Fatores de risco modificáveis na sobrevida de pacientes submetidos à hemodiálise

Authors

  • Kelser de Souza Kock Universidade do Sul de Santa Catarina (Unisul)
  • João Antônio Breda Neto Universidade Federal do Paraná (UFPR)
  • Lohrayne de Paula Borges Universidade do Sul de Santa Catarina (Unisul)

DOI:

https://doi.org/10.12662/2317-3076jhbs.v7i1.2215.p14-20.2019

Keywords:

Força da mão, Diálise renal, Sobrevivência, Nefropatias, Fumar

Abstract

Introdução: a doença renal crônica (DRC) é definida pela presença de alterações renais, por um período maior que três meses. Mesmo com a terapia de hemodiálise para substituir a função renal, há uma redução importante na sobrevida desses pacientes. Objetivo: avaliar o impacto dos fatores de risco modificáveis na sobrevida de pacientes renais crônicos. Método: coorte prospectiva realizada na Clínica Doenças Renais localizada em Tubarão-SC. Foram coletados idade, sexo, índice de massa corporal (IMC), tabagismo, tempo de hemodiálise, causa DRC, taxa de filtração glomerular, força de preensão manual e nível de atividade física. Após 20 meses de acompanhamento, foi analisado o efeito dessas variáveis na mortalidade. Resultados: foram avaliados 122 pacientes, sendo 74 (60,7%) homens com média de idade de 59,4 ± 14,0 anos e IMC médio 24,3 ± 5,0 kg/m2. Durante o período de acompanhamento foram contabilizados 73 (59,8%) sobreviventes, 31 (25,4%) óbitos, 12 (9,8%) transplantes e 6 (4,9%) transferências. Na comparação dos grupos não óbito e óbito, foi observada diferença estatística apenas na presença de tabagismo com risco relativo de 5,975 (IC 95% 2,146–16,663) p=0,001. Conclusão: o tabagismo está diretamente relacionado à mortalidade em indivíduos com doença renal crônica em hemodiálise.

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Published

2018-12-28

How to Cite

1.
Kock K de S, Breda Neto JA, Borges L de P. Fatores de risco modificáveis na sobrevida de pacientes submetidos à hemodiálise. J Health Biol Sci. [Internet]. 2018 Dec. 28 [cited 2024 Dec. 25];7(1(Jan-Mar):14-20. Available from: https://periodicos.unichristus.edu.br/jhbs/article/view/2215

Issue

Vol. 7 No. 1(Jan-Mar) (2019): Journal of Health and Biological Sciences

Section

Original articles

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