Etiology and outcome of chronic renal failure in hospitalized children in Ho Chi Minh City, Vietnam

被引:0
|
作者
Tran Thi Mong Hiep
Françoise Janssen
Khalid Ismaili
Dang Khai Minh
Doan Vuong Kiet
Annie Robert
机构
[1] NhiDong 2 Hospital-Grall,Department of Pediatric Nephrology
[2] University Training Center,Department of Pediatric Nephrology
[3] Hôpital Universitaire des Enfants - Reine Fabiola,Department of Epidemiology and Biostatistics
[4] Université Libre de Bruxelles (ULB),undefined
[5] Université catholique de Louvain (UCL),undefined
来源
Pediatric Nephrology | 2008年 / 23卷
关键词
End-stage renal failure; Renal replacement therapy; Mortality; Primary renal disease; Risk factors;
D O I
暂无
中图分类号
学科分类号
摘要
The aim of this study was to investigate the etiology and treatment modalities and to determine mortality risks in hospitalized children with chronic renal failure (CRF) in Ho Chi Minh City, Vietnam. We reviewed the records of 310 children with CRF hospitalized in Ho Chi Minh City from January 2001 to December 2005. The average annual number cases was 4.8 per million child population native to Ho Chi Minh City. Median age was 14 years; 85% of patients were in end-stage renal failure. Associated illnesses were anemia (96%), hypertension (74%), and cardiopulmonary diseases (39%). Causes of CRF included glomerulonephritis (30%) and congenital/hereditary anomalies (20%), but in 50% of children, the etiology was unavailable. Seventy-three percent of cases with end-stage renal failure did not benefit from renal replacement therapy. During hospitalization, 47 patients (15%) died. Mortality risks were higher in young children (1–4 years), in boys, and in patients with acquired pathologies. Severe metabolic acidosis was the main predictive factor of mortality by multivariate regression analysis. Our data shows a poor outcome due to late referral and limited facilities for renal replacement therapy in children with CRF hospitalized in Ho Chi Minh City.
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页码:965 / 970
页数:5
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