Prediction of AKI or risk stratification of patients in danger of kidney damage is crucial for initiating preventive measures for AKI. Thus, an appropriate risk assessment for AKI is required in every patient admitted to the intensive care unit (ICU). the renal angina index (RAI), which is determined based on changes in renal function, was proposed to risk stratify critically ill children at high risk of AKI.Determine the capacity of renal angina list on foresee intense kidney harm in kids On pediatric seriousness What's more comparing its abilility with that about serum creatinine. This study will be An prospective obsevational examine might have been conveyed for 162 Youngsters admitted over pediatric emergency unit unit, all examined patients bring been subjected with full historical backdrop taking, finish clinical examination and estimation from claiming finish blood count, serum creatinine, liver work tests (ALT, AST, PT, PTT, INR) and electrolytes. Count 0f renal angina list Also identification of patients produced AKI at D3 as stated by KDIGO criteria. This contemplate incorporated 162 Youngsters. 54% of the examined patients were guys and 46% were females, their intend agdistis might have been 6. 3 years, seventy percent of the examined example needed AKI, there were no statistically critical contrasts the middle of patients with and without AKI in regards to sex, age, or weight, roc bend investigation demonstrated that RAI, and creatinine (each alone) might altogether foresee AKI toward the indicated cutoff qualities. RAI may be a greater amount touchy What's more particular (79. 6% & 64. 8% respectively) over creatinine (59. 4% & 61. 2%).