Length of Stay Children Hospitalized with Chronic Kidney Disease Based on Etiology and Stage in Dr. Hasan Sadikin Hospital Bandung

Angelreika Libowo, Ahmedz Widiasta, Dedi Rachmadi


Objectives: This study aims to describe the LOS children hospitalized with CKD based on the etiology and stage at Dr. Hasan Sadikin General Hospital, Bandung in 2016–2018.

Methods: This was a retrospective study with a cross-sectional design from June–October 2019. The inclusion were all medical records of pediatric inpatient diagnosed with CKD and exclusion criteria were incomplete medical record data and hospital readmission patients. The variables studied were CKD etiology, CKD stage, and length of stay

Results: From 103 patients, the etiologies found were steroid-resistant nephrotic syndrome (SRNS) (58.25%), congenital anomalies of kidney and urinary tract (9.71%), urinary tract infection (5.83%), and chronic glomerulonephritis (21.36%). The mean LOS was 19 days. The longest LOS found in CKD stage 5 patients caused by SRNS (141 days). Meanwhile, the shortest LOS was found in CKD stage 2 patients caused by chronic glomerulonephritis and CKD stage 5 patients were caused by SRNS who died (1  day).

Conclusion: Pediatric patients with CKD stage 5 with SRNS has the potential to have a longer LOS than other etiologies.


Children, Chronic Kidney Disease; Etiology; Length of Stay; Stages

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KDIGO. Clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease. Kidney Int Suppl. 2017;7(3):e1.

Becherucci F, Roperto RM, Materassi M, Romagnani P. Chronic kidney disease in children. Clin Kidney J. 2016;9(4):583–91.

Wong CJ, Moxey-Mims M, Jerry-Fluker J, Warady AB, L. Furth S. CKiD (CKD in Children). NIH Public Access. 2013;60(6):1002–11.

Initiative NKF (NKF) KDQ. Clinical Practice Guidelines. New York: National Kidney Foundation; 2002.

Pardede SO, Chunnaedy S. Penyakit ginjal kronik pada anak. Sari Pediatr. 2017;11(3):199.

Couser WG, Remuzzi G, Mendis S, Tonelli M. The contribution of chronic kidney disease to the global burden of major noncommunicable diseases. Kidney Int. 2011;80(12):1258–70.

El Nahas AM, Bello AK. Chronic kidney disease: The Global Challenge. Lancet. 2005;365(9456):331–40.

Kemenkes RI. Situasi penyakit ginjal kronis. Pus Data dan Inf Kementerian Kesehatan RI. 2017.

Azalea M, Andayani TM. Analisis biaya pengobatan penyakit ginjal kronis rawat inap dengan hemodialisis di rumah sakit. J Manaj dan Pelayanan Farm. 2016;141–50.

Warady BA, Chadha V. Chronic kidney disease in children: the global perspective. Pediatr Nephrol. 2007;22(12):1999–2009.

Goldberg I, Krause I. The role of gender in chronic kidney disease. Eur Med J. 2016;1(2):58–64.

Carrero JJ, Hecking M, Chesnaye NC, Jager KJ. Sex and Gender Disparities in The Epidemiology and Outcomes of Chronic Kidney Disease. Nat Publ Gr. 2018; Available from: http://dx.doi.org/10.1038/nrneph.2017.181

Maalej B, Louati H, Guirat R, Wali M, Abid H, Jallouli M, et al. Childhood chronic kidney disease. iMedPub Journals. 2018;2(1);1–3.

Nourbakhsh N, Mak RH. Steroid-resistant nephrotic syndrome: past and current perspectives. Pediatric Health Med Ther. 2017;8:29–37.

Sahay M. Congenital anomalies of kidney and urinary tract. Clin Queries Nephrol. 2013;2(4):156–65.

Sepehri A, Simpson W, Sarma S. The influence of health insurance on hospital admission and length of stay-The case of Vietnam. Soc Sci Med. 2006;63(7):1757–70.

Khosravizadeh O, Vatankhah S, Bastani P, Kalhor R, Alirezaei S, Doosty F. Factors affecting length of stay in teaching hospitals of a middle-income country. Electron Physician. 2016;8(10):3042-3047.

Gohari M, Vahabi N, Moghadamifard Z. Semi-parametric Cox regression for factors affecting hospitalization length. Daneshvar Pezeshki. 2012;19(99):23–30.

DOI: https://doi.org/10.15850/ijihs.v8n1.1880

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