{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T04:21:44Z","timestamp":1780892504726,"version":"3.54.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute kidney injury (AKI) early after a major burn has not been widely studied. Our purpose was to evaluate the prevalence of and risk factors for early AKI and the effect of early AKI on outcome. Retrospective cohort study of adults with burns \u226520% TBSA admitted between November 24, 2015 and July 1, 2019. \u201cEarly AKI\u201d occurring within 7 days of injury was identified using urine output and serum creatinine Kidney Disease International Global Outcome criteria. Multivariate regression models were developed for development of early AKI, development of AKI on day 0 or 1 postburn (\u201cvery early AKI\u201d), and for in-hospital death. Among 85 patients, 62.4% developed early AKI, of which 26% had stage 3 AKI. Renal replacement therapy was required in 64% of stage 3 patients by day 7. Patients with early AKI were significantly older [50 (40.5\u201361) vs 37.5 (27.2\u201346.8) years, P &amp;lt; .001], and a significantly greater proportion was intubated in the first 24 hours postburn (90.6 vs 59.4%, P = .001). Resuscitation with high-dose vitamin C (HDVC) was independently associated with more frequent early AKI. Older age was significantly associated and HDVC was closely associated with increased very early AKI. In-hospital mortality was 37.7% for patients with early AKI. Older age, larger burn size, and development of early stage 3 AKI were independently associated with increased in-hospital death. Early AKI is common and carries a poor prognosis for survival. Resuscitation involving HDVC appears to be related to a higher likelihood of early and possibly very early AKI.<\/jats:p>","DOI":"10.1093\/jbcr\/iraa123","type":"journal-article","created":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T15:55:09Z","timestamp":1596470109000},"page":"126-134","source":"Crossref","is-referenced-by-count":16,"title":["Early Acute Kidney Injury Following Major Burns"],"prefix":"10.1093","volume":"42","author":[{"given":"George","family":"Ho","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Camacho","sequence":"additional","affiliation":[{"name":"Damos Associates Data Modelling Systems, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Rogers","sequence":"additional","affiliation":[{"name":"The Ross Tilley Burn Centre, Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Cartotto","sequence":"additional","affiliation":[{"name":"The Ross Tilley Burn Centre, Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,8,3]]},"reference":[{"key":"2021030904535399000_CIT0001","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1007\/s00134-010-1861-1","article-title":"Outcome of acute kidney injury in severe burns: a systematic review and meta-analysis","volume":"36","author":"Brusselaers","year":"2010","journal-title":"Intensive Care Med"},{"key":"2021030904535399000_CIT0002","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s00134-006-0478-x","article-title":"Defining and classifying acute renal failure: from advocacy to consensus and validation of the RIFLE 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