Thanks to Dr. Catherine Joseph for this month’s article of the month on the long-term implications of extreme prematurity. The article, entitled “Albuminuria, Hypertension, and Reduced Kidney Volumes in Adolescents Born Extremely Premature” is by Dr. Keia Sanderson and colleagues.
Premature birth is associated with decreased nephron number and an increased risk for chronic kidney disease (CKD). Despite the higher risk of CKD in infants born preterm, evidence based consensus guidelines have not been developed for kidney follow up after discharge from NICU. In this single-center prospective cohort of extremely low gestation infants, half of adolescents in this subset of ELGAN cohort had at least one risk factor of kidney disease (reduced kidney volume, microalbuminuria, and/or elevated blood pressures) at 15 years of age.