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https://rd.uffs.edu.br/handle/prefix/8826| Type: | Monografia |
| Title: | Prevalência e fatores relacionados a doença renal crônica em pacientes submetidos a cirurgia vascular em um hospital terciário do Rio Grande do Sul |
| Author: | Pinho, Marcus Levi Braga |
| First advisor: | Silva, Alexandre Bueno da |
| metadata.dc.contributor.advisor-co1: | Rabello, Renata dos Santos |
| metadata.dc.contributor.advisor-co2: | Lara, Darlan Martins |
| metadata.dc.contributor.referee1: | Silva, Alexandre Bueno da |
| metadata.dc.contributor.referee2: | Tigre, Eduardo Lima |
| metadata.dc.contributor.referee3: | Dorigo, Guilherme Gustavo |
| Resume: | Objetivos: Estimar a prevalência de Doença Renal Crônica (DRC) e Doença Renal Crônica Terminal(DRCT) em pacientes submetidos a procedimentos vasculares, assim como averiguar a existência de fatores relacionados e analisar os desfechos desses pacientes em relação a população sem essas comorbidades. Metodologia: estudo do tipo transversal, realizado por meio de dados coletados por consulta aos prontuários de pacientes submetidos a cirurgia vascular em um hospital do norte gaúcho, de janeiro de 2019 a dezembro de 2022. Resultados: amostra de 1.229 pacientes, as características sociodemográficas e de saúde mais prevalentes são: sexo masculino (58,6%), entre 60-80 anos (61,6%), tabagista (24,5%), Hipertensos (64,3%), Diabéticos (34,9%), insulino dependentes (11,4%), dislipidêmicos (26,8%), DRC (21,2%), DRCT (5,6%), dialítico (3,7%), 43% têm Doença Arterial Obstrutiva Periférica (DAOP), 67,5% fizeram revascularização cirúrgica, 18,1% sofreram amputação e destes 68% tiveram amputação menor. Na subamostra com DRC (n=261) conforme as variáveis de exposição, observou maior prevalência da doença entre paciente com 60-80 anos (61,3%, p≤0,001), hipertensão (80,8%, p≤ 0,001), diabetes (50,6%, p≤0,001), insulino dependentes (25,7%, p≤0,001), dislipidemia (35,6%, p≤0,001), DAOP (51,3%, p≤0,002), fizeram revascularização cirúrgica (77,4%, p≤0,001) e tiveram amputação de membro (23,4%, p≤0,012). Na subamostra com DRCT (n=69), conforme as variáveis de exposição, observou maior prevalência da doença entre paciente com hipertensão (85,5%, p≤0,001), diabetes (55,1%, p≤0,001), insulino dependentes (33,3%, p≤0,001), dislipidemia (39,1%, p=0,017), fizeram revascularização cirúrgica (81,2%, p=0,013). Conclusão: Os achados são consistentes com a literatura, destacando a complexidade da DRC em pacientes submetidos a procedimentos vasculares. |
| Abstract: | Objectives: To estimate the prevalence of Chronic Kidney Disease (CKD) and End-stage renal disease (ESRD) in patients undergoing vascular procedures, as well as to investigate associated factors and analyze the outcomes of these patients compared to those without such comorbidities. Methods: A cross-sectional study based on data collected from the medical records of patients who underwent vascular surgery in a hospital in northern Rio Grande do Sul, from January 2019 to December 2022. Results: Among the 1,229 patients included in the study, the most prevalent sociodemographic and health-related characteristics were: male sex (58.6%), aged 60–80 years (61.6%), smokers (24.5%), hypertensive individuals (64.3%), diabetic individuals (34.9%), insulin-dependent (11.4%), dyslipidemic (26.8%), with CKD (21.2%), ESRD (5.6%), and dialysis-dependent (3.7%). Additionally, 43% had Peripheral Arterial Disease (PAD), 67.5% underwent surgical revascularization, and 18.1% had undergone amputation—68% of which were minor amputations. In the CKD subgroup (n=261), higher disease prevalence was observed among patients aged 60–80 years (61.3%, p≤0.001), with hypertension (80.8%, p≤0.001), diabetes (50.6%, p≤0.001), insulin dependence (25.7%, p≤0.001), dyslipidemia (35.6%, p≤0.001), PAD (51.3%, p≤0.002), those who underwent surgical revascularization (77.4%, p≤0.001), and those who had limb amputation (23.4%, p≤0.012). In the ESRD subgroup (n=69), greater disease prevalence was found among patients with hypertension (85.5%, p≤0.001), diabetes (55.1%, p≤0.001), insulin dependence (33.3%, p≤0.001), dyslipidemia (39.1%, p=0.017), and those who underwent surgical revascularization (81.2%, p=0.013). Conclusion: The findings are consistent with the literature and highlight the complexity of CKD in patients undergoing vascular procedures. Keywords: Vascular Surgery; Chronic Kidney Disease; Prevalence; Peripheral Arterial Disease |
| Keywords: | Cirurgia Nefropatias Prevalência Doenças das artérias cerebrais |
| Language: | por |
| Country: | Brasil |
| Publisher: | Universidade Federal da Fronteira Sul |
| Acronym of the institution: | UFFS |
| College, Institute or Department: | Campus Passo Fundo |
| Type of Access: | Acesso Aberto |
| URI: | https://rd.uffs.edu.br/handle/prefix/8826 |
| Issue Date: | 2025 |
| Appears in Collections: | Medicina |
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