ABSTRACT
This study aimed is to evaluate the oral health status, quality of life, anxiety and depression among hemodialysis patients and to analyze the effect of the duration of dialysis on these variables. 120 patients on hemodialysis and 120 control subjects underwent oral examination, periodontal evaluation, xerostomia study using a Visual Analogue Scale (VAS), sialometry evaluation; quality of life (QOL) using the OHIP-14 questionnaire and anxiety/depression. Bleeding index, CPTIN, clinical attachment level, and probing depth were significantly higher in the hemodialysis group than the control group (p < 0.001). VAS scores were higher in patients on hemodialysis with significant differences in 6 of the 8 domains (p ≤ 0.05). Unstimulated whole saliva was significantly lower in hemodialysis patients than control subjects (p < 0.001). OHIP-14 scores showed significantly poorer QOL in patients on hemodialysis than control subjects (p = 0.042). Hemodialysis patients presented greater depression and anxiety than control (p < 0.001). Periodontal health was worse among the patients who had been in treatment >10 years, xerostomia and sialorrea was worse in patients treated for 5-9.9, and >10 years, QOL was worse in patients who had spent <1 year; depression and anxiety was greater among those treated for 1-2.9 years. In conclusion, Oral health, QOL, anxiety and depression are worse in patients on hemodialysis, and oral health deteriorates as the time spent in dialysis lengthens, but patients in treatment for <3 years presented the poorest QOL and the greatest anxiety and depression.
Subject(s)
Anxiety/epidemiology , Depression/epidemiology , Oral Health , Quality of Life , Renal Dialysis , Aged , Case-Control Studies , Cross-Sectional Studies , Female , Germany/epidemiology , Humans , Male , Risk Factors , Surveys and Questionnaires , Time FactorsABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Lanthanum/adverse effects , Hyperamylasemia/chemically induced , Respiratory Aspiration/complications , Fecal Impaction , Renal Insufficiency, Chronic/complicationsABSTRACT
Pleural effusion secondary to pleuroperitoneal communication is an unusual complication of continuous ambulatory peritoneal dialysis. Many modalities have been used to diagnosis pleuroperitoneal: pleural fluid analysis, chest X- ray, Tc-99m gammagraphy, computed tomography scan and magnetic resonance image. Some of these procedures are invasive or have a high risk of induced-contrast nephrotoxicity. We present two case reports of pleuroperitoneal leak in two patients on peritoneal dialysis diagnosed with Tc-99m gammagraphy. We conclude that Tc- 99m gammagraphy is a simple, safe, non invasive, low radiation exposure and cost effective method in the assessment and evaluation of complications related to peritoneal dialysis such as pleuroperitoneal leak.
Subject(s)
Peritoneal Dialysis/adverse effects , Peritoneum/diagnostic imaging , Pleural Effusion/diagnostic imaging , Pleural Effusion/etiology , Technetium , Adult , Aged , Diaphragm , Female , Humans , Radionuclide ImagingABSTRACT
Entre las complicaciones de la diálisis peritoneal, se encuentran las fugas de líquido hacia diferentes cavidades, entre ellas a la cavidad pleural. El diagnóstico de fuga diafragmática puede realizarse mediante toracocentesis o diferentes exploraciones de imagen con administración de contrastes iónicos o de gadolinio, considerándose alguna de ellas técnicas invasivas y no estando exentas de riesgo de toxicidad por contraste. Presentamos dos casos de derrame pleural en diálisis peritoneal en los que la prueba diagnóstica no invasiva mediante gammagrafía con Tc99mintraperitoneal permitió confirmar la sospecha de diagnóstica al mínimo coste. Concluimos que la gammagrafía intraperitoneal es la técnica de elección para el diagnóstico de fugas peritoneales en estos paciente (AU)
Pleural effusion secondary to pleuroperitoneal communication is an unusual complication of continuous ambulatory peritoneal dialysis. Many modalities have been used to diagnosis pleuroperitoneal: pleural fluid analysis, chestX- ray, Tc-99m gammagraphy, computed tomography scan and magnetic resonance image. Some of these procedures are invasive or have a high risk of induced-contrastnephrotoxicity. We present two case reports of pleuroperitoneal leak in two patients on peritoneal dialysis diagnosed with Tc-99m gammagraphy. We conclude that Tc-99m gammagraphy is a simple, safe, non invasive, low radiation exposure and cost effective method in the assessment and evaluation of complications related to peritoneal dialysis such as pleuroperitoneal leak (AU)
Subject(s)
Humans , Male , Adult , Aged , Peritoneal Dialysis/adverse effects , Pleural Effusion/etiology , /methods , Technetium , Renal Insufficiency, Chronic/therapyABSTRACT
No disponible
