کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8430992 | 1546252 | 2016 | 34 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Acute Kidney Injury and the Risk of Mortality in Children Undergoing Hematopoietic Stem Cell Transplantation
ترجمه فارسی عنوان
آسیب کبدی حاد و خطر مرگ و میر در کودکان پیوند سلول های هماتوپوئیدی
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کلمات کلیدی
پیوند سلول های بنیادی خونگرم اطفال، آسیب حاد کلیه، مرگ و میر بیماری مزمن کلیوی،
موضوعات مرتبط
علوم زیستی و بیوفناوری
بیوشیمی، ژنتیک و زیست شناسی مولکولی
تحقیقات سرطان
چکیده انگلیسی
Acute kidney injury (AKI) is a well-documented complication of pediatric hematopoietic stem cell transplantation (HSCT). Dialysis after HSCT is associated with a lower overall survival (OS); however, the association between less severe AKI and OS is unclear. We retrospectively studied 205 consecutive pediatric HSCT patients to determine the incidence and impact of all stages of AKI on OS in pediatric HSCT recipients. We used the peak pRIFLE grade during the first 100Â days to classify AKI (ie, RÂ =Â risk, IÂ =Â injury, FÂ =Â failure, LÂ =Â loss of function, EÂ =Â end-stage renal disease) and used the modified Schwartz formula to estimate glomerular filtration rate. AKI was observed in 173 of 205 patients (84%). The 1-year OS rate decreased significantly with an increasing severity of pRIFLE grades (PÂ <Â .01). There was no difference in the OS between patients without AKI and the R/I group. Regardless of the dialysis status, stages F/L/E had significantly lower rates of OS compared with patients without AKI or R/I (PÂ <Â .01). There was no difference in OS among patients with dialysis and F/L/E without dialysis (PÂ =Â .65). Stages F/L/E predicted mortality independent of acute graft-versus-host disease, gender, and malignancy. The OS of children after HSCT decreases significantly with an increasing severity of AKI within the first 100Â days post-transplant. Although our data did not show an increased risk of mortality with stages R/I, stages F/L/E predicted mortality regardless of dialysis. Prevention and minimization of AKI may improve survival after pediatric HSCT.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Biology of Blood and Marrow Transplantation - Volume 22, Issue 7, July 2016, Pages 1264-1270
Journal: Biology of Blood and Marrow Transplantation - Volume 22, Issue 7, July 2016, Pages 1264-1270
نویسندگان
Sarah J. Kizilbash, Clifford E. Kashtan, Blanche M. Chavers, Qing Cao, Angela R. Smith,