Introduction Brazil ranks second in the absolute number of transplantations in the world. Despite improvements in graft survival, many patients will progress to graft loss and return to dialysis. Concerns exist regarding adverse clinical outcomes in this population when undergone peritoneal dialysis (PD). Objective To compare the occurrence of mortality, technique failure, and peritonitis among incident patients in PD coming from either Tx or pre-dialysis treatment. Methodology A retrospective study in which 47 adult patients with Tx failure (Tx group) were matched for age, gender, diabetes mellitus (DM), modality and start year of PD, with 1:1 predialysis patient (nTx group). The Fine-Gray competing risk model was used to analyze mortality and technique failure. Results Compared to nTx, the Tx group had a lower body mass index, serum potassium, and albumin concentrations. A higher ferritin level, transferrin saturation and the number of patients with positive serology for viral hepatitis were also observed in the Tx group. In the multivariate analysis, patients of the Tx group had 4.4-times higher risk of death (p = 0.007), with infection as the main cause. Technique failure and peritonitis were similar in both groups. Conclusion Previous Tx is a risk factor for mortality but not for technique failure or peritonitis in incident patients on a PD program.
A COVID-19, doença causada pelo vírus SARS-CoV-2, tem como característica a rápida transmissão. Desde seu relato no final de dezembro de 2019, em Wuhan, na China, a doença se alastrou pelos 5 continentes. Em 20 março de 2020, o governador de Alagoas decretou estado de calamidade pública no Estado de Alagoas atribuído à pandemia do COVID-19, suspendendo o funcionamento de vários estabelecimentos. Face ao exposto, a quantidade de conteúdos veiculados nas redes sociais acerca da pandemia contribui com a disseminação de notícias falsas. Essas notícias, uma vez espalhadas, dificultam a adesão às medidas de contenção do vírus orientadas pelas agências oficiais de saúde. Uma das consequências é o aumento do número de pessoas infectadas, levando à sobrecarga do sistema de saúde. Dessa maneira, o presente projeto busca minimizar os impactos da propagação de informações falsas a partir de debates das Fake News relacionadas à COVID-19. Neste boletim, vamos apresentar sete notícias falsas relacionadas com a COVID-19.
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