Análisis clínicos y de laboratorio de pacientes en diálisis en un hospital de referencia en la Amazonía

Resumen

Introducción: Los cambios hormonales y minerales caracterizan un gran desafío en el tratamiento de pacientes renales crónicos en hemodiálisis. Objetivo: Analizar las características clínicas y sociales y la evolución de la hormona paratiroidea, calcio total, fósforo y vitamina D en pacientes en diálisis en los años 2017 y 2018. Métodos: La muestra estuvo constituida por 105 historias clínicas de pacientes en hemodiálisis en un hospital de referencia. en Santarém, Pará. Se recolectó información sociodemográfica y clínica en 2017, así como información de laboratorio para los años 2017 y 2018. Los datos fueron tabulados y analizados según estadística descriptiva e inferencial, adoptando p<0,05. Resultados: Se encontró mayor frecuencia en el sexo masculino, mayores de 47 años, casados, morenos y con índice de masa corporal normal. Las etiologías subyacentes más frecuentes fueron hipertensión arterial sistémica, diabetes mellitus y glomerulonefritis crónica. En 2017 el calcio total tuvo mayor proporción de valores adecuados, así como la vitamina D en 2017 y 2018. El fósforo y la hormona paratiroidea tuvieron predominio de valores alterados en 2017 y 2018. Conclusión: Además de la alta frecuencia de alteraciones para el fósforo y la hormona paratiroidea durante todo el período analizado, hubo una asociación positiva entre la alteración del fósforo para la alteración del calcio total y la edad <55 años para la alteración de la hormona paratiroidea.

Palabras clave: Insuficiencia renal crónica, Diálisis renal, Indicadores de salud

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Biografía del autor/a

Denilson Soares Gomes Junior,

http://lattes.cnpq.br/1936851909878855

Bruna Jacó Lima Samselski,

http://lattes.cnpq.br/8709376208088691

Daniela Freitas de Oliveira,

http://lattes.cnpq.br/8080049300144696

Brenda dos Santos Coutinho,

http://lattes.cnpq.br/6456311220408048

Emanuel Pinheiro Esposito,

http://lattes.cnpq.br/4046885474500580

Luiz Fernando Gouvêa-e-Silva,

http://lattes.cnpq.br/2109467799397782

Publicado
2022-06-06
Cómo citar
Gomes Junior, D. S., Samselski, B. J. L., Oliveira, D. F. de, Coutinho, B. dos S., Esposito, E. P., & Gouvêa-e-Silva, L. F. (2022). Análisis clínicos y de laboratorio de pacientes en diálisis en un hospital de referencia en la Amazonía. Lecturas: Educación Física Y Deportes, 27(289), 112-126. https://doi.org/10.46642/efd.v27i289.2380
Sección
Artículos de Investigación