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Sonographic Assessment of Renal Length in Healthy Bangladeshi Children
Agomoni Chaki1,2, Abdullah Mamun2, Tahmina Jesmin2
1Department of Pediatric, Manikganj Medical College Hospital, Manikganj, Bangladesh.
Insights
Establishing normal renal length in children is crucial for diagnosing kidney diseases. This study found renal length strongly correlates with age and height in Bangladeshi children, providing valuable reference data.
Area of Science:
- Pediatric Nephrology
- Diagnostic Imaging
- Human Growth and Development
Background:
- Renal size is a key indicator for evaluating pediatric renal growth and disease.
- Renal length is the most clinically significant parameter for assessing renal size.
- Establishing normative renal length data is vital for diagnosing childhood kidney conditions.
Purpose of the Study:
- To determine the normal range of renal length in apparently healthy Bangladeshi children.
- To assess the correlation between renal length and age and anthropometric parameters in children.
- To establish reference equations for predicting renal length based on these parameters.
Main Methods:
- A cross-sectional study involving 369 healthy children aged 1 month to 18 years.
- Renal length was measured using ultrasonography by a single experienced radiologist.
- Pearson's correlation test was used to analyze the relationship between renal length, age, and anthropometric data.
Main Results:
- No significant difference in renal length was observed between sexes.
- The left kidney was consistently longer than the right kidney (P <0.001).
- Strong positive correlations were found between renal length and age, and anthropometric parameters, particularly height (r = 0.95 for right, 0.94 for left kidney).
Conclusions:
- Renal length in Bangladeshi children shows a strong positive correlation with age and height.
- Ultrasonography-derived renal length measurements provide a reliable baseline for pediatric kidney evaluation.
- The derived linear regression equations can aid in predicting normal renal length in children.
Abstract:
Renal size is an important parameter used for the clinical evaluation of renal growth and renal diseases in children. Renal length is the most useful parameter for measuring renal size. Therefore, establishing the normal value of renal length in children is valuable, as it can serve as a baseline for the diagnosis of renal diseases and possible interventions. The objective of our study was to assess renal length in Bangladeshi children by ultrasonography. This cross-sectional study was carried out in the Department of Pediatric Nephrology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from January 2019 to June 2020. In total, 369 apparently healthy children aged 1 month to 18 years were included in this study. Renal length was measured by ultrasonography by same experienced radiologist. The mean renal length ± standard deviation was calculated for each age group. The correlation of renal length with age and anthropometric parameters was tested using Pearson's correlation test. No statistical difference was found in renal length between the two sexes. The left kidney was significantly longer than the right kidney (P <0.001). There were strong positive correlations of renal length with age and anthropometric parameters. The best positive correlation was found between renal length and height (r = 0.95 and 0.94 for the right and left kidneys, respectively). Linear regression equations were obtained to predict the renal length from age and anthropometric parameters. Renal length has a strong positive correlation with body length/height.
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