Impacto de la malnutrición sobre la mortalidad en los pacientes en hemodiálisis crónica

Se realizó un diseño de estudio de casos y controles que comparó un grupo de 20 pacientes fallecidos (casos) con 27 pacientes vivos (controles), donde se les determinó el estado nutricional y se correlacionó con la frecuencia de muerte. Se llevó la información a tablas de contingencia para la estima...

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Published inRevista cubana de medicina militar Vol. 34; no. 3
Main Authors Capote Pereira, Lázaro L., Mora González, Salvador, Artimes Hernández, Yanet
Format Journal Article
LanguagePortuguese
Published ECIMED 01.09.2005
Subjects
MEDICINE, LEGAL
MEDICINE, RESEARCH & EXPERIMENTAL
hemodiálisis
Protein-calory malnutrition
end-stage chronic renal failure
insuficiencia renal crónica terminal
Malnutrición proteico-calórica
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Abstract Se realizó un diseño de estudio de casos y controles que comparó un grupo de 20 pacientes fallecidos (casos) con 27 pacientes vivos (controles), donde se les determinó el estado nutricional y se correlacionó con la frecuencia de muerte. Se llevó la información a tablas de contingencia para la estimación del odds ratio (OR) y se empleó la regresión logística multivariada para estimar la fuerza de asociación entre el conjunto de variables estudiadas. Los casos presentaron valores medios de urea, colesterol y creatinina inferiores a los controles. Del total de 20 casos, 19 presentaron malnutrición proteico-energética para un OR de 13 y un IC del 95 % de 112,4 (p=0,005). En el análisis de regresión logística multivariada la malnutrición proteico-energética se relacionó con la mortalidad, con un coeficiente de 2,49, un OR de 12,07 y un intervalo de confianza del 95 % de 105,15 (p<0,05). La malnutrición proteico-energética es un fuerte predictor de mortalidad y la valoración subjetiva global nutricional es un método eficaz para demostrar diferentes grados de desnutrición y predecir la mortalidad en los pacientes con insuficiencia renal crónica terminal en hemodiálisis.
AbstractList Se realizó un diseño de estudio de casos y controles que comparó un grupo de 20 pacientes fallecidos (casos) con 27 pacientes vivos (controles), donde se les determinó el estado nutricional y se correlacionó con la frecuencia de muerte. Se llevó la información a tablas de contingencia para la estimación del odds ratio (OR) y se empleó la regresión logística multivariada para estimar la fuerza de asociación entre el conjunto de variables estudiadas. Los casos presentaron valores medios de urea, colesterol y creatinina inferiores a los controles. Del total de 20 casos, 19 presentaron malnutrición proteico-energética para un OR de 13 y un IC del 95 % de 112,4 (p=0,005). En el análisis de regresión logística multivariada la malnutrición proteico-energética se relacionó con la mortalidad, con un coeficiente de 2,49, un OR de 12,07 y un intervalo de confianza del 95 % de 105,15 (p<0,05). La malnutrición proteico-energética es un fuerte predictor de mortalidad y la valoración subjetiva global nutricional es un método eficaz para demostrar diferentes grados de desnutrición y predecir la mortalidad en los pacientes con insuficiencia renal crónica terminal en hemodiálisis.
Author Capote Pereira, Lázaro L.
Mora González, Salvador
Artimes Hernández, Yanet
AuthorAffiliation Instituto Superior de Medicina Militar Dr. Luis Díaz Soto
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  givenname: Salvador
  surname: Mora González
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  givenname: Yanet
  surname: Artimes Hernández
  fullname: Artimes Hernández, Yanet
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Keywords hemodiálisis
Protein-calory malnutrition
end-stage chronic renal failure
insuficiencia renal crónica terminal
Malnutrición proteico-calórica
Language Portuguese
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MEDICINE, RESEARCH & EXPERIMENTAL
Title Impacto de la malnutrición sobre la mortalidad en los pacientes en hemodiálisis crónica
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