ArticlePediatric nephrology (Berlin, Germany)2013
Chronic hemodialysis in children weighing less than 10 kg.
Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.Pediatric nephrology (Berlin, Germany) · 2020Guideline
- Catheter-related bloodstream infection rates: Comparing cuffed vs. uncuffed catheters in a nationwide series of small children on chronic hemodialysis.Clinical nephrology · 2025Article
- Practice patterns and outcomes of maintenance dialysis in children < 2 years of age: a report of the North American Pediatric Renal Trials and Collaborative Studies (NAPRTCS).Pediatric nephrology (Berlin, Germany) · 2022Article
- Chronic haemodialysis in infants and children less than 15 kg.Pediatric nephrology (Berlin, Germany) · 2021Article
- Taking a multidisciplinary approach to maintaining haemodialysis vascular access: a challenging case in an infant: Answers.Pediatric nephrology (Berlin, Germany) · 2021Article
- End-stage kidney disease in infancy: an educational review.Pediatric nephrology (Berlin, Germany) · 2020Review
- Autologous arteriovenous fistulas for hemodialysis using microsurgery techniques in children weighing less than 20 kg.Pediatric nephrology (Berlin, Germany) · 2018Article
- Plastic bronchitis: a rare complication of long-term haemodialysis catheter placement in a child.Pediatric nephrology (Berlin, Germany) · 2017Article
- Chronic haemodialysis in small children: a retrospective study of the Italian Pediatric Dialysis Registry.Pediatric nephrology (Berlin, Germany) · 2016Article
- Long-term hemodialysis therapy in neonates and infants with end-stage renal disease: a 16-year experience and outcome.Pediatric nephrology (Berlin, Germany) · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHemodialysis (HD) in infants is usually used when peritoneal dialysis (PD) has failed. We describe our experience with HD, outlining the morbidity, complications, and outcomes for infants weighing less than 10 kg managed with HD for more than 6 months over a 10-year period.
methodsA retrospective review of the clinical notes was conducted to collect demographic information, anthropometric data, dietary history, site and form of vascular access, details of HD prescription, complications, and outcomes.
resultsNine patients weighing less than 10 kg were hemodialyzed for more than 6 months. Median age at commencement was 9 months. Median weight and height standard deviation score (SDS) at commencement of HD were -2.14 and -0.61, respectively, and at the end they were -1.56 and -1.61. Median energy intake was 96.6 kcal/kg/day and protein intake was 1.66 g/kg/day. Median number of line revisions was 0.32 line changes/patient year. Median central venous catheter (CVC) longevity was 13 months. Mean rate of line infection was 0.14/patient year. Median time on HD was 27 months. Median age at transplantation was 3.4 years.
conclusionsThis case series shows that chronic HD is a viable management option in children <10 kg. Access issues can be minimized with good line care to maximize line longevity and minimize line infection rates.
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