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Clinical dehydration and glomerular filtration rate in acute paediatric gastroenteritis

Authors

  • Gregorio P Milani,

    Corresponding author
    1. Emergency Unit, Clinica Pediatrica De Marchi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
    • Correspondence

      Gregorio Paolo Milani, Emergency Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20121 Milan, Italy.

      Tel: 0039(0)255038727 |

      Fax: 0039(0)255032918 |

      Email: yoyobiancorosso@hotmail.com

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  • Emilio F Fossali,

    1. Emergency Unit, Clinica Pediatrica De Marchi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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  • Alessandra Perri,

    1. Emergency Unit, Clinica Pediatrica De Marchi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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  • Arianna Vettori,

    1. Emergency Unit, Clinica Pediatrica De Marchi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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  • Paolo Grillo,

    1. Epidemiology Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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  • Carlo Agostoni

    1. Pediatric Clinic 2, Department of Clinical Sciences and Community Health, Clinica Pediatrica De Marchi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
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Abstract

Aim

To evaluate changes in glomerular filtration rate in acute gastroenteritis.

Methods

The correlation between two clinical diagnostic scales and glomerular filtration rate has been investigated in 113 children with acute gastroenteritis in a paediatric emergency setting.

Results

A significant reduction of GFR was found in 10% children less than, and 5% children higher than, 2 years of age with acute gastroenteritis.

Conclusion

The differences observed as for risk of renal hypoperfusion suggests to consider the age of children as an important determinant to consider the dehydration status in acute gastroenteritis.

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