Children's liver chemistries vary with age and gender and require customized pediatric reference ranges
| Autor: | Heide A. Stirnadel-Farrant, Caroline B Yancey, Christine M. Hunt, Chanchal Bains, Nicholas Galwey |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Liver chemistry Percentile medicine.medical_specialty Adolescent Bilirubin Reference laboratory Toxicology Gastroenterology Age and gender Young Adult chemistry.chemical_compound Liver disease Liver Function Tests Reference Values Internal medicine Humans Medicine Aspartate Aminotransferases Child Liver injury business.industry Liver Diseases Infant Newborn Infant Alanine Transaminase General Medicine Alkaline Phosphatase medicine.disease Surgery Liver chemistry Child Preschool Female business TBIL |
| Zdroj: | Regulatory Toxicology and Pharmacology. 73:349-355 |
| ISSN: | 0273-2300 |
| DOI: | 10.1016/j.yrtph.2015.07.013 |
| Popis: | Used to detect liver disease and injury, baseline liver chemistry distributions were evaluated by age and gender in children without known liver disease. Baseline liver chemistries [alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and total bilirubin (TBIL)] were analyzed from 24 randomized controlled pediatric clinical trials. Using quantile regression, liver chemistry distributions were examined by age and gender; upper limit normal (ULN) ranges were compared to the 97.5th percentiles of the distributions for the specified ages and genders. 5410 subjects without known liver disease (0-18 years; 60% male) were studied. The median ALT varied little with age. In males age 5-18, the ALT 97.5th percentile increased from 34 to 63 IU/L. In both genders, the median and 97.5th percentile AST decreased with age. After age 9, ALP decreased. TBIL increased with age. Despite most liver chemistry 97.5th percentiles changing substantively with age and gender, the reference lab ULN generally changed minimally and did not correlate with the 97.5th percentile. Gender and age specific 97.5th percentile data should therefore be considered for the reference laboratory ULN in children to more accurately detect liver injury and disease. |
| Databáze: | OpenAIRE |
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