Your browser doesn't support javascript.
loading
Cambios en el metabolismo óseo y mineral en pacientes con Enfermedad Renal Crónica sometidos a trasplante renal en el Hospital General Plaza de la Salud durante el período comprendido entre enero 2010­agosto 2018 / Changes in bone and mineral metabolism in patients with chronic kidney disease undergoing kidney transplantation at Plaza de la Salud General Hospital during the period between January 2010­August 2018
Moreno, Andreina; Yangüela, Adalgisa.
  • Moreno, Andreina; Universidad Iberoamericana (UNIBE). Santo Domingo. DO
  • Yangüela, Adalgisa; Universidad Iberoamericana (UNIBE). Santo Domingo. DO
Cienc. Salud (St. Domingo) ; 6(2): 49-60, 20220520. tab
Article in Spanish | LILACS | ID: biblio-1379351
RESUMEN

Introducción:

las alteraciones del metabolismo óseo-mineral, son una causa importante de morbilidad en los pacientes con trasplante renal, por lo que el manejo de las complicaciones del paciente trasplantado, a largo plazo, deben de ser seguidas. El estudio intenta demostrar cambios en el metabolismo óseo y mineral en pacientes con enfermedad renal crónica sometidos a trasplante renal en el Hospital General Plaza de la Salud durante el período comprendido entre enero 2010 ­ agosto 2018, Santo Domingo, República Dominicana.

Método:

estudio observacional, descriptivo, retrospectivo y transversal de 131 trasplantes realizados en el Hospital General Plaza de la Salud, evaluando cambios de calcio (Ca), fósforo (P) y hormona paratiroidea (PTH) antes y tres meses post-trasplante.

Resultados:

la edad media de los pacientes incluidos fue 43.1 ±13.1 años, 72.51 % pertenecía al sexo masculino, con un tiempo medio en hemodiálisis en meses de 27.0 ± 33.6, 60 % de los trasplantes realizados fueron de donante vivo y un 63 % de los pacientes tenía HTA como comorbilidad. El nivel medio de PTH disminuyó en los primeros 3 meses posteriores al trasplante comparado con el pre-trasplante (779.6 ± 1004.0 vs. 167.9 ± 138.2 pg/ml). El fosfato disminuyó significativamente (4.9 ± 1.6 vs. 3.5 ± 0.8) y el calcio aumentó (9.0 ± 1.2 mg/dl vs. a 9.7± 0.8 mg/dl).

Discusión:

los cambios generales en los niveles séricos de Ca, P, PTH, BUN y creatinina desde el momento del TR a los 3 meses post TR, fueron todos significativos
ABSTRACT

Introduction:

Alterations of bone-mineral metabolism are an important cause of morbidity in patients with kidney transplantation, so the management of long-term transplant patient complications should be followed. The study tries to demonstrate changes in bone and mineral metabolism in patients with chronic renal disease undergoing kidney transplant in the Hospital General Plaza de la Salud during the period January 2010 to August 2018, Santo Domingo, Dominican Republic.

Method:

Observational, Descriptive, Retrospective and Cross-sectional Study of 131 transplants performed at Hospital General Plaza de la Salud, evaluating changes of calcium (Ca), phosphorus (P) and parathyroid hormone (PTH) before and 3 months post-transplant.

Results:

The mean age of the patients included was 43.1 ± 13.1 years, 72.51% belonged to the male sex, with a mean time on hemodialysis in months of 27.0 ± 33.6, 60% of the transplants performed were from live donors and 63% from the patients had hypertension as comorbidity. The mean PTH level decreased in the first 3 months after transplantation compared to the pre-transplant (779.6 ± 1004.0 vs 167.9 ± 138.2 pg/ml). Phosphate decreased significantly (4.9 ± 1.6 vs 3.5 ± 0.8) and calcium increased (9.0 ± 1.2 mg / dl vs. 9.7 ± 0.8 mg / dl).

Discussion:

The general changes in serum levels of Ca, P, PTH, BUN and Creatinine from the time of TR to 3 months post TR were all significant
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Chronic Kidney Disease-Mineral and Bone Disorder / Kidney Transplantation / Renal Insufficiency, Chronic Type of study: Health technology assessment / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: Spanish Journal: Cienc. Salud (St. Domingo) Journal subject: Medicina Year: 2022 Type: Article Affiliation country: Dominican Republic Institution/Affiliation country: Universidad Iberoamericana (UNIBE)/DO

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Chronic Kidney Disease-Mineral and Bone Disorder / Kidney Transplantation / Renal Insufficiency, Chronic Type of study: Health technology assessment / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: Spanish Journal: Cienc. Salud (St. Domingo) Journal subject: Medicina Year: 2022 Type: Article Affiliation country: Dominican Republic Institution/Affiliation country: Universidad Iberoamericana (UNIBE)/DO