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Sutaryo Sutaryo
Faculty of Economics and Business, Universitas Sebelas Maret, Surakarta
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Journal : Paediatrica Indonesiana

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Risk factors of acute kidney injury in pediatric acute lymphoblastic leukemia with hyperleukocytosis Kinanti, Rengganis Ayu; Palupi-Baroto, Retno; Sutaryo, Sutaryo
Paediatrica Indonesiana Vol. 63 No. 6 (2023): November 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.6.2023.433-42

Abstract

Background Acute kidney injury (AKI) can be found in pediatric acute lymphoblastic leukemia (ALL) patients with hyperleukocytosis. Acute kidney Injury (AKI) increases hospital length of stay and mortality. Previous studies have only reported the AKI incidence in ALL patients with hyperleukocytosis, without clarifying risk factors attributed to AKI incidence. Objective To determine the risk factors of AKI in pediatric ALL patients with hyperleukocytosis. Methods A case-control study was conducted in children aged 1-18 years admitted to Dr. Sardjito Hospital (RSUP Dr. Sardjito), Yogyakarta, Central Java Total population sampling of pediatric ALL patients with hyperleukocytosis and AKI was used for the case group, and a simple random sampling ratio of 1:2 was used for the control group. Cut-off values for each independent variable were determined by receiver-operator characteristic (ROC) curves. Bivariate and multivariate analyses were performed on potential risk factors. Results Fourteen pediatric ALL patients with hyperleukocytosis and AKI were included in the case group and 28 children with ALL and hyperleukocytosis but without AKI were included in the control group. The incidence of AKI in children with ALL and hyperleukocytosis was 15.4%. Multivariate analysis revealed that the significant risk factors of AKI in ALL patients with hyperleukocytosis were phosphate concentration ?5.15 mg/L (OR 10.43; 95%CI 1.38 to 79.04; P=0.02) and uric acid concentration ?9.08 mg/dL (OR 12.39; 95%CI 1.88 to 81.44; P=0.009). Conclusion Phosphate concentration ?5.15 mg/L and uric acid ?9.08 mg/dL were risk factors of AKI in pediatric ALL patients with hyperleukocytosis.
Co-Authors Abeng, Doni Aboe, Roswita M Adi Wijaya Adji Prasetya, Andika Ag Soemantri Agung Purnomoadi Agustinus Soemantri Alastair James Ward, Alastair James Ali Marasabessy, Iksan Amaruddin, Hamdan Aminuyati Andiani, Tiara Ani Kusbandiyah Ariefianto, Mochammad Doddy Arifin, Taufiq Artiani, Gita Bagawat Sari, Fauziya Baldah, Nasrun Berkah Fajar Tamtomo kiono Cahyoko, Muhammad Fauzan Christian, Yoshia Christian, Yoshia Dewi, Giovani Surya Djokomoeljanto Djokomoeljanto Doddy Setiawan Dwiyantono, Rifky Evi Gantyowati Fajrin, Aurio Ferdyson, Ferdyson Ferryono, Baries Gita Puspa Artiani, Gita Puspa Hasan, Nurprihatina Henrik Bjarne Møller, Henrik Bjarne Herni Justiana Astuti Hidayah, Chusnul Indrarosa, Dwita Indriasari, Indriasari Irwan Trinugroho, Irwan Isna Putri Rahmawati Iswari Setianingsih Jaka Winarna JOKO MARIYONO Khuluk, Nazaruddin Kinanti, Rengganis Ayu Kurniawan, Aisyahqi Ramadhani Putri Lipiyanto, Ony Maricar, Farida Marsetyawan HNES, Marsetyawan Moedrik Tamam Muhtar Muhtar Muhtar Muhtar Muthmainah Muthmainah Nurrahmawati Nurrahmawati, An Pahrul Rodji, Achmad Palupi-Baroto, Retno Payamta, Payamta Prihatnolo Gandhi Amidjaya Rahmawati, Isna Putri Rini Astuti Rita Purwasih Rizki Amalia Rodji, Achmad Pahrul Rumende, Rooije RH Saiful Latif, Saiful Sain, Aji Saleh Siregar, Wildan Saleh Siregar Sihombing, Sahat Sipahutar, Indra Sarjono Siska Amelia Amelia, Siska Amelia Siswanto Imam Santoso Suharyo Hadisaputro Sukadi Sukadi SURYO Budi Santoso Susanto, Setio Taufiq Arifin Umasangadji, Shifa Alviony Wahyu Setiawan Wicaksono, Aditya Kurniawan Winarna, Jaka Y Anni Aryani Y. Anni Aryani Yetty Yetty Yuswanto, Adi Zatmika, Ajat