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Table 1 Summary characteristics of the included studies

From: Incidence of acute kidney injury-associated mortality in hospitalized children: a systematic review and meta-analysis

Author, year

Country

Study Design

Etioology

Neonates/Infants & Children

Admission sites

Aki Criteria

AKI (n)

Mortality (Overall)

Mortality Assessment

Adegboyega, 2022 [109]

USA

Retrospective

LBW

Only neonate

NICU

KDIGO

116

21

In-hospital

Ahn, 2024 [108]

USA

Retrospective

Hypoxic ischemic encephalopathy

Only neonate

NICU

KDIGO

64

10

In-hospital

Akcan-Arikan, 2007 [107]

USA

Prospective

Mixed

Non-neonate

PICU

pRIFLE

123

18

In-hospital

Al Gharabieh, 2023 [106]

USA

retrospective

Sepsis

Only neonate

NICU

KDIGO

16

7

In-hospital

Algadeeb, 2021 [104]

Saudi Arabia

Retrospective

Mixed

Only neonate

NICU

KDIGO

396

122

In-hospital

Al-Mouqdad, 2021 [105]

Saudi Arabia

Retrospective

LBW

Only neonate

NICU

KDIGO

268

79

In-hospital

Alobaidi, 2019 [103]

Canada

Retrospective

Mixed

Non-neonate

PICU

KDIGO

308

21

In-hospital

Alvarez-Hernandez, 2015 [102]

Mexico

Retrospective

Infection

Neonate and non-neonate

PICU, NICU and ward

NR

14

7

In-hospital

Arruda Moraes, 2023 [15]

Brazil

Retrospective

LBW

Only neonate

NICU

KDIGO

61

22

In-hospital

Bakkaloglu, 2024 [101]

Turkey

Retrospective

Crush-AKI

Neonate and non-neonate

Mix

oligo/anuria or serum creatinine level > 2 times the upper limit of age- and sex-referenced normal levels

314

20

In-hospital

Basu, 2021 [100]

multinational

Prospective

Sepsis/Infectious

Non-neonate

PICU

KDIGO

307

37

In-hospital

Bauer, 2023 [99]

USA

Retrospective

Hematopoietic cell transplantation

Non-neonate

PICU and ward

KDIGO

186

47

In-hospital

Bezerra, 2013 [91]

Brazil

Retrospective

Infectious

Only neonate

NICU

pRIFLE

51

19

In-hospital

Bradshaw, 2019 [98]

USA

Retrospective

Diarrheal illness

Neonate and non-neonate

PICU, NICU and ward

ICD-9-CM

616

4

in-hospital

Chen, 2023 [97]

Taiwan

Retrospective

Prematurity

Only neonate

NICU

mKDIGO

204

55

In-hospital

Coggins, 2021 [96]

USA

Retrospective

Sepsis

Only neonate

NICU

mKDIGO

56

17

In-hospital

Conroy, 2019 [95]

Uganda

Prospective

Malaria

Non-neonate

PICU

KDIGO

168

20

In-hospital and Post-discharge

Conroy, 2022 [94]

Uganda

retrospective

Blackwater fever + Malaria

Non-neonate

PICU and ward

KDIGO

495

20

In-hospital

Cui, 2022 [93]

China

Retrospective

Non-Cardiac surgery

Only neonate

NICU

KDIGO

28

9

In-hospital

Dang, 2022 [92]

China

Retrospective

Mixed

Non-neonate

PICU and ward

KDIGO

419

30

In-hospital

Deep, 2018 [90]

UK

Prospective

Septic shock

Non-neonate

PICU

KDIGO

31

9

In-hospital

Demiroz, 2024 [89]

Turkey

Retrospective

Liver transplant

Non-neonate

PICU and ward

KDIGO

60

27

In-hospital

Dos Santos El Halal, 2013 [88]

Brazil

Prospective

Cardiac surgery

Non-neonate

PICU

pRIFLE

38

7

In-hospital

Downes, 2017 [87]

USA

Retrospective

Antibiotic associated AKI

Non-neonate

PICU

KDIGO

157

7

In-hospital

Elgendy,2023 [85]

USA

retrospective

Diaphragmatic hernia

Only neonate

NICU

ICD9,10

445

239

In-hospital

Elgendy, 2021 [84]

USA

Retrospective

LBW

Only neonate

NICU

NR

19,603

6872

In-hospital

Elgendy, 2024 [86]

USA

retrospective

Hypoxic-ischemic encephalopathy

Only neonate

NICU

ICD9,10

2719

786

In-hospital

Esmaeili, 2024 [83]

IRAN

Retrospective

Cardiac surgery

Non-neonate

PICU

KDIGO

58

16

In-hospital

Fitzgerald, 2016 [82]

multinational

Prospective

Sepsis/Infectious

Non-neonate

PICU

KDIGO

102

53

In-hospital

Fleming, 2016 [81]

milticenter

Retrospective

ECMO

Neonate and non-neonate

PICU and NICU

KDIGO

615

311

In-hospital

Gil-Ruiz, 2014 [80]

Spain

Retrospective

Cardiac surgery

Non-neonate

PICU

pRIFLE

107

16

In-hospital

Hasson, 2024 [79]

USA

retrospective

Cardiac surgery

Only neonate

NICU

mKDIGO

205

18

In-hospital

Hessey, 2018 [78]

Canada

Retrospective

Non-Cardiac surgery

Non-neonate

PICU

KDIGO

355

34

Post-discharge

Hingorani, 2021 [77]

USA

Prospective

LBW

Only neonate

NICU

KDIGO

350

45

In-hospital

Hirabayashi, 2022 [76]

Japan

retrospective

Prematurity

Only neonate

NICU

nRIFLE

47

12

In-hospital

Hui, 2013 [75]

Hong Kong

Retrospective

Mixed

Non-neonate

PICU

pRIFLE

71

16

In-hospital

Iamwat, 2021 [74]

Thailand

Retrospective

ECMO

Neonate and non-neonate

PICU and NICU

KDIGO

10

7

In-hospital

Ibrahim, 2023 [73]

Nigeria

Retrospective

Malaria

Non-neonate

Mix

KDIGO

237

19

In-hospital

Imani, 2013 [72]

Uganda

Prospective

Infectious

Non-neonate

PICU

pRIFLE

272

68

In-hospital

Jetton, 2017 [71]

multinational

Retrospective

Mixed

Only neonate

NICU

KDIGO

605

59

In-hospital

Kaddourah, 2017 [70]

Asia, AU, EU, NA

Prospective

Mixed

Non-neonate

PICU

KDIGO

1261

82

In-hospital

Kari, 2017 [14]

Saudi Arabia

Prospective

Mixed

Non-neonate

PICU

KDIGO

511

99

In-hospital

Kasililika, 2020 [69]

Tanzania

Prospective

Mixed

Non-neonate

PICU

KDIGO

53

19

In-hospital

Khatana, 2023 [68]

USA

retrospective

Severe Sepsis

Non-neonate

not specified

ICD

45,463

9005

In-hospital

Kriplani, 2016 [67]

USA

Retrospective

Mixed

Non-neonate

PICU

KDIGO

28

8

In-hospital

Kuai, 2022 [17]

China

Prospective

Mixed

Non-neonate

PICU

KDIGO

22

14

In-hospital

Kuai, 2022 [66]

China

Prospective

Mixed

Non-neonate

PICU

KDIGO

247

47

In-hospital

Kumar Sethi, 2024 [65]

multinational

prospective

Continuous kidney replacement therapy

Non-neonate

PICU

KDIGO

308

99

In-hospital

Lazarovits, 2023 [64]

Israel

retrospective

Prematurity

Only neonate

NICU

NIDDK

32

13

In-hospital

Leow, 2022 [63]

Singapore

Retrospective

Acute respiratory distress syndrome

Non-neonate

PICU

KDIGO

64

41

In-hospital

Lobasso, 2021 [62]

USA

retrospective

Cardiac surgery

Neonate and non-neonate

PICU/NICU

KDIGO

701

80

In-hospital

Lu, 2022 [61]

China

retrospective

Cardiac surgery

Only neonate

CICU, NICU

KDIGO

131

38

In-hospital

Medar, 2015 [60]

USA

Retrospective

Heart failure

Non-neonate

Not specified

pRIFLE

44

4

In-hospital

Mengqi, 2020 [59]

China

Retrospective

Malignancy

Non-neonate

Not specified

KDIGO

1657

90

in-hospital

Moffett, 2022 [58]

USA

Retrospective

Mixed

Non-neonate

Not specified

KDIGO

10,246

590

In-hospital

Mohamed, 2023 [57]

USA

retrospective

Non-Cardiac surgery

Only neonate

NICU

ICD-9 and 10

2625

431

In-hospital

Morgan, 2013 [56]

Canada

Prospective

Cardiac surgery

Only neonate

NICU

AKIN

163

10

Post-discharge

Murdeshwar, 2023 [55]

India

ambispective

Mixed

Non-neonate

PICU/Ward

ADQI

200

37

In-hospital

Nakwan, 2016 [54]

Thailand

Retrospective

Pulmonary hypertension

Only neonate

NICU

A serum

creatinine level of 41.5 mg/dL on two separate occasions at

least 12 h apart, while maternal kidney function was normal

31

22

In-hospital

Namazzi, 2022 [53]

Uganda

Prospective

Malaria

Non-neonate

Not specified

KDIGO

271

37

In-hospital and Post-discharge

Özçakar, 2009 [52]

Turkey

Retrospective

Mixed

Non-neonate

Not specified

AKIN

100

33

In-hospital

Patel, 2023 [51]

USA

retrospective

Mixed

Neonate and non-neonate

PICU/NICU/ward

KDIGO

528

138

In-hospital

Pedersen, 2008 [50]

Denmark

Retrospective

Cardiac surgery

Neonate and non-neonate

PICU and NICU

need for dialysis after surgery

130

26

In-hospital

Pillon, 2019 [49]

Italy

Retrospective

Malignancy

Non-neonate

PICU

KDIGO

17

12

In-hospital

Piyaphanee, 2020 [48]

Thailand

Retrospective

Mixed

Non-neonate

PICU

KDIGO

169

53

in-hospital

Plumb, 2023 [47]

UK

retrospective

Mixed

Only neonate

NM

KDIGO

712

59

In-hospital

Plumb, 2023 [47]

UK

retrospective

Mixed

Non-neonate

NM

KDIGO

4900

150

In-hospital

Prodhan, 2012 [46]

USA

Retrospective

Trauma

Non-neonate

PICU

pRIFLE

52

10

In-hospital

Raina, 2022 [45]

USA

retrospective

Covid/infectious

Non-neonate

PICU

KDIGO

274

21

In-hospital

Raina, 2023 [44]

USA

retrospective

Mixed

Neonate and non-neonate

NM

ICD-10

2424

11

In-hospital

Robinson, 2021 [43]

Canada

Retrospective

Mixed

Neonate and non-neonate

Not specified

ICD-9 and 10

1688

113

Post-discharge

Rozmiarek, 2004 [42]

USA

Retrospective

Diaphragmatic hernia

Only neonate

NICU

NR

14

10

In-hospital

Sainathan, 2022 [41]

USA

Retrospective

LBW

Non-neonate

Not specified

ICD-10

98

8

In-hospital

Sainathan, 2022 [41]

USA

Retrospective

Fontan Operation

Non-neonate

PICU and ward

NR

97

8

In-hospital

Sanchez-Pinto, 2015 [40]

USA

Retrospective

Mixed

Non-neonate

PICU

KDIGO

974

246

in-hospital

Schneider, 2010 [39]

USA

Retrospective

Mixed

Non-neonate

PICU

pRIFLE

339

104

In-hospital

Schueller, 2017 [38]

USA

Retrospective

ECMO

Only neonate

NICU

KDIGO

15

7

In-hospital

Selewski, 2014 [37]

USA

Retrospective

Mixed

Non-neonate

PICU and CICU

KDIGO

737

83

In-hospital

Selewski, 2023 [36]

multinational

prospective

mixed

Non-neonate

PICU

KDIGO

1258

78

In-hospital

Shalaby, 2018 [35]

Saudi Arabia

Prospective

Mixed

Only neonate

NICU

nKDIGO

120

34

In-hospital

Sharma, 2022 [34]

India

Retrospective

Covid/infectious

Non-neonate

Not specified

NR

12

9

In-hospital

Singh, 2022 [33]

India

Prospective

Mixed

Non-neonate

PICU

KDIGO

44

14

In-hospital

Slagle, 2021 [32]

USA

Prospective

Non-Cardiac surgery

Only neonate

NICU

mKDIGO

33

8

In-hospital

Smith, 2009 [31]

USA

Retrospective

ECMO

Neonate and non-neonate

PICU and NICU

pRIFLE

32

23

In-hospital

Srinivasan, 2018 [30]

USA

Retrospective

LBW

Only neonate

NICU

mAKIN

89

25

In-hospital

Stanski, 2023 [29]

USA

Prospective

Mixed

Non-neonate

PICU

KDIGO

77

14

In-hospital

Starr, 2020 [28]

USA

Prospective

septic shock

Non-neonate

PICU

KDIGO

176

27

In-hospital

Stojanović, 2017 [27]

Serbia

Retrospective

LBW

Only neonate

NICU

mAKIN

57

35

In-hospital

Umapathi, 2020 [26]

USA

Retrospective

Drowning

Non-neonate

PICU and ward

NR

752

403

In-hospital

Üstün, 2021 [25]

Turkey

Retrospective

LBW

Only neonate

NICU

KDIGO

102

34

In-hospital

Varadarajan, 2022 [24]

India

Prospective

Multisystem Inflammatory syndrome

Non-neonate

PICU and ward

KDIGO

34

22

In-hospital

Vincent, 2023 [23]

USA

Retrospective

Mixed

Only neonate

NICU

KDIGO

100

14

In-hospital

Wang, 2022 [22]

China

Retrospective

Metabolic Acidosis

Non-neonate

PICU and SICU (Surgical ICU)

pROCK

181

22

In-hospital

Wei, 2021 [21]

China

Retrospective

Mixed

Non-neonate

PICU

pROCK

257

32

In-hospital

Wingert, 2021 [20]

USA

Retrospective

Non-Cardiac surgery

Neonate and non-neonate

PICU, NICU and ward

KDIGO

288

23

in-hospital

Xu, 2018 [18]

China

Retrospective

Mixed

Non-neonate

PICU and ward

KDIGO

19,908

842

In-hospital

Xu, 2023 [19]

China

Retrospective

Mixed

Only neonate

NICU

Cys-C based criteria

6336

96

In-hospital

Zwiers, 2013 [16]

Netherlands

Prospective

ECMO

Only neonate

NICU

RIFLE

153

43

In-hospital

  1. ADQI: Acute Dialysis Quality Initiative; AKIN: Acute Kidney Injury Network; CICU: Cardiac Intensive Care Unit; Cys-C: Cystatin C; ECMO: Extracorporeal Membrane Oxygenation; ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification; KDIGO: Kidney Disease: Improving Global Outcomes; LBW: Low Birth Weight; mAKIN: Modified Acute Kidney Injury Network; NICU: Neonatal Intensive Care Unit; NR: Not Reported; nKDIGO: Neonatal Kidney Disease: Improving Global Outcomes; PICU: Pediatric Intensive Care Unit; pRIFLE: Pediatric Risk, Injury, Failure, Loss, End-Stage Renal Disease; pROCK: Pediatric Reference Operative Check for Kidney Dysfunction; SICU: Surgical Intensive Care Unit