medigraphic.com
ISSN 1684-1824 (Electronic)

2013, Number 1

Next >>

Rev Méd Electrón 2013; 35 (1)

Non terminal chronic renal disease in pediatric age patients entered and followed in the Nephrology consultation

Montell HOA, Vidal TA, Sánchez HC, Méndez DA, Delgado FMR, Bolaños DFM

Language: Spanish
References: 19
Page: 1-10
PDF size: 67.68 Kb.


ABSTRACT

Introduction: the chronic renal disease is considered a world health problem affecting almost 10 % of the population, it is under diagnosed and supposes an important morbidity.
Objectives: determining the incidence of the infantile chronic renal disease in the province of Matanzas, describing the natural history of the disease, studying those factors that may influence in its course, and creating the bases for elaborating a standard protocol for the surveillance and treatment of these patients.
Methods: we carried out a transversal, descriptive research, in the teaching Pediatric provincial Hospital of Matanzas, in the period from January 1st 2000 to December 31st 2011. To develop it, we took into consideration the clinical data of children aged 0-18 years old, who entered the hospital and were followed in consultations of Nephrology during the period and were diagnosed a renal disease with risk factors for presenting a chronic renal disease.
Results: from 22 diagnosed patients, the chronic renal disease was predominant in the male sex, and 41 % of the cases were diagnosed in ages between 13 and 18 years old. The most frequent causes we found were the reflux nephropathy (40,9 %) followed by the structural anomalies (31,8 %). 47 % of the patients presented anemia, and 41,2 % arterial hypertension in the last assessment. 50 % of the diagnosed patients are under pre-dialytic treatment.
Conclusions: we presented the first study on chronic renal disease, emphasizing the causal agents, the indicators of possible progressive damage, and the evolution of the chronic renal disease among the pediatric population of the province.


REFERENCES

  1. Gordillo Paniagua G, Exeni AR, De la Cruz J. Insuficiencia renal crónica. En: Nefrología Pediátrica. 2da ed. España: Elsevier; 2003. p. 453-74.

  2. Areses Trapote R, Sanahuja Ibáñez MJ, Navarro M. Epidemiología de la enfermedad renal crónica no terminal en la población pediátrica española. Nefrología (Madr) [Internet]. 2010 [citado 11 Nov 2009];30(5):508-17. Disponible en: http://scielo.isciii.es/scielo.php?pid=S0211-69952010000500005&script=sci_arttext.

  3. Warady BA, Chadha V. Chronic kidney disease in children: the global perspective. Pediatric Nephrol [Internet]. 2007 [citado 11 Dicv 2009]; 22:1999-2009. Disponible en: http://link.springer.com/article/10.1007%2Fs00467-006-0410-1?LI=true.

  4. Pistor K, Kolbing H, Scharer K. Children with chronic renal failure in the Federal Republic Germany: Epidemiology, modes of treatment, survival. Clin Nephrol. 1985;23(6):272-84. Citado en PubMed; PMID: 4028524.

  5. Esbjorner E, Aronson A, Berg U, Jodal U, Linne T. Children with chronic renal failure in Sweden 1978-1985. Pediatr Nephrol [Internet]. 1990 [citado 12 Oct 2009];4(3):249-52. Disponible en: http://link.springer.com/article/10.1007%2FBF00857667?LI=trae.

  6. Duarte Pérez MC, Durán Casal DP, Florín Yrabién J, Cazorla Artiles N. Insuficiencia renal crónica. En: Pediatría. La Habana: Ciencias Médicas; 2010. p. 2191-2201.

  7. North American Pediatric Renal Transplant Cooperative Study. 2008 annual report. Rockville, MD: The EMMES Corporation; 2008.

  8. Ardissino G, Dacco V, Testa S, Bonaudo R, Claris-Appiani A,Taioli E, et al. Epidemiology of chronic renal failure in children: data from the ItalKid project. Pediatrics [Internet]. 2003 [citado 18 Nov 2009] 2003;111:382-7. Disponible en: http://pediatrics.aappublications.org/content/111/4/e382.short.

  9. Ordoñez Flor A, Martínez V. Fallo Renal crónico. En: García Nieto V, Santos Rodríguez F, Rodríguez Iturbe B. Nefrología Pediátrica. 2da ed. Madrid: Aula Médica; 2006. p. 665-9.

  10. Almaguer López M, Magrans Buch C, Herrera Valdés R. Nefrología-Epidemiología. Avances en enfermedad renal crónica. La Habana: MINSAP; 2008.

  11. Bogaru A, Viani T, Michéle Guignard JP. Las normas en nefrología pediátrica. Arch Latinoam Nefrol Pediátr. 2003;3(1):47-57. Citado en PubMed; PMID: 465827.

  12. National Kidney Foundation Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. K/DOQI clinical practice guidelines. Am J Kidney Dis [Internet]. 2003 [citado 13 Jul 2009];139:1-266. Disponible en: http://www.kidney.org/professionals/kdoqi/pdf/Med2003CKDguideline.pdf.

  13. Schwartz GJ, Haycock GB, Edelmann CM Jr, Spitzer A. A simple estimate of glomerular filtration rate in children derived from body length and plasma creatinine. Pediatrics [Internet]. 1976 [citado 12 feb 2009];58:259-63. Disponible en: http://pediatrics.aappublications.org/content/58/2/259.short.

  14. Furth SL, Cole SR, Moxey-Mims M, Kaskel F, Mak R, Schwartz G, et al. Design and methods of the Chronic Kidney Disease in Children (CKiD) prospective cohort study. CJ A S N [Internet]. 2006 [citado 7 Feb 2009];1(5):1006-15. Disponible en: http://cjasn.asnjournals.org/content/1/5/1006.short.

  15. Broyer M, Chantler C, Donckerwolke R, Ehrich JHH, Rizzoni G, Scharer K. The pediatric registry of the European Dialysis and Transplantation Association: 20 years’ experience. Pediatr Nephrol [Internet]. 1993 [citado 16 Mar 2009];7(6):758-68. Disponible en: http://link.springer.com/article/10.1007%2FBF01213347?LI=true.

  16. Warady Bradley A, Ho M. Morbidity and mortality in children with anemia at initiation of dialysis. Pediatr Nephrol. [Internet]. 2003 [citado 11 Nov 2009];18(10):1055-62. Disponible en:http://link.springer.com/article/10.1007%2Fs00467-003-1214-1?LI=trae.

  17. Gerson A, Hwang W, Fiorenza J, Barth K, Kaskel F, Weiss L, et al. Anemia and health-related quality of life in adolescents with chronic kidney disease. Am J Kidney Dis. 2004;44(6):1017-23.

  18. Franscini LM, Von Vigier RO, Pfister R, Casaulta-Aebischer C, Fossali E, Bianchetti MG. Effectiveness and safety of the angiotensin II antagonist irbesartan in children with chronic kidney diseases. Am J Hypertens. [Internet]. 2002 [citado 11 Nov 2009];15(12):1057-63. Disponible en: http://www.nature.com/ajh/journal/v15/n12/abs/ajh2002188a.html.

  19. Wuhl E, Schaefer F. Therapeutic strategies to slow chronic kidney disease progression. Pediatr Nephrol. [Internet]. 2008 [citado 11 Nov 2009];23(5):705-16. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2275772/




2020     |     www.medigraphic.com