Chronic kidney disease in the neonate

Joshua J Zaritsky; Bradley A Warady

doi:10.1016/j.clp.2014.05.002

Chronic kidney disease in the neonate

Clin Perinatol. 2014 Sep;41(3):503-15. doi: 10.1016/j.clp.2014.05.002. Epub 2014 Jul 25.

Authors

Joshua J Zaritsky¹, Bradley A Warady²

Affiliations

¹ Department of Pediatrics, Nemours/A.I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA. Electronic address: Joshua.zaritsky@nemours.org.
² Department of Pediatrics, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.

PMID: 25155723
DOI: 10.1016/j.clp.2014.05.002

Abstract

An increased emphasis has been placed on the early identification of chronic kidney disease (CKD) in the neonatal population, given the long-term health consequences that can accompany this diagnosis. The definition of CKD in neonates and young infants differs from that of children older than 2 years and, if severe, treatment may mandate dialysis with appropriate ethical considerations. Special attention must also be directed to optimal nutrition because of its impact on height, weight, and brain development in the young child experiencing impaired kidney function. There has been steady improvement in patient survival over the last decade.

Keywords: Chronic kidney disease; Dialysis; Neonate; Nutrition.

Publication types

Review

MeSH terms

Disease Management*
Global Health
Humans
Incidence
Infant, Newborn
Renal Insufficiency, Chronic* / diagnosis
Renal Insufficiency, Chronic* / epidemiology
Renal Insufficiency, Chronic* / therapy
Urology / methods*