Variable Manifestations and Outcomes of Renal Diseases Among Children Presenting to the Emergency Room at Sohag University Hospitals
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Sohag University
- Enrollment
- 50
- Primary Endpoint
- Frequency of Clinical Presentations and Final Diagnoses of Pediatric Renal Diseases
Overview
Brief Summary
Renal diseases in children present with a wide spectrum of clinical manifestations, ranging from mild urinary abnormalities to severe acute kidney injury requiring urgent management. Early recognition in the emergency setting is essential to improve outcomes, yet data on pediatric renal emergencies in Upper Egypt remain limited.
This prospective cohort study aims to characterize the clinical presentations of renal diseases among children presenting to the emergency room at Sohag University Hospitals, determine the prevalence of specific renal conditions, and evaluate immediate management outcomes and short-term follow-up after discharge.
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 1 Month to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Children aged 1 month to 18 years. Presentation to the emergency room at Sohag University Hospitals with signs and/or symptoms suggestive of renal involvement (e.g., edema, hematuria, oliguria/anuria, flank pain, hypertension).
- •Patients with a known history of renal disease presenting with acute exacerbation.
- •Written informed consent obtained from parents or legal guardians.
Exclusion Criteria
- •Incomplete or missing essential clinical, laboratory, or imaging data. Refusal or inability to obtain written informed consent from parents or legal guardians.
- •Patients with suspected renal symptoms later confirmed to have non-renal causes.
- •Patients who received renal replacement therapy prior to presentation at another facility.
Arms & Interventions
Pediatric patients with renal diseases
Intervention: Standard emergency room management (Other)
Outcomes
Primary Outcomes
Frequency of Clinical Presentations and Final Diagnoses of Pediatric Renal Diseases
Time Frame: At baseline (emergency room presentation) through hospital stay (up to discharge, typically within 7 days)
Percentage (%) of patients presenting with specific clinical features (e.g., edema, hematuria, oliguria, hypertension) assessed by clinical examination and initial laboratory investigations. Distribution (%) of final diagnoses (e.g., acute kidney injury, urinary tract infection, congenital anomalies, glomerular diseases) based on clinical evaluation, laboratory results, and imaging studies.
Secondary Outcomes
No secondary outcomes reported
Investigators
Fady Medhat Farouk
Pediatric resident
Sohag University