Kidney care at NICU discharge and follow-up recommendations for preterm infants<34 weeks

Preterm birth increases the risk of chronic kidney disease (CKD) and hypertension later in life. To address these risks, the National Institutes of Health sponsored the Neonatal Kidney Health Consensus Workshop in February 2024, where a multidisciplinary group of experts reviewed current evidence, identified knowledge gaps, and developed consensus-based recommendations for kidney health follow-up in infants born <34 weeks. Key recommendations include a kidney evaluation before NICU discharge and at two years of age, with comprehensive kidney assessment for those at highest risk (birth <28 weeks, with acute kidney injury, intrauterine growth restriction, or small for gestational age). Cohesive, evidence-based parental education at multiple timepoints was emphasized to support early CKD detection and long-term management. This consensus provides a framework to optimize follow up and highlights research priorities aimed at improving risk stratification, early diagnosis, and interventions in individuals born preterm.

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Publication Details

Journal
Journal of Perinatology
Published
2026-02-26
DOI
https://doi.org/10.1038/s41372-026-02597-x
Primary Topic
Birth, Development, and Health
Type
article
Field-Weighted Citation Impact
0.00

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article

Kidney care at NICU discharge and follow-up recommendations for preterm infants<34 weeks

Carolyn Abitbol, Brianna Liberio, Matthew C. Gillen, Meredith P. Schuh et al.
Journal of Perinatology
Birth, Development, and Health
article

Kidney care at NICU discharge and follow-up recommendations for preterm infants<34 weeks

Carolyn Abitbol, Brianna Liberio, Matthew C. Gillen, Meredith P. Schuh, Emily Niemyjski, J Chmielewski, Kathryn Lowe, Amy E. Strong, J B Isaac, Kaashif A. Ahmad, Stephen M. Gorga, Kim T. Vuong, Marciana L. Laster, Tahagod H. Mohamed, Danielle E. Soranno, Paulomi Chaudhry, Jeffrey L. Segar, Sally Schwartz, Gist Katja M, Tara Beck, Evan Ajit Rajadhyaksha, Kimberly Reidy, Kyle Merrill, Shina Menon, Kara Short, Dana Fuhrman, Heidi J. Steflik, Jennifer Rumpel, Cara L. Slagle, Mina H. Hanna, Matthew W. Harer, Morgan E. Marcuccilli, Namasivayam Ambalavanan, O. N. Ray Bignall, Jennifer R. Charlton, Erin R. Rademacher, Catherine Joseph, Caroline V. Jackson, Paige E. Condit, Catherine D. Krawczeski, on behalf of the Neonatal Kidney Health Consensus Workshop, Alex Feeney, Jennifer G. Jetton, Namrata Todukar, David Askenazi, Marissa J. DeFreitas
article en

Abstract

Preterm birth increases the risk of chronic kidney disease (CKD) and hypertension later in life. To address these risks, the National Institutes of Health sponsored the Neonatal Kidney Health Consensus Workshop in February 2024, where a multidisciplinary group of experts reviewed current evidence, identified knowledge gaps, and developed consensus-based recommendations for kidney health follow-up in infants born <34 weeks. Key recommendations include a kidney evaluation before NICU discharge and at two years of age, with comprehensive kidney assessment for those at highest risk (birth <28 weeks, with acute kidney injury, intrauterine growth restriction, or small for gestational age). Cohesive, evidence-based parental education at multiple timepoints was emphasized to support early CKD detection and long-term management. This consensus provides a framework to optimize follow up and highlights research priorities aimed at improving risk stratification, early diagnosis, and interventions in individuals born preterm.

Journal of PerinatologyVol. 46(3)
University of North Carolina at Chapel Hill (US), Children's Hospital of Wisconsin (US), University of Iowa (US), Cincinnati Children's Hospital Medical Center (US), Nationwide Children's Hospital (US), Lucile Packard Children's Hospital (US), Montefiore Medical Center (US), University of Wisconsin–Madison (US), University of British Columbia (CA), University of Kentucky (US), Emory University (US), Medical University of South Carolina (US), Medical College of Wisconsin (US), Children's of Alabama (US), University of Alabama at Birmingham (US), Mednax (United States) (US), Seattle Children's Hospital (US), Sunrise Medical (United States) (US), University of Miami Hospital (US), Golisano Children's Hospital (US), Lurie Children's Hospital (US), Perinatal Institute (GB), Children's Hospital of Pittsburgh (US), Texas Children's Hospital (US), C. S. Mott Children's Hospital (US), Indiana University School of Medicine, University of Virginia (US), University of Colorado Anschutz Medical Campus (US), Indiana University – Purdue University Indianapolis (US), University of Arkansas for Medical Sciences (US), Stanford University (US)
BioPorto, School of Medicine, Indiana University
Openalex Percentile: Top 42%
Birth, Development, and Health
DOIOpen Access PDFOpenAlex
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