Chronic kidney disease in children: the National Paediatric Hospital experience in Hanoi, Vietnam.
OBJECTIVE
The goal of this descriptive study was to evaluate the aetiology and the socioeconomic status in hospitalized children in Hanoi and propose solutions to improve prevention and basic health care of patients with chronic kidney disease in Hanoi City.


METHODS
The records of all 152 hospitalized children with chronic kidney disease in the National Paediatric Hospital in Hanoi from January 2001 to December 2005 were analyzed.


RESULTS
The incidence of paediatric chronic kidney disease native to Hanoi City was estimated to be 5.1/million-child population (pmcp). Median age was 11.29 years; 60.5% were boys and 39.5% were girls; 65% of patients were in end-stage renal disease. Causes of chronic kidney disease included glomerulonephritis (66.4%) and congenital/hereditary anomalies (13%). In 19.8% of children, the aetiology was unavailable. During hospitalization, five patients died and 76 patients (50%) refused the treatment although beneficiaries of health insurance. Thirty patients (19.74%) received peritoneal dialysis and haemodialysis, and seven patients received renal transplantation with a familial living donor.


CONCLUSIONS
Late referral, and limited facilities for renal replacement therapy explain the poor outcome in this study. We need a program to delineate the burden of chronic kidney disease and improve primary health care for health promotion and prevention of paediatric chronic kidney disease.
Huong
Nguyen Thi Quynh
NT
Department of Paediatric Nephrology, Paediatric National Hospital, Hanoi, Vietnam. ntqhuong18@yahoo.com
Long
Tran Dinh
TD
Bouissou
François
F
Liem
Nguyen Thanh
NT
Truong
Dinh Minh
DM
Nga
Do Kim
do K
Chien
Tran Thi
TT
Bascands
Jean-Loup
JL
D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D005260:Female; D005919:Glomerular Filtration Rate; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000209:etiology*; D016030:Kidney Transplantation; D008297:Male; D006435:Renal Dialysis; D012923:Social Class; D014744:Vietnam