Acute kidney injury is common after pediatric hematopoietic stem cell transplant with
a reported incidence of 21–55% in the first 3 mo after transplant. Acute kidney injury
is associated with decreased survival and the development of chronic kidney disease
in this patient population. In this review, current definitions of acute kidney injury
are discussed. The epidemiology and risk factors for acute kidney injury in this patient
population are described, and current hypotheses on the pathophysiology are reviewed.
Current and emerging ideas about changes to management strategies to mitigate acute
kidney injury are presented, and areas for further research are proposed.
Keywords
Pediatric hematopoietic stem cell transplant - acute kidney injury - chronic kidney
disease