Renal Function in Preterm Neonates View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1994-11

AUTHORS

A Bueva, J-P Guignard

ABSTRACT

The plasma creatinine concentration is elevated at birth and decreases concomitantly with the rapid increase in glomerular filtration rate that occurs in the first postnatal weeks. The velocity of these changes was assessed during the first 3 wk of life of 66 term and preterm infants. The plasma creatinine concentration, creatinine clearance, and sodium fractional excretion were measured serially at weekly intervals, starting 1-4 d after birth [mean = 1.5 +/- 0.8 (SD) d]. Premature infants were separated into three groups according to their birth weight: group 1, 1001 to 1500 g; group 2, 1501 to 2000 g; and group 3, 2001 to 2500 g. Group 4 included 28 term infants (mean birth weight = 3165 +/- 78 g). Mean gestational ages in the preterm groups were 31.3, 32.8, and 34.4 wk in groups 1, 2, and 3, respectively. The plasma creatinine concentration on d 1.5 was significantly higher in preterm (91 +/- 4 mumol/L) compared with term infants (66 +/- 3 mumol/L). The differences in plasma creatinine were still present during the second week of life, with values of 64 +/- 5, 58 +/- 7, 47 +/- 8, and 40 +/- 4 mumol/L in groups 1, 2, 3, and 4, respectively. The difference vanished by d 22-23. On d 1.5, creatinine clearance correlated positively with gestational age, amounting to 0.65 +/- 0.14, 0.92 +/- 0.19, 1.42 +/- 0.31, and 3.36 +/- 0.32 mL/min in groups 1, 2, 3, and 4, respectively. Creatinine clearance increased rapidly with postnatal age, the velocity of the maturation being less marked in the most premature infants.(ABSTRACT TRUNCATED AT 250 WORDS) More... »

PAGES

pr1994792

Identifiers

URI

http://scigraph.springernature.com/pub.10.1203/00006450-199411000-00005

DOI

http://dx.doi.org/10.1203/00006450-199411000-00005

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1021877096

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/7877873


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