Héctor Parra-Lomelí, C. A. Jiménez-Bernardino, A. P. Rico-Portillo, Iris Cazares-Campos, Manuel Guerrero-Ruiz, S. Prieto-Miranda
Objective: To determine the incidence of influent factors in failure and multiple punctures for the placement of central venous catheter for hemodialysis (CVCHD). Methods: A descriptive analytical study, patients with hemodialysis requirements from February to October 2014 were included. Nurses of the vascular access clinic recorder clinical characteristics, as well as the number of necessary punctures, fail to place the CVCHD and its immediate complications. The analysis of the data was done with descriptive and inferential statistics as corresponded; multiple logistic regression was done. Results: 180 procedures were analyzed, of which 170 hemodialysis catheters (94.4%) were able to be placed. The failure of the CVCHD placement was more frequent in patients with a previous catheter history with an OR 1.46 (95% CI 1.03 - 2.05). Obesity was the only Conclusions: There was an increased risk of failure with a history of previous catheters and the obesity was associated with the need
目的:探讨血液透析中心静脉置管失败及多次穿刺的影响因素。方法:采用描述性分析研究,纳入2014年2 - 10月有血液透析需求的患者。血管通路诊所的护士记录临床特征,以及必要的穿刺次数,未能放置CVCHD及其直接并发症。数据分析采用相应的描述性统计和推断性统计;进行多元逻辑回归分析。结果:共分析180例手术,其中能够放置血液透析导管170例,占94.4%。既往有导管史的患者放置CVCHD的失败更为常见,OR为1.46 (95% CI 1.03 - 2.05)。结论:既往置管史者失败风险增加,且肥胖与置管需求相关
{"title":"Fracaso y punción múltiple en la colocación de catéteres para hemodiálisis en un hospital escuela","authors":"Héctor Parra-Lomelí, C. A. Jiménez-Bernardino, A. P. Rico-Portillo, Iris Cazares-Campos, Manuel Guerrero-Ruiz, S. Prieto-Miranda","doi":"10.24875/nefro.20000046","DOIUrl":"https://doi.org/10.24875/nefro.20000046","url":null,"abstract":"Objective: To determine the incidence of influent factors in failure and multiple punctures for the placement of central venous catheter for hemodialysis (CVCHD). Methods: A descriptive analytical study, patients with hemodialysis requirements from February to October 2014 were included. Nurses of the vascular access clinic recorder clinical characteristics, as well as the number of necessary punctures, fail to place the CVCHD and its immediate complications. The analysis of the data was done with descriptive and inferential statistics as corresponded; multiple logistic regression was done. Results: 180 procedures were analyzed, of which 170 hemodialysis catheters (94.4%) were able to be placed. The failure of the CVCHD placement was more frequent in patients with a previous catheter history with an OR 1.46 (95% CI 1.03 - 2.05). Obesity was the only Conclusions: There was an increased risk of failure with a history of previous catheters and the obesity was associated with the need","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74919525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Francisco Gutiérrez-García, Armando Heras-Mederos, Adriana P. Cabrera-Eugenio
{"title":"Biopsia renal percutánea en pacientes mayores de 60 años. Análisis clínico-patológico","authors":"Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Francisco Gutiérrez-García, Armando Heras-Mederos, Adriana P. Cabrera-Eugenio","doi":"10.24875/nefro.20000074","DOIUrl":"https://doi.org/10.24875/nefro.20000074","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78063386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruna F. de Castro, Marcus Vinicius Melo Moraes, Daniel R. Duarte-Alves-Lima, Caroline de Paula-Cassânego, Bruno Déo-de Oliveira, Álvaro Baptista-Neto, Daniel da Silva-Moraes-Junior, Thyago Proença-de Moraes
{"title":"Ajuste renal de antibióticos en pacientes ancianos hospitalizados: un estudio de cohorte retrospectivo","authors":"Bruna F. de Castro, Marcus Vinicius Melo Moraes, Daniel R. Duarte-Alves-Lima, Caroline de Paula-Cassânego, Bruno Déo-de Oliveira, Álvaro Baptista-Neto, Daniel da Silva-Moraes-Junior, Thyago Proença-de Moraes","doi":"10.24875/nefro.20000018","DOIUrl":"https://doi.org/10.24875/nefro.20000018","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77428868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xosé González-Cancela, Gabriel Parma, Patricia Larre-Borges, Lucia Florio, Liliana Gadola
{"title":"Hipertrofia ventricular izquierda y valvulopatías en la enfermedad renal crónica. Prevalencia y factores de riesgo asociados","authors":"Xosé González-Cancela, Gabriel Parma, Patricia Larre-Borges, Lucia Florio, Liliana Gadola","doi":"10.24875/nefro.20000077","DOIUrl":"https://doi.org/10.24875/nefro.20000077","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89065067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José O. Sosa-Ramos, Omar A. Jiménez-García, M. D. R. Cruz-Juanes, M. Hernández-González, Rafael Luna-Montalbán
{"title":"Evaluación de las ecuaciones de estimación de la tasa de filtrado glomerular basadas en creatinina sérica CKD-EPI y MDRD en pacientes mexicanos adultos. Estudio piloto","authors":"José O. Sosa-Ramos, Omar A. Jiménez-García, M. D. R. Cruz-Juanes, M. Hernández-González, Rafael Luna-Montalbán","doi":"10.24875/nefro.20000104","DOIUrl":"https://doi.org/10.24875/nefro.20000104","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88370285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-14DOI: 10.24875/nefro.m20000006
Alejandro Ferreiro-Fuentes, Guillermo Rosa-Diez
{"title":"Nefrología Latinoamericana «para todos en todos lados»","authors":"Alejandro Ferreiro-Fuentes, Guillermo Rosa-Diez","doi":"10.24875/nefro.m20000006","DOIUrl":"https://doi.org/10.24875/nefro.m20000006","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72688370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-31DOI: 10.24875/nefro.m20000005
Philip Kam-Tao Li, G. García-García, Siu-Fai Lui, Sharon P. Andreoli, Winston Wing-Shing Fung, Anne Hradsky, Latha Kumaraswami, Vassilios Liakopoulos, Ziyoda Rakhimova, Gamal Saadi, Luisa Strani, Ifeoma Ulasi, Kamyar Kalantar-Zadeh
{"title":"Salud renal para todos en todas partes - desde la prevención hasta la detección y el acceso equitativo a la atención","authors":"Philip Kam-Tao Li, G. García-García, Siu-Fai Lui, Sharon P. Andreoli, Winston Wing-Shing Fung, Anne Hradsky, Latha Kumaraswami, Vassilios Liakopoulos, Ziyoda Rakhimova, Gamal Saadi, Luisa Strani, Ifeoma Ulasi, Kamyar Kalantar-Zadeh","doi":"10.24875/nefro.m20000005","DOIUrl":"https://doi.org/10.24875/nefro.m20000005","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87407224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Rubio-Guerra, Jorge Luis Narváez-Rivera, D. R. Benítez-Maldonado, Carolina Guerrero-García, Karla C Arana-Pazos, G. Vargas-Ayala
{"title":"Correlación entre niveles de ácido úrico y velocidad de la onda del pulso en sujetos con síndrome metabólico","authors":"A. Rubio-Guerra, Jorge Luis Narváez-Rivera, D. R. Benítez-Maldonado, Carolina Guerrero-García, Karla C Arana-Pazos, G. Vargas-Ayala","doi":"10.24875/nefro.19000058","DOIUrl":"https://doi.org/10.24875/nefro.19000058","url":null,"abstract":"","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85932136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guillermo Navarro-Blackaller, J. S. Chávez-Iñiguez, D. E. Carmona-Navarro, Jorge I. Michel-González
We present the case of a 42-year-old man with chronic kidney disease grade 5 in hemodialysis who has been injected for 14 years by non-professional health personnel, subcutaneous material (silicone polymers and paraffin oil) to obtain an appearance athletic subsequently developed an exceptional bone mineral disorder, characterized by: hypercalcemia, deficiency of 25 hydroxy Vitamin D, increase of 1,25-OH-Vitamin D and decrease of intact paratohormone. In addition, calcifications in the places where I apply the material such as: thighs, lumbar area and in target organs such as abdominal aorta, nephrocalcinosis, renal lithiasis and granulomas. This case exemplifies the systemic calcification developed by the interaction between the inflammation of the injected foreign material and the bone mineral metabolism.
{"title":"Nefrocalcinosis y calcificaciones sistémicas asociadas a granulomas grado 4 por polímeros estéticos. Presentación de caso y revisión de la literatura","authors":"Guillermo Navarro-Blackaller, J. S. Chávez-Iñiguez, D. E. Carmona-Navarro, Jorge I. Michel-González","doi":"10.24875/nefro.19000042","DOIUrl":"https://doi.org/10.24875/nefro.19000042","url":null,"abstract":"We present the case of a 42-year-old man with chronic kidney disease grade 5 in hemodialysis who has been injected for 14 years by non-professional health personnel, subcutaneous material (silicone polymers and paraffin oil) to obtain an appearance athletic subsequently developed an exceptional bone mineral disorder, characterized by: hypercalcemia, deficiency of 25 hydroxy Vitamin D, increase of 1,25-OH-Vitamin D and decrease of intact paratohormone. In addition, calcifications in the places where I apply the material such as: thighs, lumbar area and in target organs such as abdominal aorta, nephrocalcinosis, renal lithiasis and granulomas. This case exemplifies the systemic calcification developed by the interaction between the inflammation of the injected foreign material and the bone mineral metabolism.","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78066003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Aymara Badell-Moore, Francisco Gutiérrez-García, Daniel E. Domínguez-Aguilar
Objectives: To know the frequency of presentation of acute tubulointerstitial nephritis (ATIN) in the last three decades, its forms of presentation, etiology, clinical manifestations and findings in the urinary sediment. Material and methods: A descriptive, retrospective cross-sectional study was carried out in Cuban patients who underwent kidney biopsy of own kidneys at the Nephrology Institute, Havana, Cuba, in the period 1988-2018. The information was processed in an automated way (SPSS 22.0). Analysis of frequency distribution, average and the homogeneity test were used. Results: Of 2472 biopsies performed, 77 (3.1%) were diagnosed as ATIN. The frequency of this diagnosis increased, from 1.1% in the period 1988-1998, to 3% in 1999-2008, up to 4.5% in the period 2009-2018 (p = 0.044). The main form of presentation was acute kidney injury (AKI) (83.1%), skin rash, eosinophilia and fever triad was present in 11.7% of patients and the most frequent cause was medication
{"title":"Caracterización de la nefritis tubulointersticial aguda en un centro de Cuba, 1988-2018","authors":"Raymed A. Bacallao-Méndez, L. López-Marín, Betsy Llerena-Ferrer, Aymara Badell-Moore, Francisco Gutiérrez-García, Daniel E. Domínguez-Aguilar","doi":"10.24875/nefro.19000080","DOIUrl":"https://doi.org/10.24875/nefro.19000080","url":null,"abstract":"Objectives: To know the frequency of presentation of acute tubulointerstitial nephritis (ATIN) in the last three decades, its forms of presentation, etiology, clinical manifestations and findings in the urinary sediment. Material and methods: A descriptive, retrospective cross-sectional study was carried out in Cuban patients who underwent kidney biopsy of own kidneys at the Nephrology Institute, Havana, Cuba, in the period 1988-2018. The information was processed in an automated way (SPSS 22.0). Analysis of frequency distribution, average and the homogeneity test were used. Results: Of 2472 biopsies performed, 77 (3.1%) were diagnosed as ATIN. The frequency of this diagnosis increased, from 1.1% in the period 1988-1998, to 3% in 1999-2008, up to 4.5% in the period 2009-2018 (p = 0.044). The main form of presentation was acute kidney injury (AKI) (83.1%), skin rash, eosinophilia and fever triad was present in 11.7% of patients and the most frequent cause was medication","PeriodicalId":100947,"journal":{"name":"Nefrología Latinoamericana","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74834984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}