WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Abdulbari Abdulhaleem M. Al-Mashhadani, Dr. Raghad Ali Mohammed Al-Wazzan and Dr. Israa Abdulfattah Hammoodi

ABSTRACT

Background: Chronic kidney disease is recognized as a major public health problem, determined by the presence of structural or functional abnormalities of the kidney, with or without decreased GFR for more than 3 months. Aim of study: To study the clinical characteristics and causes of CKD in children in Nineveh province. Patients And Methods: The study evaluated 81 patients aged 1-15 years with chronic kidney disease at Ibn-Sina teaching hospital in Nineveh province. Patients were followed up at the pediatric nephrology consultation clinic and dialysis units for 6 months. Patients with acute kidney injury or steroid sensitive nephrotic syndrome were excluded. GFR was estimated using the revised bedside Schwartz formula. Patients were divided into five stages of CKD. Result: The most frequent cause was obstructive uropathy 19.8%, The metabolic cause was the next, found in 16.0%, Glomerulonephropathy found in 13.6%. The most frequent age group was below 5 years representing 54.3% were the congenital anomaly of kidney and urinary tract the are most common cause. Children with CKD stage I and stage II comprised 9.9% and 7.4% respectively in the studied group, while those with stage IIIa, IV and V composed, 23.5%,25.9% and 33.3% respectively. Family history was 32.1% in this study. Conclusion: Children often develop kidney and urinary tract disorders (CKD) due to congenital anomalies, metabolic causes, and glomerulopathies. Early screening, early detection, and timely treatment of preventable causes could reduce CKD incidence.

[Full Text Article] [Download Certificate]