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Prevalence, predictors, and outcomes of cardiorenal syndrome in children with dilated cardiomyopathy: a report from the Pediatric Cardiomyopathy Registry.


ABSTRACT: The association of cardiorenal syndrome (CRS) with mortality in children with dilated cardiomyopathy (DCM) is unknown.With a modified Schwartz formula, we estimated glomerular filtration rates (eGFR) for children ?1 year of age with DCM enrolled in the Pediatric Cardiomyopathy Registry at the time of DCM diagnosis and annually thereafter. CRS was defined as an eGFR of <90 mL/min/1.73 m(2). Children with and without CRS were compared on survival and serum creatinine concentrations (SCr). The association between eGFR and echocardiographic measures was assessed with linear mixed-effects regression models.Of 285 eligible children with DCM diagnosed at ?1 year of age, 93 were evaluable. CRS was identified in 57 of these 93 children (61.3%). Mean (standard deviation) eGFR was 62.0 (22.6) mL/min/1.73 m(2) for children with CRS and 108.0 (14.0) for those without (P?

SUBMITTER: Kaddourah A 

PROVIDER: S-EPMC4626312 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Prevalence, predictors, and outcomes of cardiorenal syndrome in children with dilated cardiomyopathy: a report from the Pediatric Cardiomyopathy Registry.

Kaddourah Ahmad A   Goldstein Stuart L SL   Lipshultz Steven E SE   Wilkinson James D JD   Sleeper Lynn A LA   Lu Minmin M   Colan Steven D SD   Towbin Jeffrey A JA   Aydin Scott I SI   Rossano Joseph J   Everitt Melanie D MD   Gossett Jeffrey G JG   Rusconi Paolo P   Kantor Paul F PF   Kantor Paul F PF   Singh Rakesh K RK   Jefferies John L JL  

Pediatric nephrology (Berlin, Germany) 20150726 12


<h4>Background</h4>The association of cardiorenal syndrome (CRS) with mortality in children with dilated cardiomyopathy (DCM) is unknown.<h4>Methods</h4>With a modified Schwartz formula, we estimated glomerular filtration rates (eGFR) for children ≥1 year of age with DCM enrolled in the Pediatric Cardiomyopathy Registry at the time of DCM diagnosis and annually thereafter. CRS was defined as an eGFR of <90 mL/min/1.73 m(2). Children with and without CRS were compared on survival and serum creati  ...[more]

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