ArticlePediatric nephrology (Berlin, Germany)2026
Early postnatal changes in serum creatinine from birth to peak and subsequent decline in preterm neonates.
Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn preterm neonates, the postnatal course of serum creatinine (sCr) is influenced by maternal sCr levels and physiological changes. While transient postnatal increases have been reported, the relationship between the initial value at birth (Cr
methodsAmong 467 eligible preterm neonates admitted to neonatal intensive care unit, after excluding those with conditions or treatments affecting circulatory dynamics, the postnatal day of peak sCr was determined according to gestational age. Among these, 225 neonates with available Cr
resultsThe sCr peak occurred on day 2 in neonates with gestational age ≤ 29 weeks and on day 1 in neonates with gestational age ≥ 30 weeks. Simple regression revealed a significant correlation between Cr
conclusionsNeonatal sCr levels change during the early postnatal period, and the regression analysis identified a balance point at 0.95 mg/dL. These findings may aid interpretation of sCr changes when assessing acute kidney injury in preterm neonates.
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