Pruritus Features in Children with End-Stage Renal Disease Underwent Dialysis: A Cross-Sectional Study. (28th July 2021)

• Record Type: Journal Article
• Authors: Mehrkash, Mehryar; Golestaneh, Seyed-javad; Madihi, Yahya; Paknazar, Fatemeh; Hadian, Mahdi; Akbari, Mojtaba; Abtahi-Naeini, Bahareh
• Other Names: Butani Lavjay Academic Editor.
• Is Part Of: International journal of pediatrics. Volume 2021(2021)
• Publication Date: 2021-07-28
• Subjects: Pediatrics -- Periodicals; 618.92
• DOI: 10.1155/2021/9970321
• Languages: English
• ISSNs: 1687-9740

Abstract

Abstract : Objective . Evaluation of the pruritus features in children with end-stage renal disease (ESRD) who underwent dialysis at an academic tertiary pediatric dialysis center. Methods . This cross-sectional study was conducted at an academic tertiary pediatric dialysis center, Isfahan, Iran. The reviewed medical records of the children included their characteristics, dialysis properties, and laboratory parameters. The 4-item itch questionnaire was utilized to assess distribution, severity, frequency, and associated sleeping disorders. Results . Thirty ESRD patients with pruritus, including 23 males (76.7%) with a mean age of 11.7 ± 3.64 years, were recruited. The most common cause of CKD was nephronophthisis (23.3%). The median total score of pruritus was 5 (range: 3-15). The distribution score of pruritus was directly correlated with the age (Spearman's rho = 0 .42, P = 0.02 ) and serum level of parathyroid hormone (PTH) (Spearman's rho = 0.42, P = 0.04 ). In the reduced multiple logistic regression model, the increasing level of serum calcium was associated with increased odds of having total pruritus score ≥ 5 (OR (odds ratio): 4.5; 95% CI 1.12 to 18.05). In addition, an increase in age for one year was found to be associated with 50% higher odds of having total pruritus score ≥ 5 (OR: 1.5; 95% CI 1.03 to 2.18). Conclusion . Increased level of serum Ca and higher age were associated with increased odds of having more severe pruritus score in children.