Prematurity, small for gestational age and perinatal parameters in children with congenital, hereditary and acquired chronic kidney disease
Identifieur interne : 000D76 ( Main/Exploration ); précédent : 000D75; suivant : 000D77Prematurity, small for gestational age and perinatal parameters in children with congenital, hereditary and acquired chronic kidney disease
Auteurs : Doris Franke [Allemagne] ; Sina Vlker [Allemagne] ; Sanny Haase [Allemagne] ; Leo Pavii [Croatie] ; Uwe Querfeld [Allemagne] ; Jochen H. H. Ehrich [Allemagne] ; Miroslav Ivinjak [Allemagne]Source :
- Nephrology Dialysis Transplantation [ 0931-0509 ] ; 2010-12.
Abstract
Background. Low birth weight has been identified as a risk factor for chronic kidney disease (CKD). Methods. We analysed perinatal parameters taken from the National Birth Certificates of 435 children with CKD stages 35 of different aetiology and time of onset of CKD. Diseases were classified as congenital with onset of renal disease during fetal life (n = 260; 60%), hereditary as genetically determined with onset after 3months of life (n = 93; 21%) and acquired CKD (n = 82; 19%). Results. The rates of prematurity and small for gestational age (SGA) were elevated in children with congenital (39.3% and 29.2%), hereditary (24.7% and 22.6%) and acquired CKD (15.5% and 29.3%); these compared to 8% (for both) in the normal population. Newborns with congenital CKD had a significantly lower gestational age [median 38weeks, interquartile range (IQR) 3640weeks] than those with hereditary (39.9weeks, IQR 37.540weeks) or acquired CKD (40weeks, IQR 3840weeks; P < 0.001). Median birth weight and length were lower in newborns with congenital than in hereditary and acquired diseases [2975g (IQR 24603420g) versus 3250g (IQR 27403580g) and 3260g (IQR 28583685g) (P < 0.01); 49cm (IQR 4752) versus 50cm (IQR 4852.8) and 51cm (IQR 4953) (P < 0.01)]. Head circumference was smaller (P < 0.05), and Apgar scores were lower (P < 0.005) in newborns with congenital diseases than in hereditary and acquired diseases. Conclusions. Children with congenital CKD had the highest rate of prematurity, a significantly lower birth weight, length, head circumference and Apgar score than newborns with hereditary or acquired CKD. Irrespective of the aetiology of CKD, all of the children had a significantly higher rate of SGA and prematurity than the reference population. We conclude that both SGA and prematurity predispose for advanced renal disease in childhood and that fetal kidney disease impairs fetal growth.
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DOI: 10.1093/ndt/gfq300
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Ehrich</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Paediatric Kidney, Liver and Metabolic Diseases, Childrens Hospital, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation><affiliation></affiliation></author><author><name sortKey="Ivinjak, Miroslav" sort="Ivinjak, Miroslav" uniqKey="Ivinjak M" first="Miroslav" last="Ivinjak">Miroslav Ivinjak</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Paediatric Kidney, Liver and Metabolic Diseases, Childrens Hospital, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation><affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Nephrology Dialysis Transplantation</title><title level="j" type="abbrev">Nephrol Dial Transplant</title><idno type="ISSN">0931-0509</idno><idno type="eISSN">1460-2385</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2010-12">2010-12</date><biblScope unit="volume">25</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="3918">3918</biblScope><biblScope unit="page" to="3924">3924</biblScope></imprint><idno type="ISSN">0931-0509</idno></series><idno type="istex">23083079238E944308627B4403D0BFE4F15D6946</idno><idno type="DOI">10.1093/ndt/gfq300</idno><idno type="ArticleID">gfq300</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0931-0509</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background. Low birth weight has been identified as a risk factor for chronic kidney disease (CKD). Methods. We analysed perinatal parameters taken from the National Birth Certificates of 435 children with CKD stages 35 of different aetiology and time of onset of CKD. Diseases were classified as congenital with onset of renal disease during fetal life (n = 260; 60%), hereditary as genetically determined with onset after 3months of life (n = 93; 21%) and acquired CKD (n = 82; 19%). Results. The rates of prematurity and small for gestational age (SGA) were elevated in children with congenital (39.3% and 29.2%), hereditary (24.7% and 22.6%) and acquired CKD (15.5% and 29.3%); these compared to 8% (for both) in the normal population. Newborns with congenital CKD had a significantly lower gestational age [median 38weeks, interquartile range (IQR) 3640weeks] than those with hereditary (39.9weeks, IQR 37.540weeks) or acquired CKD (40weeks, IQR 3840weeks; P < 0.001). Median birth weight and length were lower in newborns with congenital than in hereditary and acquired diseases [2975g (IQR 24603420g) versus 3250g (IQR 27403580g) and 3260g (IQR 28583685g) (P < 0.01); 49cm (IQR 4752) versus 50cm (IQR 4852.8) and 51cm (IQR 4953) (P < 0.01)]. Head circumference was smaller (P < 0.05), and Apgar scores were lower (P < 0.005) in newborns with congenital diseases than in hereditary and acquired diseases. Conclusions. Children with congenital CKD had the highest rate of prematurity, a significantly lower birth weight, length, head circumference and Apgar score than newborns with hereditary or acquired CKD. Irrespective of the aetiology of CKD, all of the children had a significantly higher rate of SGA and prematurity than the reference population. We conclude that both SGA and prematurity predispose for advanced renal disease in childhood and that fetal kidney disease impairs fetal growth.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Croatie</li></country><region><li>Basse-Saxe</li><li>Berlin</li></region><settlement><li>Berlin</li><li>Hanovre</li></settlement></list><tree><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Franke, Doris" sort="Franke, Doris" uniqKey="Franke D" first="Doris" last="Franke">Doris Franke</name></region><name sortKey="Ehrich, Jochen H H" sort="Ehrich, Jochen H H" uniqKey="Ehrich J" first="Jochen H. H." last="Ehrich">Jochen H. H. Ehrich</name><name sortKey="Haase, Sanny" sort="Haase, Sanny" uniqKey="Haase S" first="Sanny" last="Haase">Sanny Haase</name><name sortKey="Ivinjak, Miroslav" sort="Ivinjak, Miroslav" uniqKey="Ivinjak M" first="Miroslav" last="Ivinjak">Miroslav Ivinjak</name><name sortKey="Querfeld, Uwe" sort="Querfeld, Uwe" uniqKey="Querfeld U" first="Uwe" last="Querfeld">Uwe Querfeld</name><name sortKey="Vlker, Sina" sort="Vlker, Sina" uniqKey="Vlker S" first="Sina" last="Vlker">Sina Vlker</name></country><country name="Croatie"><noRegion><name sortKey="Pavii, Leo" sort="Pavii, Leo" uniqKey="Pavii L" first="Leo" last="Pavii">Leo Pavii</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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