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Published on: June 29, 2013
[A preliminary study of renal function in small-for-gestational-age infants at early stage after birth]
Jing Zhu1, Yan Xing, Xin-Li Wang
1Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China. xingyan770424@vip.sina.com.
Insights
Early renal function in small-for-gestational-age (SGA) infants differs by gestational age. Full-term SGA infants show impaired renal function, indicated by higher serum creatinine and lower estimated glomerular filtration rate compared to appropriate-for-gestational-age infants.
Area of Science:
- Neonatal Medicine
- Pediatric Nephrology
- Perinatal Research
Background:
- Small-for-gestational-age (SGA) infants are at risk for various health issues.
- Early assessment of renal function is crucial for SGA infants.
- Gestational age may influence renal outcomes in SGA infants.
Purpose of the Study:
- To evaluate and compare the early renal function of small-for-gestational-age (SGA) infants versus appropriate-for-gestational-age (AGA) infants.
- To investigate the impact of gestational age (preterm vs. full-term) on renal function in SGA infants.
Main Methods:
- Compared renal function indices including BUN, SCr, eGFR, blood pressure, urine output, and proteinuria.
- Included 40 preterm SGA, 33 full-term SGA, 80 preterm AGA, and 33 full-term AGA infants.
- Analyses were conducted within 48 hours of admission.
Main Results:
- Preterm SGA infants showed lower BUN than preterm AGA infants.
- Full-term SGA infants exhibited higher SCr and lower eGFR compared to full-term AGA infants.
- No significant differences in urine output or proteinuria incidence were observed between SGA and AGA groups within preterm or full-term categories.
Conclusions:
- Serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) are valuable indicators for detecting early renal damage in SGA infants.
- Full-term SGA infants demonstrate poorer renal function compared to their full-term AGA counterparts.
- Early renal function assessment is vital for managing SGA infants.
Objective:
To investigate the renal function of small-for-gestational-age (SGA) infants at the early stage after birth.
Methods:
A total of 40 preterm SGA infants, 33 full-term SGA infants, 80 preterm appropriate-for-gestational-age (AGA) infants, and 33 full-term AGA infants were included in this study. The following indices were compared between the SGA infants and AGA infants within 48 hours after admission: blood urea nitrogen (BUN), serum creatinine (SCr), estimated glomerular filtration rate (eGFR), blood pressure, urine volume per body weight, and proteinuria.
Results:
The preterm SGA group had a significantly lower BUN level than the preterm AGA group (P<0.05). However, there were no significant differences in SCr level, eGFR, and blood pressure between the two groups (P>0.05). The full-term SGA group had a significantly higher SCr level and a significantly lower eGFR than the full-term AGA group (P<0.05). However, there were no significant differences in BUN level and blood pressure between the two groups (P>0.05). There was no significant difference in urine volume per body weight between the preterm SGA and preterm AGA groups (P>0.05) and between the full-term SGA and full-term AGA groups (P>0.05). There was no significant difference in the incidence of proteinuria between the preterm SGA and preterm AGA groups (P>0.05). Proteinuria was not present in the SGA full-term and AGA full-term groups.
Conclusions:
SCr and eGFR can be used as the diagnostic indices for early renal damage of SGA infants. The renal function is worse in full-term SGA infants than in full-term AGA infants.
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