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Kidney Week

Abstract: FR-PO0860

Shear Wave Elastography in Patients with Acute Glomerulonephritis Compared with a CKD Cohort

Session Information

Category: Glomerular Diseases

  • 1402 Glomerular Diseases: Clinical, Outcomes, and Therapeutics

Authors

  • Al-Sheyyab, Ahmed, The Hashemite University, Az-Zarqa, Zarqa Governorate, Jordan
  • Thneibat, Nahil Yasin, Ministry of Health, Amman, Jordan
  • Suleiman, Huda Ayed, Ministry of Health, Amman, Jordan
  • Al-Jussani, Ghada Nazar, The Hashemite University, Az-Zarqa, Zarqa Governorate, Jordan
  • Al-thnaibat, Mohammad Hassan, The Hashemite University, Az-Zarqa, Zarqa Governorate, Jordan
Background

Shear wave elastography (SWE) is a non-invasive ultrasound technique used for evaluating chronic renal parenchymal changes. Few of previous studies have focused on patients with glomerulonephritis. Our aim was to assess the use of SWE in glomerulonephritis patients and compare them with a CKD cohort.

Methods

This is a prospective study conducted outpatient nephrology clinics recruited patients with glomerulonephritis confirmed by kidney biopsy. The comparison group, CKD group were included particularly those with CKD 1-3. SWE was performed for all patients who consented to participate in the study.

Results

The Glomerulonephritis group had higher values for the Young’s modulus (Kpa) (M = 6.27) than the CKD group (M = 4.51). Univariate logistic regression analysis identified Young’s modulus to be a significant predictors of glomerulonephritis (all p < 0.05). After adjusting for potential confounders wtih a multivariable logistic regression, only age (B = -0.15, p = 0.013) and Young’s modulus (B = 0.98, p = 0.036) remained significant.

Conclusion

Tissue stiffness measurements were significantly elevated and independently associated with glomerulonephritis compared with patients with mild to moderate CKD.

Acknowledgment

We are grateful for out patients who agreed to particpate in the study.

A multivariate logistic regression analysis was performed to examine the influence of confounding factors on Young’s modulus (Kpa) to predict the occurrence of Glomerulonephritis disease.
VariableCoefficient BpOdds Ratio95% conf. interval
Constant2.96.47919.270.01 - 69721.01
Age-0.15.0130.860.77 - 0.97
Male gender1.57.3024.810.24 - 94.92
Serum Creatinine umol/L0.01.1881.011.00 - 1.02
BP well-controlled0.08.9551.090.06 - 18.93
Young’s modulus (Kpa)0.98.0362.651.07 - 6.61
Renal resistive index-2.53.5270.080.00 - 203.59

Logistic regression analysis showed that the model as a whole was significant (Chi2(6) = 41.46, p <.001, n = 50.00).