Polycythemia in patients with chronic kidney disease in hemodialysis
Introduction: Patients with chronic kidney disease have anemia, which is less frequent in cities above 1000 meters above sea level. Objectives: To determine the clinical and laboratory characteristics of patients on hemodialysis at high altitude. Methods: Descriptive, cross-sectional and correlation...
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| Format: | Article |
| Language: | Spanish |
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Editorial Ciencias Médicas - ECIMED
2022-05-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1852 |
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| _version_ | 1849324826398818304 |
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| author | Cristhian Adolfo Vizcarra Vizcarra |
| author_facet | Cristhian Adolfo Vizcarra Vizcarra |
| author_sort | Cristhian Adolfo Vizcarra Vizcarra |
| collection | DOAJ |
| description | Introduction: Patients with chronic kidney disease have anemia, which is less frequent in cities above 1000 meters above sea level.
Objectives: To determine the clinical and laboratory characteristics of patients on hemodialysis at high altitude.
Methods: Descriptive, cross-sectional and correlational study in 70 patients from a dialysis center (3827 meters above sea level). Patients were divided according to hemoglobin level: Group 1 (< 10 g/dl), Group 2 (10 - 12 g/dl), Group 3 (12 - 18 g/dl) and Group 4 (≥ 18 g/dl). Epidemiological, clinical and laboratory variables were investigated. Absolute and relative frequencies, averages and standard deviation were calculated and descriptive analysis, chi-square test and ANOVA were applied.
Results : We observed a predominance of men (67 %) and a mean age of 60.7 ± 14.1 years. 45 % of the patients were hypertensive, with a significant difference (p< 0,05) between group 1 and 2. The mean hemoglobin was 12,99 ± 2,6 g/dl, and we found that 5.7 % of the evaluated had hemoglobin ≥ 18 g/dL. A direct relationship between hemoglobin and phosphorus was observed, although of low intensity (r< 0,300) and significant (p< 0,05); that is, there is a tendency to hyperphosphatemia in patients with polycythemia.
Conclusions: More than 60 % of patients with chronic kidney disease on hemodialysis who live at high altitude have high hemoglobin levels, above the recommended levels for this population. Furthermore, a relationship was established between polycythemia and older age, calcium, phosphorus, albumin and Kt/V levels and lower parathyroid hormone levels. |
| format | Article |
| id | doaj-art-f047945fa4fd4d579ba2d8f907eddfcb |
| institution | Kabale University |
| issn | 1561-3046 |
| language | Spanish |
| publishDate | 2022-05-01 |
| publisher | Editorial Ciencias Médicas - ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-f047945fa4fd4d579ba2d8f907eddfcb2025-08-20T03:48:35ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30462022-05-01512e02201852e02201852557Polycythemia in patients with chronic kidney disease in hemodialysisCristhian Adolfo Vizcarra Vizcarra0Hospital III GoyenecheIntroduction: Patients with chronic kidney disease have anemia, which is less frequent in cities above 1000 meters above sea level. Objectives: To determine the clinical and laboratory characteristics of patients on hemodialysis at high altitude. Methods: Descriptive, cross-sectional and correlational study in 70 patients from a dialysis center (3827 meters above sea level). Patients were divided according to hemoglobin level: Group 1 (< 10 g/dl), Group 2 (10 - 12 g/dl), Group 3 (12 - 18 g/dl) and Group 4 (≥ 18 g/dl). Epidemiological, clinical and laboratory variables were investigated. Absolute and relative frequencies, averages and standard deviation were calculated and descriptive analysis, chi-square test and ANOVA were applied. Results : We observed a predominance of men (67 %) and a mean age of 60.7 ± 14.1 years. 45 % of the patients were hypertensive, with a significant difference (p< 0,05) between group 1 and 2. The mean hemoglobin was 12,99 ± 2,6 g/dl, and we found that 5.7 % of the evaluated had hemoglobin ≥ 18 g/dL. A direct relationship between hemoglobin and phosphorus was observed, although of low intensity (r< 0,300) and significant (p< 0,05); that is, there is a tendency to hyperphosphatemia in patients with polycythemia. Conclusions: More than 60 % of patients with chronic kidney disease on hemodialysis who live at high altitude have high hemoglobin levels, above the recommended levels for this population. Furthermore, a relationship was established between polycythemia and older age, calcium, phosphorus, albumin and Kt/V levels and lower parathyroid hormone levels.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1852enfermedad renal crónicadiálisispolicitemiamal de altitud. |
| spellingShingle | Cristhian Adolfo Vizcarra Vizcarra Polycythemia in patients with chronic kidney disease in hemodialysis Revista Cubana de Medicina Militar enfermedad renal crónica diálisis policitemia mal de altitud. |
| title | Polycythemia in patients with chronic kidney disease in hemodialysis |
| title_full | Polycythemia in patients with chronic kidney disease in hemodialysis |
| title_fullStr | Polycythemia in patients with chronic kidney disease in hemodialysis |
| title_full_unstemmed | Polycythemia in patients with chronic kidney disease in hemodialysis |
| title_short | Polycythemia in patients with chronic kidney disease in hemodialysis |
| title_sort | polycythemia in patients with chronic kidney disease in hemodialysis |
| topic | enfermedad renal crónica diálisis policitemia mal de altitud. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1852 |
| work_keys_str_mv | AT cristhianadolfovizcarravizcarra polycythemiainpatientswithchronickidneydiseaseinhemodialysis |