Frequency of arterial hypertension, diabetes and dyslipidemia in children after kidney transplants.
Autor: | Calle-Gómez MM; Universidad de Antioquia, Facultad de Medicina, Departamento de Nefrología Pediátrica, Medellín, Colombia., Sierra-Quiroz YLS; Universidad de Antioquia, Facultad de Medicina, Departamento de Nefrología Pediátrica, Medellín, Colombia., Serna-Higuita LM; Hospital Universitario de Tübingen, Departamento de Biometría y Epidemiología Clínica, Tübingen, Alemania., Sierra-Abaunza JM; Universidad de Antioquia, Facultad de Medicina, Departamento de Pediatría y Puericultura, Medellín, Colombia., Vélez-Echeverri C; Universidad de Antioquia, Facultad de Medicina, Departamento de Nefrología Pediátrica, Medellín, Colombia., Vanegas-Ruiz JJ; Universidad de Antioquia, Facultad de Medicina, Departamento de Nefrología Pediátrica, Medellín, Colombia. |
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Jazyk: | Spanish; Castilian |
Zdroj: | Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2020 Apr 13; Vol. 58 (2), pp. 122-130. Date of Electronic Publication: 2020 Apr 13. |
DOI: | 10.24875/RMIMSS.M20000009 |
Abstrakt: | Background: Pediatric kidney transplant patients have an increased risk of developing arterial hypertension, dyslipidemia, carbohydrate intolerance and diabetes mellitus, risk factors associated with increased cardiovascular morbidity and mortality. Objective: This study evaluates the frequency of arterial hypertension, dyslipidemia and alteration in carbohydrate metabolism in a cohort of pediatric kidney transplant patients during 2006-2016 at the Pablo Tobon Uribe Hospital, in Colombia. Material and Methods: Retrospective descriptive study in which descriptive statistics were used. Additionally, a bivariate analysis was performed to compare patients according to the outcome of arterial hypertension, dyslipidemia and alteration in carbohydrate metabolism. Results: From a total of 48 pediatric kidney transplants in the period studied, complete information was obtained from 43 patients at one year of follow-up. There was a post-transplant frequency of hypertension of 86%, dyslipidemia 48%, carbohydrate intolerance 14% and diabetes of 2%. Conclusions: In the evaluated cohort a high frequency of arterial hypertension and dyslipidemia was found after kidney transplantation. The development of early diagnosis and treatment guidelines is suggested to reduce the impact of these diseases associated with cardiovascular risk in adult life. (Copyright: © 2020 Revista Medica del Instituto Mexicano del Seguro Social.) |
Databáze: | MEDLINE |
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