Abstract P-115

Aims & Objectives: Critically ill cildren on ECMO acute kidney injury seen more frequently.AKİ on ECMO therapy increases mortality in children.The study was designed to determine the frequency of AKİ and CRRT therapy on ECMO patients and find out their effects on results. Methods Children (1 month – 18 years age) with ECMO were recruited during the study period between March 2017-August 2017.AKI was determined with KDİGO definitions pre-ECMO. The outcome of these children were mortality under ECMO,mortality at decanulation and mortality after decanulation. Results 16 critically ill patient supported with ECMO during study period in our unit.Half of the patient were girl.(8/16).Median patient age was 42,5 mounth.Cardiomyopathy and myocarditis were most frequent diagnosis.Venoarteial ECMO was most frequent ECMO type(%81,3).Median ECMO time was 14,2,5 hours. Of those who developed acute kidney injury, it was present at extracorporeal membrane oxygenation initiation in a minority of cases (37%) and present by 48 hours of extracorporeal membrane oxygenation support in 68%.11 patients developed AKI during hospital care.6 patients renal functions supported by CRRT.Fluid overload was the most common CRRT indication.Survive on ECMO patients was %56,4.6 patients died during study period and all of them had AKI.Patients who didn’t developed AKI,all of them survived. Conclusions Our data strongly supports the use of ECMO increases AKI and CRRT incidence. AKI seen more frequently under ECMO with KDİGO definitions according to ELSO AKI definitons.AKI and CRRT increases mortality on ECMO patients.