[Chronic kidney disease in children up to 2 years of age - a single center data analysis]

Kinga Musiał1, Marta Sałamacha1, Sylwia Gralec1

  • 1Medical University of Wrocław, Poland: Chair and Department of Pediatric Nephrology.

Insights

Urinary tract anomalies are the main cause of pediatric chronic kidney disease (CKD) across all ages. However, etiological factors like perinatal acute kidney injury in younger children and glomerulopathies in older children show age-related differences.

Area of Science:

  • Pediatric Nephrology
  • Renal Disease Etiology
  • Chronic Kidney Disease (CKD)

Background:

  • Urinary tract anomalies are the primary cause of chronic kidney disease (CKD) in children.
  • Limited research exists on age-specific etiological differences in pediatric CKD.

Purpose of the Study:

  • To compare the causes of CKD in hospitalized children.
  • To analyze age and gender as factors influencing CKD etiology in pediatric patients.

Main Methods:

  • Retrospective analysis of 174 pediatric patients (0-18 years) with CKD from 2011-2017.
  • Patients were divided into two age groups: 0-2 years (Group A, n=45) and 2-18 years (Group B, n=129).

Main Results:

  • Urinary tract anomalies were the leading cause of CKD in both groups (66.7% in Group A, 48.8% in Group B).
  • In younger children (Group A), perinatal acute kidney injury (17.8%) and hereditary renal disorders (8.9%) were significant factors.
  • In older children (Group B), glomerulopathies (16.3%) and hereditary renal disorders (15.5%) were the next most common causes after urinary tract anomalies.

Conclusions:

  • Urinary tract anomalies are the predominant cause of pediatric CKD, regardless of age.
  • Male predominance was observed only in children under 2 years old.
  • Acute kidney injury, particularly perinatal, is a key factor in young children, while glomerulopathies and hereditary disorders are significant in older children.

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