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Risk factors for postobstructive diuresis in pediatric patients with ureteropelvic junction obstruction, following open pyeloplasty in three high complexity institutions

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dc.contributor.authorPedraza Bermeo, Adriana Marcela
dc.contributor.authorOrtiz-Zableh, Ana María
dc.contributor.authorCastillo Arteaga, Mariangel
dc.contributor.authorPerez Niño, Jaime
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Urología
dc.contributor.javerianateacherPerez Niño, Jaime
dc.coverage.temporal2006-2016
dc.date.accessioned2020-11-13T11:23:19Z
dc.date.available2020-11-13T11:23:19Z
dc.date.created2018-02-20
dc.description.abstractenglishIntroduction: Postobstructive diuresis (POD) is a polyuric state in which large quantities of salt and water are eliminated after solving a urinary tract obstruction. These patients are at increased risk of severe dehydration, electrolytic disturbances, hypovolemic shock, and death. Ureteropelvic junction obstruction (UPJO) is the most common etiology of collecting system dilatation in the fetal kidney, and a significant number of patients require pyeloplasty. There are limited data regarding prognostic risk factors for POD in this scenario. Objective: To describe possible clinical risk factors for POD in the pediatric population after open pyeloplasty. Study design: This was a retrospective case series study of consecutive patients diagnosed with UPJO at three high complexity centers, managed with open pyeloplasty from 2006 to 2016. Multiple qualitative and quantitative variables possibly associated with POD were included according to the literature review. They were statistically analyzed with STATA 14 software. Results: A total of 88 patients with UPJO following open pyeloplasty were analyzed. Twenty-seven patients (30%) had POD. A tendency to present POD in younger patients was found, with a mean age of 20.2 months vs. 72.3 months. There was also an increased risk of POD in patients with previous diagnosis of tubular acidosis. Conclusions: There are no data about prognostic clinical risk factors for POD after open pyeloplasty in the pediatric population. Our study corresponds to one of the larger series reported so far. It suggests that younger patients and patients with a previous diagnosis of tubular acidosis could be at greater risk of POD. Consequently, prospective studies are required for validation of our results, and possible impact on patient follow-up.spa
dc.description.comunidadPacientes pediátricos con Obstrucción de la unión ureteropélvica
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0003-3275-7019spa
dc.description.orcidhttps://orcid.org/0000-0003-4152-9747spa
dc.description.orcidhttps://orcid.org/0000-0001-9350-0722spa
dc.description.orcidhttps://orcid.org/0000-0002-2231-4321
dc.description.publindexA1
dc.description.quartilescopusQ2spa
dc.description.quartilewosQ3spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://login.ezproxy.javeriana.edu.co/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselc&AN=edselc.2-52.0-85042649745&lang=es&site=eds-livespa
dc.identifier.doihttps://doi.org/10.1016/j.jpurol.2018.01.017spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn1477-5131 / 1873-4898 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/51677
dc.language.isoengspa
dc.relation.citationendpage260.e4spa
dc.relation.citationissue3spa
dc.relation.citationstartpage260.e1spa
dc.relation.citationvolume14spa
dc.relation.ispartofjournalJournal of Pediatric Urologyspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordHydronephrosisspa
dc.subject.keywordUreteric obstructionspa
dc.subject.keywordPolyuriaspa
dc.subject.keywordRisk factorsspa
dc.subject.keywordDiuresisspa
dc.titleRisk factors for postobstructive diuresis in pediatric patients with ureteropelvic junction obstruction, following open pyeloplasty in three high complexity institutionsspa
dc.type.coarhttp://purl.org/coar/resource_type/c_beb9spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de investigaciónspa

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