Development of Height and Body Mass Index After Pediatric Kidney Transplantation: Experience of the Nephrology Pediatric Service at HCFMRP- USP, 2005-2014

Hillesheim, Elaine; Ambrósio, Valéria Laguna Salomão; Facincani, Inalda

doi:10.5935/0101-2800.20160050

Cited by 5 publications

(11 citation statements)

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“…Although catch‐up growth can be expressed in terms of height velocity, change in Height_SDS is more appropriate . Based on previous reports that have analyzed growth in children with RTx, we defined catch‐up growth as a height gain of ≥0.5 SDS per year during the first 2 years after intervention.…”

Section: Discussionsupporting

confidence: 48%

“…In our study, 68.9% and 44.6% prevalence of short pre‐RTx stature and severe short pre‐RTx stature, respectively, was observed, with a mean Height_SDS of −2.8 ± 1.5 at RTx. Our data demonstrate a higher frequency and severity when compared with results from previous reports, and our results are similar to growth behavior observed in a cohort of 17 Brazilian children, reported by Hillesheim et al, where short stature prevalence was 58% and mean Height_SDS at RTx was −2.66 ± 1.66, although all children underwent RTx after 2008 …”

Section: Discussionmentioning

confidence: 99%

“…Unlike in previous studies, we analyzed post‐RTx growth independently in children with short pre‐RTx stature and children with normal pre‐RTX stature. We found that in patients with normal pre‐RTx stature, there was no significant variation in mean Height_SDS after the transplant, and they managed to maintain a normal height at the end of the follow‐up.…”

Section: Discussionmentioning

confidence: 99%

“…Changes in Height Z‐Score (Δ Height_SDS) from pre‐RTx to years 1 and 2 post‐RTx were calculated, and children were subsequently classified according to the presence or the absence of catch‐up growth. Based on previous reports, catch‐up growth was defined as present if the Δ Height_SDS was ≥0.5 SDS per year during the first 2 years post‐RTx …”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, there are relatively few pediatric studies in Latin America that describe growth patterns such as prevalence of pre‐RTx short stature, post‐RTx catch‐up growth, and associated factors in children with CKD . Additionally, there are no available data about Colombian children.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Growth characterization in a cohort of renal allograft recipients

Rico¹,

Hernandez²,

Castellanos³

et al. 2019

Pediatric Transplantation

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Introduction Growth retardation is a common problem in children with CKD. This study aims to describe growth, prevalence of short stature before RTx, catch‐up growth after RTx, and associated factors. Methods We retrospectively reviewed 74 renal allograft recipients who underwent RTx at Fundación Cardioinfantil, Colombia, between January 2008 and September 2016 with follow‐up for 2 years afterwards. Pre‐RTx Height_SDS and demographic characteristics were compared between children with normal and short stature. Post‐RTx Height_SDS at 1 and 2 years post‐RTx and FAH, when available, were retrieved. Children were classified into catch‐up growth and no catch‐up growth groups depending on whether or not Height_SDS increased ≥0.5 per year within the first 2 years post‐RTx. Possible associated factors were compared. Results Seventy‐four patients were included. Mean age at RTx was 11 ± 4.0 years, and 43.2% (32/74) were females. Mean Height_SDS for the entire study population at pre‐RTx was −2.8 ± 1.5. Before RTx, 68.9% (51/74) had short stature, and 44.6% (33/74) had severe short stature. 37.2% presented catch‐up growth post‐RTx. Time on dialysis was associated with short pre‐RTx stature (OR 1.66; 95% CI [1.15‐2.39]; P = .006) and catch‐up growth (OR 2.15; 95% CI [1.15‐3.99]; P = .016). 44.59% (33/74) reached FAH, and 48.4% (16/33) presented short FAH. Conclusions Growth continues to be suboptimal after RTx. Given that pre‐RTx height is a significantly associated factor, it is important to plan early interventions in terms of growth improvement in these children.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Growth characterization in a cohort of renal allograft recipients

Rico¹,

Hernandez²,

Castellanos³

et al. 2019

Pediatric Transplantation

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Early or Late Transplantation in Congenital Nephrotic Syndrome: Which is Effective for Optimal Growth?

Aksoy

Koyun

Çomak

et al. 2019

Transplantation Proceedings

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Sistematização Da Assistência De Enfermagem No Pós-Operatório De Transplante Renal Pediátrico

silva

Santos

Silva

et al. 2020

revenf

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Objetivou-se conhecer a percepção do enfermeiro acerca do processo admissional de crianças no pós-operatório imediato de transplante renal. Estudo descritivo, qualitativo, realizado no período de janeiro a março de 2019 por meio da técnica de grupo focal para a coleta de dados. Participaram 13 enfermeiros que trabalhavam na unidade pós-operatória de alta complexidade de um hospital de referência em transplantes. Os depoimentos foram gravados, transcritos e organizados em categorias. Para a análise dos dados foi utilizada a técnica de análise do conteúdo. A análise do material empírico revelou as seguintes categorias temáticas: Percepção dos enfermeiros sobre o processo de admissão de crianças no pós-operatório imediato; Criação de um protocolo no período pós-operatório do transplante renal voltado para crianças; Insegurança dos profissionais relacionada à reposição volêmica e parada cardiorrespiratória. O estudo contribuiu para o diagnóstico situacional quanto aos cuidados realizados pelos enfermeiros, destacando-se: reposição volêmica, dados vitais ao qual se difere do paciente adulto, parâmetros da ventilação mecânica e diluição de drogas.Descritores: Transplante Renal, Criança, Enfermagem.

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Development of Height and Body Mass Index After Pediatric Kidney Transplantation: Experience of the Nephrology Pediatric Service at HCFMRP- USP, 2005-2014

Abstract: Twenty-four months after transplant it was verified inadequate growth to recovery from stunting and excessive weight gain. RTx promoted greater growth in the youngest patients and most stunted at RTx.

Cited by 5 publications

References 0 publications

Growth characterization in a cohort of renal allograft recipients

Growth characterization in a cohort of renal allograft recipients

Early or Late Transplantation in Congenital Nephrotic Syndrome: Which is Effective for Optimal Growth?

Sistematização Da Assistência De Enfermagem No Pós-Operatório De Transplante Renal Pediátrico

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