Abstract

JAIMES CADENA, Marlon Orlando  and  BURGOS PORTILLO, Roxana Bernardet. RESIDUAL RENAL FUNCTION IN PERITONEAL DIALYSIS. Rev. Méd. La Paz [online]. 2010, vol.16, n.2, pp.12-17. ISSN 1726-8958.

Greater residual renal function at the beginning of the dialysis program and its persistence in such treatment improves outcome and reduces mortality of patients. OBJECTIVES: Mesure residual renal function in peritoneal dialysis patients at Obrero No 1 Hospital, CNS, La Paz, Bolivia. Determine the relationship of residual renal function with nutritional status, morbidity, anemia, prognosis and survival. MATERIAL AND METHODS Type of study: Analytical, cross. Studied population: Total patients in peritoneal dialysis (28) of the Obrero Hospital N° 1, CNS. Period of time for the investigation: January 1 to December 31, 2010. Methodology: Measure the residual renal function by renal scintigraphy, Kt/V and protein catabolic rate on line. Determine the associated morbidity. Statistical analysis: Pearson's P, multivariate regression, significant P value <0.05. RESULTS The patients in peritoneal dialysis of Obrero Working Hospital No 1, were 28; female 56 %, male 44 %, the average age 56 +/-7.8 years (range 16 to 86 years), average time of permanency in dialysis 3 +/-1.5 years (range 1 month to 6.5 years). The Residual Renal Function even present in 66 %, average 5.6 +/-1.28 ml/min, the urinary residual volume was of1250 +/-125 ml/24 hours, KtV0.95 +/-0.05. Sixty eight percent had TCP of 0.71 +/-0.0112. The morbidity detected at moment of the study: hypertension ischemic chronicle heart disease and anemia. This was more evident in the group that did not have renal residual function (34 %, P <0,05). The statistical analysis demonstrate better nutritional condition, minor morbidity and minor intensity of anemia in patients with renal residual function that those who did not have their (P <0.05). CONCLUSIONS Was confirmed the importance of supporting the renal residual function that relates to better nutritional condition, minor morbidity, minor intensity of anemia, prognosis and survival.

Keywords : Renal Residual Function; Peritoneal Dialysis.

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