Source:http://linkedlifedata.com/resource/pubmed/id/19087230
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2009-1-20
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pubmed:abstractText |
CKD is a major co-morbidity in pediatric lung transplant recipients. We report the prevalence of renal impairment post-lung transplant at a single center, using a modified, age-adjusted eGFR for the best approximation of true GFR, and investigated associations and possible predictors of decline in renal function post-transplant. Renal function was assessed by eGFR pre-transplant, three and 12 months post-transplant, and at last follow-up. Decline in renal function was analyzed as percentage fall in eGFR in two phases (0-3 and 3-12). Furthermore, we investigated impact of gender, age, pre-transplant diagnosis and renal function, transplant type, early post-transplant dialysis, and tacrolimus trough levels on decline in eGFR using multivariate analysis. Over a five-yr period, 30 transplants were performed. Mean eGFR pretransplant was 117 mL/min/1.73 m(2) (s.d. 35) with mean decline in eGFR during the first three months post-transplant of 33% (s.d. 31, p < 0.001). Thereafter, mean decline in eGFR was 8% (s.d. 18, p = 0.02). None of the factors assessed were significantly associated with decline in eGFR post-transplant. In conclusion, many children have decline in renal function following lung transplantation, particularly early post-transplant. Unlike in adults, we were unable to detect any predictors of renal impairment in pediatric lung transplant recipients.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1399-3046
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
104-10
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pubmed:meshHeading |
pubmed-meshheading:19087230-Adolescent,
pubmed-meshheading:19087230-Body Mass Index,
pubmed-meshheading:19087230-Child,
pubmed-meshheading:19087230-Child, Preschool,
pubmed-meshheading:19087230-Creatinine,
pubmed-meshheading:19087230-Female,
pubmed-meshheading:19087230-Glomerular Filtration Rate,
pubmed-meshheading:19087230-Heart-Lung Transplantation,
pubmed-meshheading:19087230-Humans,
pubmed-meshheading:19087230-Immunosuppressive Agents,
pubmed-meshheading:19087230-Lung Transplantation,
pubmed-meshheading:19087230-Male,
pubmed-meshheading:19087230-Postoperative Complications,
pubmed-meshheading:19087230-Prevalence,
pubmed-meshheading:19087230-Renal Insufficiency, Chronic,
pubmed-meshheading:19087230-Retrospective Studies,
pubmed-meshheading:19087230-Tacrolimus
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pubmed:year |
2009
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pubmed:articleTitle |
Chronic kidney disease in children following lung and heart-lung transplantation.
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pubmed:affiliation |
Cardio-Respiratory and Critical Care Division, Great Ormond Street Hospital for Children NHS Trust, London, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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