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- W2384156660 abstract "Objective To identify a new screening and transferring system based on the current high-risk infants health system by urinary ultrasound screening and follow-up of renal pelvis dilation(RPD) in 0-3 months old high-risk infants.Methods In the three-level transferring system,high-risk infants were identified in community health service(CHS) and then transferred to maternal and child health hospital(MCH) for screening of CAKUT.Cases with RPD were followed-up in MCH and/or transferred to academic pediatric hospital according to designed criteria and path.Cases transferred were examined for further investigations for confirmative disgnosis.Results Between Jun.1st,2010 and May.31th,2012,screening of 3 743 0- month-old infants yielded338(9.0%) positive cases of RPD.Overall RPD positive rate and proportion of different RPD grading significantly differed between males and females.A subgroup of 285 in 338 infants with postnatally detected RPD was followed up,further investigation yielded a specific diagnosis in 6 cases,3 cases were with ureteropelvic junction obstruction(PUJO),2 with megaloureter and 1 with duplex kidney combined with ectopic ureter.3 cases of them underwent surgery.During follow-up for(5.4 ± 4.5) months,averagely86.4%(241 out of 279 cases) recovered,the rate were 91.9%,76.3% and 22.2% for mild,moderate and severe RPD patients,respectively.RPD pesisted in only 17 cases and deteriorated in 5 cases.The absolute quantity and relative percentage of high-risk infants screened in the second year of study was obviously higher than that of the first year(83.0% vs 64.1%),the positive rate of RPD was 7.8% and 9.46% for 1st year and 2nd year.The rate of RPD transferred and loss of follow-up were not significantly different between the two years.Conclusion Our data suggest that the screening and three-level transferring system of CAKUT by adding urinary ultrasound screening to the current high-risk infants health system in CHS and MCH should be feasible.The academic pediatric hospital is supposed to set up training and scientific research,higher professional quality requirements are proposed to doctors in maternal and child health hospital." @default.
- W2384156660 created "2016-06-24" @default.
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- W2384156660 date "2013-01-01" @default.
- W2384156660 modified "2023-09-25" @default.
- W2384156660 title "The significance of establishing a general management of urinary ultrasound screening,referral and follow-up for congenital anomalies of the kidney and urinary tract in high-risk renal pelvis dilation infants" @default.
- W2384156660 hasPublicationYear "2013" @default.
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