Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/17296
ชื่อเรื่อง: Predictive score for vesicoureteral reflux in children with a first febrile urinary tract infection
ผู้แต่ง: Lertdumrongluk K.
Lertdumrongluk P.
Keywords: age
Article
child
cohort analysis
controlled study
echography
female
fever
high risk population
human
human cell
hydronephrosis
infant
leukocyte count
low risk population
major clinical study
male
micturition cystourethrography
predictive score
predictive value
priority journal
retrospective study
risk factor
scoring system
sepsis
urinary tract infection
vesicoureteral reflux
aged
complication
diagnostic imaging
fever
kidney
pregnancy
urinary tract infection
vesicoureteral reflux
Aged
Child
Female
Fever
Humans
Infant
Kidney
Male
Pregnancy
Retrospective Studies
Urinary Tract Infections
Vesico-Ureteral Reflux
วันที่เผยแพร่: 2021
บทคัดย่อ: Objective: To develop a simple score for predicting vesicoureteral reflux after a first febrile urinary tract infection in children. Methods: A retrospective cohort study was conducted for a 12-year period (January 2008 to December 2019), including patients aged <72 months who underwent renal ultrasonography and voiding cystourethrography after a first febrile urinary tract infection. Patients with a history of antenatal hydronephrosis were excluded. The prediction model and score for vesicoureteral reflux were developed using multivariate logistic regression analysis. Results: Out of 260 patients in total (median age 4 months, 172 boys), 41 (16%) had vesicoureteral reflux. The score was based on four independent risk factors, including age >6 months (odds ratio 2.71, 95% confidence interval 1.27–5.76), presence of sepsis (odds ratio 3.44, 95% confidence interval 1.31–9.04), white blood cell count ≥15 000/mm3 (odds ratio 1.83, 95% confidence interval 0.88–3.8) and abnormal renal ultrasonography results (odds ratio 2.08, 95% confidence interval 1–4.31). A lower probability of vesicoureteral reflux (positive likelihood ratio = 0.66; P = 0.001) was found in the low-risk group (scores 0–2), whereas a higher probability of vesicoureteral reflux (positive likelihood ratio = 2.54; P = 0.001) was found in the high-risk group (scores 3–5). The predictive ability of the model was 70%. Conclusions: The scores developed based on the patient characteristics and renal ultrasonography are useful in predicting presence of vesicoureteral reflux after a first febrile urinary tract infection in children and could guide clinicians' decisions to perform additional imaging studies. © 2021 The Japanese Urological Association
URI: https://ir.swu.ac.th/jspui/handle/123456789/17296
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102778224&doi=10.1111%2fiju.14515&partnerID=40&md5=03539ac773fe809fcc1790ad361ee624
ISSN: 9198172
Appears in Collections:Scopus 1983-2021

Files in This Item:
There are no files associated with this item.


Items in SWU repository are protected by copyright, with all rights reserved, unless otherwise indicated.