Clinical Study
Renal Outcomes in Children with Operated Spina Bifida in Uganda
| | | Male (total 36) | Female (total 29) | | n () | n () |
| | Mean age at assessment (months) | 141 | 146 | | Current motor level | | | | L2 and above | 5 (14) | 2 (7) | | L3-L4 | 15 (42) | 16 (55) | | L5 and below | 16 (44) | 11 (38) | | Mobility | | | | Able to walk (with or without aids) | 20 (56) | 15 (52) | | Unable to walk | 16 (44) | 14 (48) | | Detrusor leak point pressure (available for 55 children) | | | | Greater than 30cm H2O | 5 (14) | 5 (17) | | Greater than 40cm H2O | 3 (8) | 1 (3) | | Currently performing CIC | | | | Yes | 7 (19) | 10 (35) | | No | 29 (81) | 19 (66) | | Continence | | | | Always dry or mostly dry | 3 (8) | 8 (28) | | Always wet or mostly wet | 33 (92) | 21 (72) | | Previous symptomatic culture positive urinary tract infection | | | | None documented | 17 (47) | 12 (41) | | At least one | 19 (53) | 17 (59) | | Hypertension (based on height 50th centile) | | | | Yes | 15 (42) | 10 (35) | | No | 21 (58) | 19 (66) | | Renal scarring on ultrasound scan | | | | Normal size, shape and echogenicity of both kidneys | 15 (42) | 8 (28) | | Echogenic grade 1 (at least one kidney) | 12 (33) | 10 (35) | | Echogenic grade 2 (at least one kidney) | 9 (25) | 9 (31) | | Echogenic grade 3 (at least one kidney) | 0 (0) | 2 (7) | | Discrepancy in kidney size on ultrasound scan | | | | Less than 1cm | 21 (58) | 16 (55) | | Greater than 1cm | 15 (42) | 13 (45) | | Hydronephrosis on ultrasound scan | | | | Yes | 5 (14) | 5 (17) | | No | 31 (86) | 24 (83) |
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