstetrics, Department of Surgery, University of Torino, 10100 Torino, Italy; rosella.attini@gmail.com7 Nephrology Service, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, University of GuadalajaraHealth Sciences Center, 44100 Guadalajara Jal, Mexico; maribaher@yahoo.es (M.I.H.);ggarcia1952@gmail.com (G.G.-G.)8 Department of Medicine, Dubai Medical College, P.O. Box 20170, Dubai, UAE; mona_539@yahoo.co.uk9 National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School ofMedicine, Nanjing 210000, China; zhihong–liu@hotmail.com10 Yaounde General Hospital & Faculty of Medicine and Biomedical Sciences, University of Yaounde I,P.O. Box 337, Yaounde, Cameroon; maglo09@hotmail.com11 Instituto Nacional de Perinatologia, Mexico D.F. 01020, Mexico; ale_gaba@hotmail.com12 Nefrologia Ospedale Botzu, 09100 Cagliari, Italy; gianfranca.cabiddu@tin.it13 Prince of Wales Hospital, Department of Medicine and Therapeutics, Chinese University of Hon…
has type: Article
is shown at: 10.14288/1.0379496
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Multidisciplinary Digital Publishing Institute
publisher DOI: 10.3390/jcm7100318
rights: CC BY 4.0
rights URI: https://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Pregnancy acute kidney injury (AKI)
subject: Chronic kidney disease (CKD)
subject: Preeclampsia
subject: Maternal death
subject: Adverse pregnancy outcomes
title: Acute Kidney Injury in Pregnancy: The Need for Higher Awareness. A Pragmatic Review Focused on What Could Be Improved in the Prevention and Care of Pregnancy-Related AKI, in the Year Dedicated to Women and Kidney Diseases
type: Text
identifier URI: http://hdl.handle.net/2429/70682