| Diagnosis of acute renal failure in very preterm infants. | |
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MedLine Citation:
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PMID: 15249758 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study was designed to improve the definition of acute renal failure (ARF) in very preterm infants. Twenty-eight newborn infants with gestational age < or =32 weeks were prospectively studied in the first 5 days of life and made up a control group as they did not present risk factors for vasomotor renal insufficiency. Renal insufficiency was defined as an increase in daily serum creatinine concentration above the 99th interval limit obtained in this control group, i.e., 43 micromol/l on day 1 and/or 21 micromol/l on day 2 and/or 14 micromol/l/day on day 3 and/or 22 micromol/l/day on day 4. According to this definition, 20 very preterm infants with ARF were identified. As compared with the control group, the ARF group showed more prolonged oliguric episodes, lower diuresis, insufficient weight loss (in spite of a reduction in water intake) and also more episodes with natremia <130 mEq/l (35 vs. 0%; p <0.05) and/or kalemia >6 mEq/l (40 vs. 11%; p <0.05). Therefore, assessment of daily changes in serum creatinine concentration in very preterm infants allows the diagnosis of clinically significant reduction in glomerular filtration rate. |
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Authors:
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G Choker; J B Gouyon |
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Publication Detail:
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Type: Journal Article Date: 2004-07-07 |
Journal Detail:
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Title: Biology of the neonate Volume: 86 ISSN: 0006-3126 ISO Abbreviation: Biol. Neonate Publication Date: 2004 |
Date Detail:
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Created Date: 2004-10-01 Completed Date: 2005-02-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0247551 Medline TA: Biol Neonate Country: Switzerland |
Other Details:
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Languages: eng Pagination: 212-6 Citation Subset: IM |
Affiliation:
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Service de Pédiatrie 2, Dijon, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aging Bicarbonates / blood Creatinine / blood Diuresis Gestational Age Glomerular Filtration Rate Humans Infant, Newborn Infant, Premature* Infant, Premature, Diseases / diagnosis* Kidney Failure, Acute / diagnosis* Oliguria Potassium / blood Prospective Studies Reference Values Sodium / blood Weight Loss |
| Chemical | |
Reg. No./Substance:
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0/Bicarbonates; 60-27-5/Creatinine; 7440-09-7/Potassium; 7440-23-5/Sodium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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