Doença renal crônica e tratamento em idosos: uma revisão integrativa

Magalhães, Fernanda Guilhermino; Goulart, Rita Maria Monteiro

doi:10.1590/1809-9823.2015.14132

Cited by 8 publications

(10 citation statements)

References 24 publications

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“…The prevalence of CKD increases with advancing age 16 . The aging process results in reduced GFR, which is a normal biological phenomenon linked to cellular and organ senescence, resulting from the change in the volume of the kidney, with reduced number of nephrons, change in the vasoactive response and changes in the activity of the renin-angiotensin systems, associated to the cellular oxidative stress 17 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated to chronic kidney disease in older adults

Amaral

Monteiro

2019

Rev. saúde pública

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OBJECTIVE: To verify the prevalence of chronic kidney disease and the factors associated to it in older adults (≥ 60 years). METHODS: This is a population-based research conducted in 2014, involving 1,016 older adults living in urban and rural areas of the municipality of Rio Branco, Acre. Chronic kidney disease was defined by glomerular filtration rate < 60 ml/min/1.73 m², estimated by the equations of the Chronic Kidney Disease Epidemiology Collaboration, and the presence of albuminuria > 29 mg/g. Association measure were estimated by gross and adjusted odds ratio (OR), with a confidence level of 95% (95%CI). RESULTS: The overall prevalence of chronic kidney disease was 21.4% in older adults, with the associated factors age, diabetes (OR = 3.39; 95%CI 2.13–5.40), metabolic syndrome (OR = 2.49; 95%CI 1.71–3.63), self-assessment of poor health (OR = 1.79; 95%CI 1.10–2.91), arterial hypertension (OR = 1.82; 95%CI 1.04–3.19) and obesity (OR = 1.69; 95%CI 1.02–2.80). CONCLUSIONS: The prevalence of chronic kidney disease was high in older adults, being associated with age, self-assessment of health as bad or very bad, obesity, diabetes and metabolic syndrome.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated to chronic kidney disease in older adults

Amaral

Monteiro

2019

Rev. saúde pública

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“…During this period the disease is silent but risk factors for the progression of the disease need to be searched, identified and combated. Some factors may affect patient outcomes such as the shortage of specialist nephrologists or lack of clinician training in primary health care, as recommended by the Unified health System (SUS) [11].…”

Section: Introductionmentioning

confidence: 99%

Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017

et al. 2019

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IntroductionChronic kidney disease (CKD) has a set of clinical and laboratory abnormalities where renal function loss is noted. The high prevalence of comorbidity of people living with CKD, its economic impact and its prognosis have made it a public health problem, justifying the need to implement preventive measures.ObjectiveTo analyse the mortality and incidence of hospital admissions for CKD.MethodsEcological study with a time series design using secondary microdata of deaths and hospital admissions from patients with CKD from 1996 to 2017 in the State of Espírito Santo, Brazil.ResultsThe average mortality rate of CKD during the studied years was 2.92 per 100,000 inhabitants per year. During this period global mortality was a stationary phenomenon. In women, the trend of mortality from 2005 on increased 7,87% per year. Between 2008 and 2017, the average incidence hospital admissions due to CKD per year was 45.76 per 100,000 inhabitants. It was observed that the overall hospital admission increased by the equivalent of 6.23% per year. More than a half of mortality and hospitalisations correspond to male patients over 50 years of age. In terms of mortality, 32.99% corresponded to Caucasian patients, while 35.13% of hospitalisations were mixed race.ConclusionWe found that age and gender are factors associated with deaths and hospitalisations for chronic kidney disease. While hospitalisation increases 6.23% per year, global mortality remains stationary. However, from 2005 onwards a trend towards increasing of 7.87%/annual in mortality was observed in women.

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“…Descriptores: Salud del Adulto; Atención en Salud; Unidades Hospitalarias de Hemodiálisis; Nefropatía; Enfermedad Crónica; Diálisis Renal. 1,2,3 Nurses (graduates), State University of Bahia/UNEB. Guanambi (BA), Brazil.…”

Section: Introductionunclassified

“…E-mail: dieslley@gmail.com ORCID iD: https://orcid.org/0000-0002-9991-4659 E-mail: naratbsorte@gmail.com ORCID iD: https://orcid.org/0000-0001-8302-6887; 6 Chronic kidney disease (CKD) are lesions or structural changes in the kidneys, which leads to a reduced glomerular filtration rate to a value below 60 ml/min/1.73 m 2 for a period equal to or greater than three months. [1][2] The reduction in filtration is much greater in Chronic Renal Failure (CRF), which can be below 15 ml/min/1.73m². 3 CKD presents gradual, progressive and irreversible clinical course, so that, due to losses in the water and metabolic balance, individuals can become dependent on one of the therapeutic dialysis modalities to ensure their survival.…”

Section: Introductionmentioning

confidence: 99%

Impacto da hemodiálise nas escórias nitrogenadas séricas

Porto

Leal

Barbosa

et al. 2019

Rev enferm UFPE on line.

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RESUMOObjetivos: descrever o perfil sociodemográfico de pacientes em hemodiálise e analisar os parâmetros laboratoriais pré/pós-hemodiálise. Método: trata-se de estudo quantitativo, descritivo e transversal realizado com paciente em hemodiálise. Coletaram-se os dados através de formulário sociodemográfico e recorte documental de exames laboratoriais pré/pós-hemodiálise e analisou-os por meio de frequências relativas e absolutas pelo software Statical Package of Social Sciences 21.0, bem como cálculo de desvio padrão e taxa de redução dos metabólitos. Resultados: identificou-se que de 151 participantes, 72,8% eram homens, 52,3% pardos, 74,4% católicos, 37,8% tinham entre 40-59 anos de idade, 33,8% possuíam 4-8 anos de escolaridade, 63,3% possuíam 1-3 anos de hemodiálise e 60,3% foram admitidos pela emergência. Após a hemodiálise, observou-se taxa de redução importante para a ureia, fósforo, alumínio e transaminase glutâmico-pirúvica. Conclusão: compõe-se o perfil de pacientes em hemodiálise homens, pardos, católicos, 40-59 anos, 1-3 anos de hemodiálise e provenientes da emergência. A hemodiálise propiciou taxa de redução significativa das escórias nitrogenadas. Ressalta-se a importância das atividades educativas voltadas para o protagonismo do paciente na prevenção de complicações, a fim de determinar o sucesso do tratamento. Descritores: Saúde do Adulto; Assistência à Saúde; Unidades Hospitalares de Hemodiálise; Nefropatia; Doença Crônica; Diálise Renal. ABSTRACT Objectives: to describe the sociodemographic profile of patients on hemodialysis and analyze the pre/post-hemodialysis laboratory parameters. Method: this is a quantitative, descriptive and cross-sectional study with patients on hemodialysis. Data were collected using a sociodemographic form and documentary clipping of pre/post-hemodialysis laboratory examinations, examined by means of relative and absolute frequencies by the software Statistical Package of Social Sciences 21.0, as well as calculation of standard deviation and the reduction rate of metabolites. Results: of the 151 participants, 72.8% were men, 52.3% pardos, 74.4% Catholics, 37.8% were 40-59 years old, 33.8% had 4-8 years of schooling, 63.3% had 1-3 years of hemodialysis and 60.3% were admitted at the emergency. After hemodialysis, there was a reduction rate for urea, phosphorus, aluminum and glutamic-pyruvic transaminase. Conclusion: the profile of patients on hemodialysis consists of men, pardos, Catholics, 40-59 years old, 1-3 years of hemodialysis and from the emergency. The hemodialysis propitiated a significant reduction rate of nitrogenous waste. Educational activities focused on the patient’s role in the prevention of complications stand out, in order to determine the treatment success. Descriptors: Adult Health; Health Care; Hemodialysis Hospital Units; Nephropathy; Chronic Disease; Renal Dialysis. RESUMEN Objetivos: describir el perfil sociodemográfico de los pacientes en hemodiálisis y analizar los parámetros de laboratorio pre/post-hemodiálisis. Método: se trata de un estudio cuantitativo, descriptivo y de corte transversal en pacientes en hemodiálisis. Se recogieron los datos mediante un formulario sociodemográfico y recorte documental de exámenes de laboratorio pre/post-hemodiálisis, examinados por medio de frecuencias absolutas y relativas por el software Statistical Package of Social Sciences 21.0, así como el cálculo de la desviación estándar y el coeficiente de reducción de metabolitos. Resultados: se encontró que de 151 participantes, el 72,8% eran hombres, 52,3% pardos, 74,4% católicos, 37,8% tenían entre 40-59 años de edad, 33,8% tenían 4-8 años de escolaridad, 63,3% tenían 1-3 años de hemodiálisis y 60,3% fueron admitidos por la emergencia. Después de la hemodiálisis, se observó una tasa de reducción significativa de urea, fósforo, aluminio y transaminasa glutámico pirúvica. Conclusión: el perfil de los pacientes en hemodiálises es compuesto por hombres, pardos, católicos, 40-59 años de edad, 1-3 años de hemodiálisis y provenientes de la emergencia. La hemodiálisis propició la tasa de reducción significativa de los residuos nitrogenados. Se destaca la importancia de las actividades educativas centradas en el rol del paciente en la prevención de complicaciones, a fin de determinar el éxito del tratamiento. Descriptores: Salud del Adulto; Atención en Salud; Unidades Hospitalarias de Hemodiálisis; Nefropatía; Enfermedad Crónica; Diálisis Renal.

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Doença renal crônica e tratamento em idosos: uma revisão integrativa

Cited by 8 publications

References 24 publications

Prevalence and factors associated to chronic kidney disease in older adults

Prevalence and factors associated to chronic kidney disease in older adults

Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017

Impacto da hemodiálise nas escórias nitrogenadas séricas

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