1.Sonographic nomogram of paediatric renal size in Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM)
Leong Yuh Yang ; Kanaheswari Yoganathan ; Faizah Mohd Zaki ; Erica Yee Hing ; Nik Azuan Nik Ismail ; Nik Farhan Nik Fuad ; Hamzaini Abdul Hamid
The Medical Journal of Malaysia 2020;75(2):130-135
Introduction: A person’s childhood is an important period of
growth, and also one’s most vulnerable, as one can be
exposed to various pathologies, for example those that
could affect the growth of one’s kidney. Asians are
physiologically different from Caucasians, and the
nomogram renal size obtained from a Western population
(mostly of Caucasians) is not be suitable for representing
Asian children. As such a nomogram on paediatric renal size
derived from Malaysia is needed.
Methods: A total of 109 (64 males and 45 females) aged 0-12
in Pusat Perubatan Universiti Kebangsaan Malaysia
(PPUKM) took part in this study. They underwent
ultrasonography of both kidneys, and their demographic
and anthropometric data were collected. The mean and
standard deviations of the renal length and renal volume
according to their age groups was calculated, and the final
data was compared to the ones reported by Rosenbaum et
al. (1984).
Result: Body weight and Body Surface Area (BSA) of the
children reported the strongest correlation with renal size.
Significant differences were found between local and the
data from Rosenbaum et al (1984). A nomogram on
paediatric renal size based on children in PPUKM was then
created.
Discussion: Ultrasonography is regarded as the standard
method for determining renal size. Body weight and BSA
were both strongly correlated with renal size. It was shown
that the widely used nomograms derived from data obtained
from Caucasian was not suitable to represent the population
of Malaysian children.