Caracterización de las variables nutricionales en pacientes incidentes de diálisis peritoneal rts 2011-2012
Moreno Ordonez, Diana Carolina
Anaya Taboada, Marco Antonio
Mantilla Villareal, Andrea Cristina
Patients with chronic kidney disease (CKD) are characterized by nutritional alterations that perpetuate independent of renal replacement therapy (RRT) (hemodialysis, peritoneal dialysis). In peritoneal dialysis, both APD (automated peritoneal dialysis) and CAPD (continuous ambulatory peritoneal dialysis) there is a high risk of loss of albumin in the peritoneal filtering, no clear differences in nutritional status. This study characterizes the nutritional status of incident patients on peritoneal dialysis RTS Bogotá Regional 1, monitoring a year for changes in nutritional variables. A retrospective cohort study was conducted by analyzing two groups according to the chosen type of peritoneal dialysis (CAPD or APD), with a descriptive analysis of the nutritional characteristics and a comparison between the 2 modalities during 1 year of follow-up. Finding an average age of 60.8 years, most men and main etiology of diabetic nephropathy. Most nutritional variables remained unchanged during follow-up. The peritoneal equilibrium test for glucose and creatinine values showed low average and high average, and in most patients normal nutritional status. When comparing APD and CAPD, only found significant differences in some isolated variables. This is the first study in Colombia that evaluate different nutritional aspects in peritoneal dialysis. Although with methodological limitations, it is a starting point for conducting more robust studies of the nutritional status of patients on peritoneal dialysis.