Caracterización del Metabolismo Oseo Mineral en pacientes con Enfermedad Renal Crónica en Hemodiálisis en el Servicio de Salud Metropolitano Sur, Santiago de Chile.

Autores/as

  • Andrea Ruiz de Arechavaleta Hospital Barros Luco Trudeau Universidad de Chile
  • Nerio Quintero Hospital Barros Luco Trudeau
  • Daniela Parra Hospital Barros Luco Trudeau
  • Aquiles Jara PontificiaUniversidad Catolica de Chile
  • Moises Russo Universidad Diego Portales
  • Pedro Zitko Hospital Barros Luco Trudeau
  • Jacqueline Pefaur Hospital Barros Luco Trudeau

Palabras clave:

Hypocalcemia, Metabolism, Parathyroid hormone, Renal analysis, Standards

Resumen

Background: Chronic Kidney Disease - Mineral and Bone Disorder (CKD-MBD) is a condition of dialysis patients associated with both morbidity and mortality. Management is based on clinical guidelines with goals that are hard to comply with. Aim: To describe and compare biochemical variables associated with this disorder in two different time periods. Material and methods: Revision of medical records of 814 patients (49% females) dialyzed during 2009 and 1018 patients (48% females), dialyzed during 2012 in Southern Metropolitan Santiago. Information about serum calcium, phosphorus, parathyroid hormone (PTH) and albumin was retrieved. Results: Median PTH values in 2009 and 2012 were 222.5 and 353.5 pg/ml respectively (p<0.05). The figures for serum calcium corrected by albumin were 9.0 and 8.5 mg/dl respectively (p<0.05). The figures for phosphorus were 4.7 and 5.0 mg/dl respectively (p<0.05). The Calcium x Phosphorus product was 41.4 and 42.5 mg2/dl2 (p<0.05). Of note, the proportion patients with serum calcium below recommended levels (<8.4 mg/dl) increased from 16% to 40% from 2009 to 2012. The proportion of patients with biochemical variables within recommended ranges was lower in 2012 than in 2009. Conclusions: There was a low proportion of patients with bone metabolism parameters within ranges recommended by clinical guidelines. These parameters were worst in 2012.

Biografía del autor/a

Andrea Ruiz de Arechavaleta, Hospital Barros Luco Trudeau Universidad de Chile

Cargo médico 22 horas. Servicio de Nefrología. Complejo Asistencial Barros Luco Trudeau

Nerio Quintero, Hospital Barros Luco Trudeau

Jefe unidad de Hemodiálisis

Daniela Parra, Hospital Barros Luco Trudeau

Enfermera Universitaria, Unidad de Hemodiálisis

Aquiles Jara, PontificiaUniversidad Catolica de Chile

Jefe Departamento de Nefrologia

Moises Russo, Universidad Diego Portales

Docente

Pedro Zitko, Hospital Barros Luco Trudeau

Unidad Asistencia Estudios Clinicos

Jacqueline Pefaur, Hospital Barros Luco Trudeau

Jefa Departamento de Nefrología

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Publicado

2015-01-15

Cómo citar

Ruiz de Arechavaleta, A., Quintero, N., Parra, D., Jara, A., Russo, M., Zitko, P., & Pefaur, J. (2015). Caracterización del Metabolismo Oseo Mineral en pacientes con Enfermedad Renal Crónica en Hemodiálisis en el Servicio de Salud Metropolitano Sur, Santiago de Chile. Revista Médica De Chile, 143(2). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/3782

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Artículos de Investigación

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