Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy
A retrospective review of 34 infants who started long-term peritoneal dialysis at 1 year and who underwent a formal neurodevelopmental evaluation. In addition to dialysis, treatment of the patients included the use of calcium carbonate as the sole phosphate binder in all patients and supplemental na...
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| Veröffentlicht in: | Pediatric nephrology (Berlin, West) West), 1999-11, Vol.13 (9), p.759-765 |
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| container_title | Pediatric nephrology (Berlin, West) |
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| creator | WARADY, B. A BELDEN, B KOHAUT, E |
| description | A retrospective review of 34 infants who started long-term peritoneal dialysis at 1 year and who underwent a formal neurodevelopmental evaluation. In addition to dialysis, treatment of the patients included the use of calcium carbonate as the sole phosphate binder in all patients and supplemental nasogastric tube feeding in 27. At 1 year of age, the 28 patients had a mean head circumference standard deviation score of -0.96+/-1.2. The mental developmental score of 22 (79%) patients fell in the average range, while only 1 (4%) child was significantly delayed. Of 19 children retested at >/=4 years of age, 15 (79%) performed in the average range and 1 (5%) performed in the impaired range. Of 16 patients >/=5 years of age, 15 (94%) attended school full time and in age-appropriate classrooms. Twenty-four patients received their initial kidney transplant at a mean age of 2.1+/-0.8 years. This experience provides evidence that the combination of aggressive nutrition, the elimination of aluminum as a phosphate binder, the provision of dialysis, and subsequent transplantation all contribute to a favorable developmental outcome in infants who develop end-stage renal disease in early infancy. |
| doi_str_mv | 10.1007/s004670050694 |
| format | Article |
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A ; BELDEN, B ; KOHAUT, E</creator><creatorcontrib>WARADY, B. A ; BELDEN, B ; KOHAUT, E</creatorcontrib><description>A retrospective review of 34 infants who started long-term peritoneal dialysis at </=3 months of age was conducted. Six of the patients died during infancy, leaving 28 infants who survived >1 year and who underwent a formal neurodevelopmental evaluation. In addition to dialysis, treatment of the patients included the use of calcium carbonate as the sole phosphate binder in all patients and supplemental nasogastric tube feeding in 27. At 1 year of age, the 28 patients had a mean head circumference standard deviation score of -0.96+/-1.2. The mental developmental score of 22 (79%) patients fell in the average range, while only 1 (4%) child was significantly delayed. Of 19 children retested at >/=4 years of age, 15 (79%) performed in the average range and 1 (5%) performed in the impaired range. Of 16 patients >/=5 years of age, 15 (94%) attended school full time and in age-appropriate classrooms. Twenty-four patients received their initial kidney transplant at a mean age of 2.1+/-0.8 years. This experience provides evidence that the combination of aggressive nutrition, the elimination of aluminum as a phosphate binder, the provision of dialysis, and subsequent transplantation all contribute to a favorable developmental outcome in infants who develop end-stage renal disease in early infancy.</description><identifier>ISSN: 0931-041X</identifier><identifier>EISSN: 1432-198X</identifier><identifier>DOI: 10.1007/s004670050694</identifier><identifier>PMID: 10603115</identifier><identifier>CODEN: PENED3</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Age ; Aluminum ; Anesthesia. Intensive care medicine. Transfusions. 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Dialysis management ; Female ; Follow-Up Studies ; Growth ; Hemodialysis ; Humans ; Infant ; Infant, Newborn ; Intelligence ; Intensive care medicine ; Kidney diseases ; Kidney Failure, Chronic - therapy ; Kidney Transplantation ; Laboratories ; Male ; Medical sciences ; Patients ; Pediatrics ; Peritoneal dialysis ; Peritoneal Dialysis - adverse effects ; Proteins ; Retrospective Studies ; Time Factors ; Transplants & implants ; Treatment Outcome</subject><ispartof>Pediatric nephrology (Berlin, West), 1999-11, Vol.13 (9), p.759-765</ispartof><rights>2000 INIST-CNRS</rights><rights>IPNA - International Pediatric Nephrology Association New York, USA 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-300d34c5021e952911334d190531666196e85ae5cd0defabf24d83fce6d477d53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1222244$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10603115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WARADY, B. A</creatorcontrib><creatorcontrib>BELDEN, B</creatorcontrib><creatorcontrib>KOHAUT, E</creatorcontrib><title>Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><description>A retrospective review of 34 infants who started long-term peritoneal dialysis at </=3 months of age was conducted. Six of the patients died during infancy, leaving 28 infants who survived >1 year and who underwent a formal neurodevelopmental evaluation. In addition to dialysis, treatment of the patients included the use of calcium carbonate as the sole phosphate binder in all patients and supplemental nasogastric tube feeding in 27. At 1 year of age, the 28 patients had a mean head circumference standard deviation score of -0.96+/-1.2. The mental developmental score of 22 (79%) patients fell in the average range, while only 1 (4%) child was significantly delayed. Of 19 children retested at >/=4 years of age, 15 (79%) performed in the average range and 1 (5%) performed in the impaired range. Of 16 patients >/=5 years of age, 15 (94%) attended school full time and in age-appropriate classrooms. Twenty-four patients received their initial kidney transplant at a mean age of 2.1+/-0.8 years. This experience provides evidence that the combination of aggressive nutrition, the elimination of aluminum as a phosphate binder, the provision of dialysis, and subsequent transplantation all contribute to a favorable developmental outcome in infants who develop end-stage renal disease in early infancy.</description><subject>Age</subject><subject>Aluminum</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child Development</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Growth</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intelligence</subject><subject>Intensive care medicine</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Kidney Transplantation</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Peritoneal dialysis</subject><subject>Peritoneal Dialysis - adverse effects</subject><subject>Proteins</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>0931-041X</issn><issn>1432-198X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0ElLxDAUwPEgio7L0asUEW_Vl2ZpcxRxA9GLircSk1eNpM2YtMJ8eyMz4JJLAvnxEv6E7FM4oQD1aQLgsgYQIBVfIzPKWVVS1TyvkxkoRkvg9HmLbKf0DgCNaOQm2aIggVEqZuTpDqcYLH6iD_Meh1H7IkyjCT0WoSvMm_M24lC4wY1Oj254LeYY3RgGzNI67RfJpXxdoI5-kQ-dHsxil2x02ifcW-075PHy4uH8ury9v7o5P7stDeNiLBmAZdwIqCgqUSlKGeOWKhCMSimpktgIjcJYsNjpl67itmGdQWl5XVvBdsjxcu48ho8J09j2Lhn0Xg8YptRKxUSd-2R4-A--hykO-W9tlVetcpyMyiUyMaQUsWvn0fU6LloK7Xft9k_t7A9WQ6eXHu0vvcybwdEK6GS072Ju49KP-36ac_YFPFeGlw</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>WARADY, B. 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A ; BELDEN, B ; KOHAUT, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-300d34c5021e952911334d190531666196e85ae5cd0defabf24d83fce6d477d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Age</topic><topic>Aluminum</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child Development</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Growth</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intelligence</topic><topic>Intensive care medicine</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Kidney Transplantation</topic><topic>Laboratories</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Peritoneal dialysis</topic><topic>Peritoneal Dialysis - adverse effects</topic><topic>Proteins</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WARADY, B. 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A</au><au>BELDEN, B</au><au>KOHAUT, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy</atitle><jtitle>Pediatric nephrology (Berlin, West)</jtitle><addtitle>Pediatr Nephrol</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>13</volume><issue>9</issue><spage>759</spage><epage>765</epage><pages>759-765</pages><issn>0931-041X</issn><eissn>1432-198X</eissn><coden>PENED3</coden><abstract>A retrospective review of 34 infants who started long-term peritoneal dialysis at </=3 months of age was conducted. Six of the patients died during infancy, leaving 28 infants who survived >1 year and who underwent a formal neurodevelopmental evaluation. In addition to dialysis, treatment of the patients included the use of calcium carbonate as the sole phosphate binder in all patients and supplemental nasogastric tube feeding in 27. At 1 year of age, the 28 patients had a mean head circumference standard deviation score of -0.96+/-1.2. The mental developmental score of 22 (79%) patients fell in the average range, while only 1 (4%) child was significantly delayed. Of 19 children retested at >/=4 years of age, 15 (79%) performed in the average range and 1 (5%) performed in the impaired range. Of 16 patients >/=5 years of age, 15 (94%) attended school full time and in age-appropriate classrooms. Twenty-four patients received their initial kidney transplant at a mean age of 2.1+/-0.8 years. This experience provides evidence that the combination of aggressive nutrition, the elimination of aluminum as a phosphate binder, the provision of dialysis, and subsequent transplantation all contribute to a favorable developmental outcome in infants who develop end-stage renal disease in early infancy.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>10603115</pmid><doi>10.1007/s004670050694</doi><tpages>7</tpages></addata></record> |
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| ispartof | Pediatric nephrology (Berlin, West), 1999-11, Vol.13 (9), p.759-765 |
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| subjects | Age Aluminum Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Development Emergency and intensive care: renal failure. Dialysis management Female Follow-Up Studies Growth Hemodialysis Humans Infant Infant, Newborn Intelligence Intensive care medicine Kidney diseases Kidney Failure, Chronic - therapy Kidney Transplantation Laboratories Male Medical sciences Patients Pediatrics Peritoneal dialysis Peritoneal Dialysis - adverse effects Proteins Retrospective Studies Time Factors Transplants & implants Treatment Outcome |
| title | Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy |
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