Caracterización clínica y metabólica de pacientes con diagnóstico de urolitiasis en una clínica de cuarto nivel en la ciudad de Barranquilla en el año 2019
| datacite.rights | http://purl.org/coar/access_right/c_16ec | eng |
| dc.contributor.advisor | Aroca Martínez, Gustavo | |
| dc.contributor.advisor | Castillo Parodi, Luis | |
| dc.contributor.advisor | Gonzales Torres, Henrry J. | |
| dc.contributor.author | Vicente Pérez, Rafael | |
| dc.date.accessioned | 2021-02-01T16:25:16Z | |
| dc.date.available | 2021-02-01T16:25:16Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Introducción:La urolitiasis es una enfermedad con alta frecuencia y nuestro medio no es la excepción, en Colombia se han publicado estudios previos, sin embargo, estos no comparan las características sociodemográficas y clínicas de los pacientes con las comorbilidades y factores predisponentes de litiasis como lo son hiperuricemia, hipertensión arterial, obesidad y enfermedad renal crónica (ERC). Objetivos:Caracterizar clínica y metabólicamentelos pacientes con diagnóstico de urolitiasis en una clínica de cuarto nivel de la ciudad de Barranquilla en el año 2019. Materiales y Métodos:Estudio observacional, descriptivo, transversal. Se realizó un análisis determinando medidas de tendencia central, dispersión y frecuencias asociado a un análisis bivariado. Resultados:Se incluyeron 49 pacientes. La mediana de edad fue 58 años, el sexo masculino en 53,1%. La mediana del índice de masa corporal fue de 26,4Kg/m2. Se identificó hipertensión arterial en 69,4%, enfermedad renal crónica (ERC) en 36,7%, infección de vías urinarias recurrente en 24,5%. Hiperuricemia en 44,9%, hipercalcemia en 16,3% e hiperfosfatemia en 12,2%.Los tipos de cristal fueron oxalato en 20,4%, urato en 12,2%, mezcla de los previos en 4,1% y en igual proporción fosfato. Hipercalciuria e hiperoxaluria en 38,8%, hiperuricosuria e hipocalciuria en 18,4%, mientras hiperfosfaturia o hipofosfaturia en 4,1%.La hiperuricemia se asoció a edad (p=0,028), ERC (p=0,026), medicamentos antihipertensivos (p=0,022), la posición del cálculo en cáliz renal (p= 0,012), hiperparatiroidismo (p= 0,007), depuración de creatinina (p= 0,046) e hipercalciuria (p= 0,049).IMC ≥30 se asoció con ERC estadio 5 (p=0,025), diálisis (p=0,025) y hiperoxaluria (p= 0,021). Conclusiones:Se evidencio en pacientes con urolitiasis una frecuencia significativa de ERC, hiperuricemia, obesidad e hipertensión arterial. | spa |
| dc.description.abstract | Background: Urolithiasis is a disease with high frequency and our environment is no exception. Previous studies have been published in Colombia; however, they do not evaluate Caribbean regionpopulation. Objectives: to characterize clinically and metabolically patients diagnosed with urolithiasis in the clinic of La Costa in Barranquilla in 2019. Materials and Methods: observational, descriptive, cross-sectional study. An analysis was carried out determining measures of central tendency, dispersion and frequencies associated with a bivariate analysis. Results: 49 patients were included. The median age was 58 years, the male sex in 53.1%. The median body mass index was 26.4 Kg/m2. Arterial hypertension was identified in 69.4%, chronic kidney disease (CKD) in 36.7%, recurrent urinary tract infection in 24.5%. Hyperuricemia in 44.9%, hypercalcemia in 16.3% and hyperphosphatemia in 12.2%. The crystal types were oxalate in 20.4%, urate in 12.2%, mixture of the previous ones in 4.1% and in the same proportion phosphate. Hypercalciuria and hyperoxaluria in 38.8%, hyperuricosuria and hypocalciuria in 18.4%, while hyperphosphaturia or hypophosphaturia in 4.1%. Hyperuricemia was associated with age (p=0.028), CKD (p=0.026), antihypertensive drugs (p=0.022), the position of the stone in renal calyx (p = 0.012), hyperparathyroidism (p=0.007), creatinine clearance (p = 0.046) and hypercalciuria (p = 0.049). BMI ≥30 was associated with stage 5 CKD (p = 0.025), dialysis (p = 0.025), and hyperoxaluria (p=0.021). Conclusions: A statistically significant relationship of urolithiasis and CKD, hyperuricemia, obesity and hypertension was evidenced. It is an analysis that allows a comparison to be made with other populations already described previously. | eng |
| dc.format.mimetype | spa | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/7044 | |
| dc.language.iso | spa | spa |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/restrictedAccess | eng |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Urolitiasis | spa |
| dc.subject | Estudio metabólico | spa |
| dc.subject | Epidemiologia | spa |
| dc.subject | Colombia | spa |
| dc.subject | Urolithiasis | eng |
| dc.subject | Metabolic study | eng |
| dc.subject | Epidemiology | eng |
| dc.subject | Colombia | eng |
| dc.title | Caracterización clínica y metabólica de pacientes con diagnóstico de urolitiasis en una clínica de cuarto nivel en la ciudad de Barranquilla en el año 2019 | spa |
| dc.title.translated | Clinical and metabolic characterization of patients with a diagnosis of urolithiasis in a four level clinic in the city of Barranquilla in 2019 | eng |
| dc.type.driver | info:eu-repo/semantics/other | eng |
| dc.type.spa | Otros | spa |
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| oaire.version | info:eu-repo/semantics/acceptedVersion | eng |
| sb.programa | Especialización en Nefrología | spa |
| sb.sede | Sede Barranquilla | spa |