2021, Number 1
Prevention of the renal chronic damage: a priority from childhood
Language: Spanish
References: 17
Page: 31-41
PDF size: 547.39 Kb.
ABSTRACT
Background: chronic kidney disease in children has become a serious public health problem, it implies a high risk of mortality that increases over the years, its early recognition allows to act on risk factors and prevent their progression to terminal stages.Objective: to describe the clinical-epidemiological characteristics of chronic kidney disease in children treated at the Paquito González Cueto Cienfuegos Pediatric University Hospital in the period 2018-2020.
Methods: a retrospective descriptive study was carried out, a series of cases in patients diagnosed with chronic kidney disease in the last 3 years, with a universe of 260 patients. Clinical and epidemiological variables were analyzed. For the analysis of the results, the SPSS 15.0 program was used, which allowed the processing, statistical analysis and preparation of the output tables.
Results: 260 patients with chronic kidney disease were treated. The male sex was the most affected (59.2 %); the age group that predominated was that of 5 to 14 years (43.9 %); 92.3 % of the patients were found in stage I of the disease; the most associated risk factor and the most frequent causes were congenital malformations (75 %), being vesico-ureteral reflux the one that affected a greater number of patients (53.3 %); 61.8 % of the patients with glomerulopathies had minimal damage disease 42,6 % were asymptomatic.
Conclusions: chronic kidney disease is one of the main causes of morbidity and mortality that has been increasing in recent years in pediatric age, with congenital malformations of the genitourinary system being its main cause; early detection of risk prevents its progression.
REFERENCES
Berruz CA. Perfil epidemiológico de la enfermedad renal crónica de causa no especificada. Estudio a realizar en los pacientes tratados en el Hospital Abel Gilbert Pontón en el periodo 2015-2016[Internet]. Guayaquil:Universidad de Guayaqui;2017[citado 25 Ago 2019]. Disponible en: Disponible en: https://repositorio.ug.edu.ec/handle/redug/31823 .
Chaffardett N. Alteraciones cognitivas de pacientes con enfermedad renal crónica que acuden a la consulta de nefrología pediátrica del hospital de niños Dr. Jorge Lizárraga en el periodo agosto 2016-abril 2017[Internet]. Valencia:Universidad de Carabobo;2017[citado 30 Jun 2020]. Disponible en: Disponible en: https://riuc.bc.uc.edu.ve/bitstream/123456789/4970/1/nachaffar.pdf .
Batoca EM, Pereira CA, Marques D, Carvalho J. Calidad de vida de los niños con enfermedad renal. Rev Enf Ref Coimbra[Internet]. 2017[citado 11 Jun 2019];4(12):[aprox. 10p.]. Disponible en: https://rr.esenfc.pt/rr/index.php?module=rr&target=publicationDetails&pesquisa=&id_artigo=2647&id_revista=24&id_edicao=101.
Peña Herrera LE. Comorbilidades en pacientes con enfermedad renal crónica estadio 5, Unidad de Diálisis del Hospital Baca Ortiz, enero-octubre 2016[Internet]. Quito:Universidad Central del Ecuador;2017[citado 18 Dic 2020]. Disponible en: Disponible en: https://www.dspace.uce.edu.ec/handle/25000/11143?mode=full .
Ordóñez MS, Molina NX, Ortiz RA, Restrepo JM, Acosta MA. Anomalías congénitas de los riñones y de las vías urinarias, una revisión de la literatura. Rev Colomb Salud Libre[Internet]. 2017[citado 13 Mar 2019];12(1):[aprox. 7p.]. Disponible en: https://www.researchgate.net/publication/326270318_Anomalias_congenitas_de_los_rinones_y_de_las_vias_urinarias_una_revision_de_la_literatura.
Guerra A, Dobras B. Características clínicas, epidemiológicas y evolución de pacientes con enfermedad renal crónica estadio 5, del año 2005 al 2015 en el Hospital de Especialidades Pediátricas Omar Torrijos H. Panamá. Acad Panam Med Cir[Internet]. 2018[citado 10 Nov 2019];38(1):[aprox. 8p.]. Disponible en: https://www.semanticscholar.org/paper/Caracter%C3%ADsticas-Cl%C3%ADnicas%2C-epidemiol%C3%B3gicas-y-de-con-Guerra-Dobras/f346d7f5d888dde68500891ecf131793c12c82b8.
Cabrera N, Sainz L, Cala O, Morejón G, Cruz AE. Prevalencia de los defectos congénitos renales en Pinar del Río durante el periodo 2009-2014. Rev Ciencias Médicas Pinar del Río[Internet]. 2017[citado 16 Ene 2019];21(1):[aprox. 5p.]. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942017000100004.
Castillo J, Gómez A, Puche S, Mejía A, Sánchez DT, Nieto JF, et al. Proteinuria persistente en pacientes pediátricos, caracterización histopatológica y su influencia en la progresión de la enfermedad renal crónica. Med UPB[Internet]. 2018[citado 7 Feb 2019];37(1):[aprox. 7p.]. Disponible en: https://www.redalyc.org/jatsRepo/1590/159054341001/html/index.html.