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64-0.72) with a sensitivity of 65.9%, a specificity of 69.7%, and a PPV of 20.8%. Conclusions Lower Hb in the first postnatal week was associated with late AKI, though the association no longer remained after fluid balance was included. Impact The current study suggests a possible novel association between low serum hemoglobin (Hb) and neonatal acute kidney injury (AKI).The study shows that low serum Hb levels in the first postnatal week are associated with increased risk of AKI after the first postnatal week.This study is the first to