dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorAntunes, Aline de Araujo
dc.creatorCaramori, Jacqueline Socorro Costa Teixeira
dc.creatorVannini, Francieli Delatim
dc.creatorZanati, Silmeia Garcia
dc.creatorBarretti, Pasqual
dc.creatorMatsubara, Beatriz Bojikian
dc.creatorSilva Franco, Roberto Jorge da
dc.creatorMartin, Luis Cuadrado
dc.date2014-05-20T13:33:23Z
dc.date2016-10-25T16:51:29Z
dc.date2014-05-20T13:33:23Z
dc.date2016-10-25T16:51:29Z
dc.date2012-06-01
dc.date.accessioned2017-04-05T20:23:48Z
dc.date.available2017-04-05T20:23:48Z
dc.identifierInternational Urology and Nephrology. Dordrecht: Springer, v. 44, n. 3, p. 923-927, 2012.
dc.identifier0301-1623
dc.identifierhttp://hdl.handle.net/11449/11435
dc.identifierhttp://acervodigital.unesp.br/handle/11449/11435
dc.identifier10.1007/s11255-011-0049-0
dc.identifierWOS:000304402700033
dc.identifierhttp://dx.doi.org/10.1007/s11255-011-0049-0
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/859205
dc.descriptionInadequate dialysis causes accumulation of toxic residues that may lead to the development of dialysis-associated pericardial effusion, but several other factors could be associated with this abnormality. The purpose of this study was to evaluate clinical risk factors to asymptomatic pericardial effusion in peritoneal dialysis.This cross-sectional study included 34 patients aged a parts per thousand yen18 years on peritoneal dialysis for at least 3 months, who showed no symptomatic pericardial effusion, hepatic cirrhosis, neoplasias, lupus or amputations, none in minoxidil use. Asymptomatic pericardial effusion was diagnosed by echocardiography. Risk factors were evaluated by logistic regression and Roc curve. Significance level was set at P < 0.05.Patient age was 51 +/- A 15.9 years. of the 34 patients enrolled, 16 were men and 11 diabetic. Five of them presented pericardial effusion. Logistic regression identifies low hemoglobin level (RR 0.454 CI 95%: 0.225-0.913; P = 0.027), low phase angle (RR 0.236 CI 95%: 0.057-0.984; P = 0.048) and low Kt/V (RR 0.001 CI 95%: 0.0-0.492; P = 0.03) as risk factors to pericardial effusion. Roc curve showed that hemoglobin levels below 12.2 g/dL, Kt/V lower than 1.9 and phase angle lower than 4.5A degrees were the best cutoffs to predict pericardial effusion. Four patients showed these three parameters in the unfavorable range, and all these four patients presented pericardial effusion. The other patient with pericardial effusion had two of these parameters reduced.These findings corroborate the hypothesis that uremia plays a significant role in the pathogenesis of dialysis-associated pericardial effusion.
dc.languageeng
dc.publisherSpringer
dc.relationInternational Urology and Nephrology
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCardiovascular
dc.subjectDialysis
dc.subjectPericardial effusion
dc.subjectPericarditis
dc.subjectUremia
dc.titleMarkers of uremia and pericardial effusion in peritoneal dialysis
dc.typeOtro


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