RESUMO
Chronic kidney disease is associated with a high prevalence of depression, which increases inversely with the glomerular filtration rate. This paper aims to evaluate the factors associated with a low quality of life and depression in patients on haemodialysis. Two hundred patients undergoing haemodialysis answered the Medical Outcomes Study 36 - Item Short - Form Health Survey (SF-36) and Beck Depression Inventory (BDI). Clinical and laboratory variables were analysed and correlated with these two tools. The prevalence of depression was 29%. Anaemia and hypoalbuminemia were independent risk factors for depression. All SF-36 domains showed worse results in patients with depression, and the pain domain presented the highest correlation. Our findings provide evidence that patients on haemodialysis have a low quality of life and a high prevalence of depression. A greater number of comorbidities, an excessive number of medications, diabetes mellitus, anaemia and hypoalbuminemia were associated with a reduced quality of life.
Assuntos
Depressão/epidemiologia , Transtorno Depressivo/epidemiologia , Falência Renal Crônica/terapia , Qualidade de Vida , Adulto , Anemia/epidemiologia , Anemia/psicologia , Antidepressivos/uso terapêutico , Brasil/epidemiologia , Comorbidade , Estudos Transversais , Depressão/psicologia , Transtorno Depressivo/tratamento farmacológico , Transtorno Depressivo/psicologia , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/psicologia , Feminino , Humanos , Hipoalbuminemia/epidemiologia , Hipoalbuminemia/psicologia , Falência Renal Crônica/psicologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Dor , Polimedicação , Prevalência , Escalas de Graduação Psiquiátrica , Diálise Renal/psicologia , Fatores de RiscoRESUMO
The authors describe the case of a renal transplant patient who developed late infective endocarditis associated with an intracardiac fragment of a catheter inserted 16 years before. Clinical presentation was anemia of undetermined cause and weight loss. Three blood cultures were positive for Burkholderia cepacia. Transesophageal echocardiography revealed a foreign body in the right atrium and right ventricle, confirmed by computed tomography. The patient underwent intravenous antibiotic therapy, followed by cardiac surgery to remove the foreign body. There were no postoperative complications, with improvement of anemia and stabilization of renal function.