Department of Paediatric Nephrology, Paediatric National Hospital, Hanoi, Vietnam.
Nephrology (Carlton). 2009 Dec;14(8):722-7. doi: 10.1111/j.1440-1797.2009.01142.x.
The goal of this descriptive study was to evaluate the aetiology and the socioeconomic status in hospitalized children in Hanoi and propose solutions to improve prevention and basic health care of patients with chronic kidney disease in Hanoi City.
The records of all 152 hospitalized children with chronic kidney disease in the National Paediatric Hospital in Hanoi from January 2001 to December 2005 were analyzed.
The incidence of paediatric chronic kidney disease native to Hanoi City was estimated to be 5.1/million-child population (pmcp). Median age was 11.29 years; 60.5% were boys and 39.5% were girls; 65% of patients were in end-stage renal disease. Causes of chronic kidney disease included glomerulonephritis (66.4%) and congenital/hereditary anomalies (13%). In 19.8% of children, the aetiology was unavailable. During hospitalization, five patients died and 76 patients (50%) refused the treatment although beneficiaries of health insurance. Thirty patients (19.74%) received peritoneal dialysis and haemodialysis, and seven patients received renal transplantation with a familial living donor.
Late referral, and limited facilities for renal replacement therapy explain the poor outcome in this study. We need a program to delineate the burden of chronic kidney disease and improve primary health care for health promotion and prevention of paediatric chronic kidney disease.
本描述性研究旨在评估在河内住院的儿童的病因学和社会经济状况，并提出解决方案，以改善河内市慢性肾病患者的预防和基本医疗保健。
分析了 2001 年 1 月至 2005 年 12 月期间在河内国家儿科医院住院的所有 152 名慢性肾病儿童的记录。
估计河内市儿童慢性肾病的发病率为 5.1/百万儿童人口（pmcp）。中位年龄为 11.29 岁；60.5%为男孩，39.5%为女孩；65%的患者处于终末期肾病。慢性肾脏病的病因包括肾小球肾炎（66.4%）和先天性/遗传性异常（13%）。在 19.8%的儿童中，病因不明。在住院期间，5 名患者死亡，76 名（50%）患者尽管是医疗保险的受益者，但拒绝治疗。30 名患者（19.74%）接受了腹膜透析和血液透析，7 名患者接受了亲属活体供肾的肾移植。
延迟转诊和有限的肾脏替代治疗设施解释了本研究中较差的结果。我们需要一个方案来描绘慢性肾病的负担，并改善初级卫生保健，以促进健康和预防儿童慢性肾病。
