Abstract:
OBJECTIVES:To assess the prevalence of decreased glomerular filtration rate (GFR) in Tibetan children with congenital heart disease (CHD) and its associated risk factors. METHODS:A total of 207 Tibetan children attending authors' center for treatment of CHD from May 2012 through November 2012, were included in the study. GFR was estimated with the Schwartz formula (eGFR). RESULTS:The mean eGFR was 104.3±16.6 mL/min/1.73 m2, and decreased in 21 children (10.1%). In the cyanotic category, eGFR was decreased only in severely cyanotic individuals. In the acyanotic category with left ventricular overload, children with decreased eGFR were younger, more commonly lived in areas above 4,700 m, and had higher left ventricular internal dimensions indexed by body surface areas (LVID/BSA) (53.8±6.9 vs. 40.1±6.8 mm/m2, P<0.001) compared with those with normal eGFR. Multivariate analysis identified LVID/BSA as the only independent predictor for decreased eGFR (OR: 1.329, 95% CI: 1.177~1.501, P<0.001). Receiver operating characteristic analysis showed the area under curve for LVID/BSA was 0.921 (95% CI: 0.863 ~ 0.980, P<0.001), with the optimal cutoff value of 49.8 mm/m2 (sensitivity: 75.0%, specificity: 93.9%). In the remaining category, decreased eGFR was only observed in those living above 4,700 m. CONCLUSIONS:One tenth of Tibetan children with CHD had decreased eGFR. The risk factors included severe cyanosis, younger age, living above 4,700 m and higher LVID/BSA.
journal_name
Indian J Pediatrjournal_title
Indian journal of pediatricsauthors
Zheng JY,Tian HT,Li DT,Zhu ZM,Chen Y,Cao Y,Qiu YG,Liu YM,Li XF,He JC,Wang ZC,Li TCdoi
10.1007/s12098-014-1351-5subject
Has Abstractpub_date
2014-10-01 00:00:00pages
1015-9issue
10eissn
0019-5456issn
0973-7693journal_volume
81pub_type
杂志文章abstract::The timing and role of chemotherapy in the management of Wilms' tumor has long been the matter of debate, with different groups showing equally comparable and encouraging results. Over the last decade, however, both the ideol-ogies seem to be converging and the attempt has been to identify groups benefitting with pre-...
journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/s12098-017-2410-5
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-010-0032-2
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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journal_title:Indian journal of pediatrics
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-011-0506-x
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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更新日期:1998-07-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-007-0179-7
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journal_title:Indian journal of pediatrics
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
doi:10.1007/s12098-008-0199-y
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/s12098-010-0246-3
更新日期:2010-11-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s12098-012-0924-4
更新日期:2013-06-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1007/s12098-008-0213-4
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pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/BF02723701
更新日期:2002-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/s12098-007-0011-4
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abstract:: ...
journal_title:Indian journal of pediatrics
pub_type: 信件
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更新日期:2019-01-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章,评审
doi:10.1007/BF02723589
更新日期:2003-04-01 00:00:00
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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journal_title:Indian journal of pediatrics
pub_type: 杂志文章
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pub_type: 杂志文章
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