Nutritional and epidemiological aspects of patients with chronic renal failure undergoing hemodialysis from Brazil, 2010

Biavo, Bárbara Margareth Menardi; Tzanno-Martins, Carmen; Cunha, Lucas Maciel; Araújo, Melissa Luciana de; Ribeiro, Márcia Machado Cunha; Sachs, Anita; Uezima, Clarissa Baia Bargas; Draibe, Sérgio Antônio; Rodrigues, Cibele Isaac Saad; Barros, Elvino José Guardão

doi:10.5935/0101-2800.20120001

Cited by 11 publications

(7 citation statements)

References 14 publications

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“…In the current study, we found an association between anemia and hypoalbuminemia and frailty, a similar results were observed by other authors in both community-dwelling older adults [32] and hemodialysis populations [17,29,33]. An increase in the total WBC counts is recognized as a clinical indicator for systemic inflammation, and associated with cardiovascular and cerebrovascular events [34,35].…”

Section: Discussionsupporting

confidence: 91%

“…Contrary to the definition of frailty as a geriatric syndrome [1], we observed that the frailty, not only started early in the hemodialysis population with mean age 44y and 45% of patients younger than 40 y were frail but also progress rapidly with aging to 60%; 66% and 73% at age 40-50; 50-60 and 60-70y respectively. Certainly several previous researches were noted similar results [17,20,25] Female gender more liable to frailty, actually several researchers observed such correlation [17,26,27], while others showed that male gender more susceptible to frailty than female [28,29], however such debate may be attributed to the racial difference between those studies Diabetes and severity of secondary hyperparathyroidism as comorbid diseases were associated with frailty. Consisting with previous researches of Johansen et al [17] and Mansur et al [20] respectively.…”

Section: Discussionmentioning

confidence: 82%

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Prevalence and Correlates of Frailty among Patients on Maintenance Hemodialysis

Mahmoud¹

2014

General Med

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Background: Frailty has been recognized as a syndrome resulting from cumulative declines in multiple physiologic systems, leading to impaired homeostatic reserve and decreased capacity to withstand stress. Frailty is common in dialysis patients of all ages and is a more sensitive marker of morbidity and mortality than chronological age. Prevention of frailty in hemodialysis patients of all ages could form an active part of nephrology management. Objective: To determine the prevalence and correlates of frailty among hemodialysis patients Patients and Methods: Cross section study was carried out in the hemodialysis unit of the Zagazig university hospital in between Oct 2013 to Nov 2014 The total number of the study was 165 hemodialysis patients, 25 were excluded from the study and thus the final included numbers became 140 hemodialysis patients. All participants were subjected to complete clinical examination. Routine laboratory investigations including corrected serum calcium (Ca) mg/dL, serum phosphate (P) mg/dL and serum intact PTH (i-PTH) (pg/mL) were performed. Anthropometric measurements, including mid arm circumference (MAC), mid-calf circumference (MCC) and body mass index (BMI). Frailty diagnoses and scoring by fried frailty criteria Results: The prevalence of frailty among hemodialysis patients in Zagazig university hospital was 60%, prefrail 15.7% and non-frail 24.3%. Frailty was started early at mean age of 44.11 ± 6.7 and significantly increase with aging P<0.05. Although gender, smoking, blood pressure, anthropometric measures, diabetes, serum albumin, Ca, P, iPTH, C-reactive protein (CRP), hemoglobin (Hb) % g/dl, RBCs χ106, Platelets χ103, WBCs χ103 venous access line were assessed for correlation with frailty. Only female gender P<0.001, diabetes P<0.05, hypoalbuminemia P<0.001, severity of secondary hyperparathyroidism P<0.02, inflammatory state P<0.002, anemia P<0.001, and absence of permanent venous access P<0.001 were correlated with frailty. Administration of erythropoietin (EPO) and L.carnitine were negatively correlated with frailty Conclusion: The prevalence of frailty among hemodialysis patients in this study was an extremely high 60%, approximately 8-9 folds of the general population. Frailty increases with, female gender, diabetics, absence of permanent venous access for hemodialysis, anemia, hypoalbuminemia and secondary hyperparathyroidism. Gene ra l M e d ici ne: O p e n A cc ess

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 82%

Prevalence and Correlates of Frailty among Patients on Maintenance Hemodialysis

Mahmoud¹

2014

General Med

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“…Results were found in a study 8 , which sought to trace nutritional and epidemiological aspects of chronic renal patients submitted to hemodialysis treatment in Brazil, pointing out that the profile of patients has been presenting a high age group. Considering that there is a significant increase in chronic diseases, especially CKD, associated with the high age groups of this population and the longevity of the Brazilian and world population, the available treatments are proving to be more effective and able to offer quality patients.…”

mentioning

confidence: 99%

Perfil sociodemográfico e clínico de pacientes renais crônicos em hemodiálise

Piccin

Girardon-Perlin

Coppetti

et al. 2018

Rev enferm UFPE on line.

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RESUMO Objetivo: caracterizar os pacientes com doença renal crônica em hemodiálise quanto aos aspectos sociodemográficos e clínicos. Método: trata-se de estudo quantitativo, descritivo e transversal, realizado com 220 pacientes. Coletaram-se os dados com um questionário analisando-os no programa SPSS e os apresentando em tabelas. Resultados: revela-se que, dos 220 participantes, 123 (55,9%) eram do sexo masculino, com idade média de 58,9 anos; 67% (n=149) eram brancos; 57,3% (n=126) viviam com companheiro; 65,5% (n=144) tinham baixa escolaridade e 83,7% (n=184) residiam no meio urbano. Registrou-se, como causa principal da doença, a hipertensão arterial 27,7% (n=61); não realizaram tratamento conservador 64,5% (n=64,5%) e o deslocamento para o tratamento ocorria via transporte municipal para 46,3% (n=102). Conclusão: colabora-se, por meio do conhecimento do perfil sociodemográfico e clínico dos pacientes que realizam a hemodiálise, para o gerenciamento do cuidado, que pode subsidiar estratégias para a prevenção da doença e estimular a adesão ao tratamento, além de contribuir para o avanço científico em Nefrologia. Descritores: Doença Renal Crônica; Diálise Renal; Perfil dos Pacientes; Terapia Renal Substitutiva; Enfermagem; Nefrologia.ABSTRACT Objective: to characterize patients with chronic kidney disease on hemodialysis regarding sociodemographic and clinical aspects. Method: this is a quantitative, descriptive and cross-sectional study with 220 patients. The data was collected with a questionnaire analyzing them in the program SPSS and presenting them in tables. Results: it is revealed that of the 220 participants, 123 (55.9%) were males, with a mean age of 58.9 years; 67% (n = 149) were white; 57.3% (n = 126) lived with a partner; 65.5% (n = 144) had low schooling and 83.7% (n = 184) lived in urban areas. The main cause of the disease was arterial hypertension (27.7%) (n = 61); 64.5% (n = 64.5%) and the movement to the treatment occurred through municipal transportation to 46.3% (n = 102). Conclusion: by means of knowledge of the sociodemographic and clinical profile of the patients undergoing hemodialysis, for the management of the care, which can subsidize strategies for the prevention of the disease and stimulate adherence to the treatment, besides contributing to the scientific progress in Nephrology. Descriptors: Chronic Kidney Disease; Renal Dialysis; Patient Profile; Renal Replacement Therapy; Nursing; Nephrology.RESUMEN Objetivo: caracterizar a los pacientes con enfermedad renal crónica en hemodiálisis en cuanto a los aspectos sociodemográficos y clínicos. Método: se trata de un estudio cuantitativo, descriptivo y transversal, realizado con 220 pacientes. Los datos fueron recolectados con un cuestionario analizándolos en el programa SPSS y presentándolos en tablas. Resultados: se revela que, de los 220 participantes, 123 (55,9%) eran del sexo masculino, con una edad promedio de 58,9 años; El 67% (n = 149) eran blancos; 57,3% (n = 126) vivían con el compañero; 65,5% (n = 144) tenían baja escolaridad y 83,7% (n = 184) residían en el medio urbano. Se registró, como causa principal de la enfermedad, la hipertensión arterial el 27,7% (n = 61); no realizaron tratamiento conservador 64,5% (n = 64,5%) y el desplazamiento para el tratamiento ocurría vía transporte municipal al 46,3% (n = 102). Conclusión: se colabora, a través del conocimiento del perfil sociodemográfico y clínico de los pacientes que realizan la hemodiálisis, para el manejo del cuidado, que puede subsidiar estrategias para la prevención de la enfermedad y estimular la adhesión al tratamiento, además de contribuir al avance científico en nefrología. Descriptores: Enfermedad Renal Crónica; Diálisis Renal; Perfil de los Pacientes; Terapia Renal Sustitutiva; Enfermería; Nefrología.

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“…Diferente dos resultados do Censo de diálise, o presente estudo demonstrou que 18,1% dos pesquisados apresentavam idade >60 anos. Resultados semelhantes foram encontrados no estudo de Biavo et al 21 . Com relação à adequação da diálise, o Kt/V esteve dentro do recomendado em 93,1% dos pacientes com média de 1,5±0,2, dado importante já que, diálise insuficiente está associada ao acúmulo de toxinas urêmicas, o que contribui para alterações gastrointestinais, interferindo no apetite, causas de desnutrição 13 .…”

Section: Discussionunclassified