Perfil clínico-epidemiológico e parâmetros bioquímicos em pacientes com doença renal crônica submetidos a tratamento hemodialítico na região do Médio Araguaia - MT

Abstract

The patient with chronic kidney disease (CKD) undergoing hemodialysis (HD) treatment commonly presents several clinical changes that further compromise his quality of life. This study aims to investigate the clinical-epidemiological profile and nutritional status of patients with CRF undergoing HD in the Middle Araguaia - Mato Grosso region. This is a cross-sectional study carried out at the Institute of Nephrology of Araguaia (INA), located in the municipality of Barra do Garças, Middle Araguaia - Mato Grosso. The study population consisted of 165 patients undergoing hemodialysis. The data were collected through medical records and included sociodemographic and anthropometric data, as well as biochemical tests and etiology of the disease. Patients were divided into three groups according to BMI status. Statistical analyzes were performed using SPSS Software version 20.0. Most patients were men (56.96%) with a mean age of 57.38 years. The main etiology of CRF was arterial hypertension (43%). Changes in serum creatinine levels, pre-HD urea, hematocrit, hemoglobin, phosphorus, calcium phosphorus balance, ferritin, transferritine saturation, alkaline phosphatase, parathormone, triglycerides and VLDL were found. The overweight and obese group showed a greater change in biochemical parameters compared to underweight and eutrophic groups. The results suggest that hemodialysis patients are susceptible to cardiovascular complications, especially if they are overweight or obese. Strict monitoring of this group of patients can collaborate to reduce other conditions and unfavorable outcomes.