| Revista: | Revista de la Facultad de Medicina. UNAM |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000323294 |
| ISSN: | 0026-1742 |
| Autors: | Méndez Durán, Antonio1 Fermín Piñón, José Gabriel1 |
| Institucions: | 1Instituto Mexicano del Seguro Social, México, Distrito Federal. México |
| Any: | 2009 |
| Període: | Sep-Oct |
| Volum: | 52 |
| Número: | 5 |
| Paginació: | 199-199 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en español | hipertensión arterial sistémica 50 (20.5%), glomerulopatías crónicas 28 (11.5%) y uropatía obstructiva 12 (5%). Se encontraron 133 defunciones (54.5%) en DPCA y 111 (45.5%) en DPA. Las causas de muerte en DPCA y DPA fueron insuficiencia cardiaca 58 y 56, sepsis 35 y 24, evento vascular cerebral 17 y 15, infarto miocárdico 17 y 5, sangrado digestivo 5 y 4, y edema agudo pulmonar 3 y 5. La permanencia en DPCA fue de 22 meses (rng: 4 a 36; DS 8.5) y en DPA 22.09 (rng: 1 a 36; DS 8.7) p 0.6. Se encontraron 12 episodios de peritonitis en DPCA y 8 en DPA (p = 0.6). Los valores de albúmina sérica fueron 3.35 (rng: 2.3 a 4.2, DS 0.4) y 3.3 (rng: 2.8 a 4.1, DS 0.4) p = 0.6; el CT fue de 215.5 mg/dL (rng: 65 a 412, DS 65.9) y de 270 (rng: 89 a 424, DS 87.8), p = 0.05; los TGD de 215.66 mg/dL (rng: 84 a 280; DS 54.1) y 268.4 mg/ dL (rng: 167 a 324; DS 67.3) p = 0.05; la Hb y el Ht no presentaron diferencia estadística significativa; para DPCA y DPA respectivamente. Conclusiones: La frecuencia de mortalidad fue alta y las causas de defunción fueron similares en las dos técnicas, con mayor predominio en la población diabética |
| Resumen en inglés | of death, which are divided in happened in diabetic population and the nondiabetic; ranks, averages and standard deviation are obtained; and the results between the two modalities applying the difference of proportions, accepted significance with a value of p < 0.05. Results: In 36 months of study 989 patients entered to DPCA, in the first year of treatment in both programs happened 480 (48.5%) deaths, 236 (49%) were intradomiciliary and the precise cause was not known, only 244 (51%) files was analyzed, corresponded 118 (48%) to female ones and 126 to male (52%), with age average of 67 years (mg: 41 to 78). The main causes of the IRC were the diabetes mellitus type 2 in 154 cases (63%), systemic arterial hypertension 50 (20.5%), chronic glomerulopathies 28 (11.5%) and obstructive uropathy 12 (5%). Were 133 deaths (54.5%) in CAPD and 111 (45.4%) in APD. Death in CAPD and APD were cardiac failure 58 and 56, sepsis 35 and 24, cerebral vascular event 17 and 15, heart infarct 17 and 5, digestive bleeding 5 and 4, and pulmonary acute edema 3 and 5. The permanence in CAPD was of 22 months (rng: 4 to 36; DS 8.5) and in APD 22.09 (rng: 1 to 36; DS 8.7) p 0.6. Were 12 episodes of peritonitis in CAPD and 8 in DPA (p = 0.6). The values of serum albumin were 3.35 (rng: 2.3 to 4,2; DS 0.4) and 3.3 (rng: 2.8 to 4,1; DS 0.4) p = 0.6; the TC was 215.5 of mg/dL (rng: 65 to 412; DS 65.9) and of 270 (rng: 89 to 424; DS 87.8), p = 0.05; the TGD of 215.66 mg/dL (rng: 84 to 280; DS: 54,1) and 268.4 (mg: 167 to 324; 67.3 DS) p = 0.05; the hemoglobin and hematocrit did not present significant statistical difference. Conclusions: The mortality frequency is high, the death causes and the frequency were similar in the two techniques, with greater predominance in the diabetic population |
| Disciplines | Medicina |
| Paraules clau: | Nefrología, Salud pública, Sistema cardiovascular, Diálisis peritoneal, Mortalidad, Frecuencia |
| Keyword: | Medicine, Cardiovascular system, Nephrology, Public health, Peritoneal dialysis, Mortality, Frequency |
| Text complet: | Texto completo (Ver HTML) |
