Are My Pediatric Patients at Increased Risk of Developing Chronic Kidney Disease?

Autor: Primack W; University of North Carolina, Chapel Hill, NC, USA., Kleeman S; Boston University, Boston, MA, USA., Boineau F; University of South Carolina, Greenville, SC, USA., Jernigan S; Emory University, Atlanta, GA, USA.
Jazyk: angličtina
Zdroj: Clinical pediatrics [Clin Pediatr (Phila)] 2020 Jul; Vol. 59 (8), pp. 801-808. Date of Electronic Publication: 2020 May 13.
DOI: 10.1177/0009922820920015
Abstrakt: Chronic kidney disease (CKD) is an underrecognized and often undiagnosed cause of morbidity and mortality. Many children and adolescents are at increased risk of developing CKD as they mature and age, secondary to conditions commonly cared for by pediatric health professionals. Prematurity, diabetes mellitus, hypertension, congenital heart disease, sickle cell disease and trait, severe obesity, cancer chemotherapy, other drug toxicities, and systemic situations that may cause acute kidney injury such as sepsis or extracorporeal membrane oxygenation therapy predispose to potential CKD. Clinicians should be aware of these conditions in order to screen for CKD, choose non-nephrotoxic treatments for these children whenever possible, and treat or refer those who have early signs of CKD.
Databáze: MEDLINE