Examinando por Materia "Trasplante de Riñón"

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Clinical case: renal failure and renal transplantation
(Universidad Privada Norbert Wiener, 2022-03-18) Retamal Salazar, Alejandro Augusto; Benites Azabache, Juan Carlos
A 30-year-old female patient with a documented history of recurrent urinary tract infections since the age of 10, diagnosed with end-stage chronic renal failure at age 15, and placed on the waiting list for a kidney transplant with a cadaveric donor. After 3 years, she was selected to receive the kidney from cadaveric donor EDJ1402007; she progressed favorably according to renal function laboratory markers. After 10 years of good progress, she presented an episode of active gastric ulcer with active bleeding and received multiple blood transfusions. At the same time, she contracted pulmonary tuberculosis from a family contact, so immunosuppressants were discontinued, resulting in the loss of the renal graft. She received first-line antituberculosis therapy, with therapeutic success demonstrated by laboratory exams. Currently, histocompatibility studies show that the patient is hypersensitized (4) with anti-HLA I – II antibodies and a calculated PRA of 100%, making her chances of re-transplantation remote.
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Effectiveness of hemodialysis compared to kidney transplantation in improving quality of life in patients with chronic renal failure
(Universidad Privada Norbert Wiener, 2019-11-24) Campos Viru, Juleissy Raquel; Ramos Brioso, Elsa Lizeth; Gamarra Bustillos, Carlos
Objective: The objective of this study is to systematize the evidence on the effectiveness of hemodialysis compared to kidney transplant to improve the quality of life in patients with chronic kidney failure. Materials and Methods: systematic review, controlled clinical trials, analytical cross-sectional study, the search has been restricted to articles with full text and selected articles underwent critical reading, using the evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 40% (04) have Systematic Reviews in the countries of the USA, Spain, Canada and the United Kingdom, 30% (04) are controlled clinical trials corresponding to Poland 2 and France. 20% (01) are Cross-analytical studies found in Spain and Colombia, and 10% (01) are Quantitative Correlational studies. Thus having 100% (10 articles) where kidney transplant is recommended as the best option to provide quality of life for patients with chronic kidney failure. Conclusions: It was evident in the research reviewed according to the authors that kidney transplantation has better effectiveness compared to hemodialysis treatment since patients have a better quality of life during transplant treatment and provides better benefits in psychological, family, and social aspects. , increasing self-esteem and improving your daily life.
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Effectiveness of kidney transplant compared to dialysis in improving the quality of life in patients with chronic kidney failure
(Universidad Privada Norbert Wiener, 2018-01-27) Peña Henriquez, Elizabeth Pamela; Navarro Valdivieso, Ana Lucía; Rivera Lozada De Bonilla, Oriana
Materials and Methods: The type of study of this work is qualitative, with a design of systematic reviews, controlled clinical trials, cross-sectional analytical, correlational and quasi-experimental study, the database instrument Pubmed NCBI, scielo, Cochrane. Not older than 10 years, in English. Results: in the present study, a population of 20 research articles was analyzed, the sample was 10 articles, of which 40% (4) correspond to systematic review, 30% (3) controlled clinical trials, 10% (1 ) cross-sectional analytical, 10% (1) correlational, 10% (1) is quasi-experimental study. We find that 30% (03) correspond to Spain, with 20% (02) we find Poland and with 10% (01) we find Canada, the United States, France, Georgia and the United Kingdom. Conclusions: According to the 10 articles reviewed, 100% conclude that kidney transplant is more effective and provides better quality of life because they experience better life participation rates compared to patients who receive dialysis, and the risk of mortality and cardiovascular events is reduced. The emotional role of mood in post-transplant patients significantly improves the quality of life and is classified as excellent, this is due to the fact that the majority of patients have a support network of their family, friends and/or healthcare professionals. health.
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Effectiveness of kidney transplantation in the survival of patients with terminal chronic kidney failure
(Universidad Privada Norbert Wiener, 2021-11-21) Figueroa Hilario, Yovana Clarita; Peña Nostades, Danae Deborah; Palomino Taquire, Rewards
The nurse specialist in nephrology care; They are part of the interdisciplinary group of transplant programs and are the ones who verify that the patient complies with the rigorous preparation at each stage of the process, playing different roles in order to achieve comprehensive care for the patient. The complexity and continuity of care at the different times and scenarios in which the transplant takes place will determine the effectiveness of the kidney transplant, increasing the survival of the patient's graft. The nurse plays a very important role, the results of the transplant will be reflected in the interventions of the nurse specialist in nephrological care, from the administration of progressive holistic care in the transplant process, as well as the educational role.
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Effectiveness of renal transplantation from a living donor vs. cadaveric donor transplantation for the survival of the graft and recipient in adult patients with terminal chronic renal disease.
(Universidad Privada Norbert Wiener, 2018-11-04) Carrión Alcalde, Arlene Melisa; Paucar Espinoza, Gian Carlos; Glenni Garay, Zarely Zabeli
Material and Methods: A systematic search of 10 scientific articles was conducted in the following databases: Scielo, Elsevier, Pubmed, Nefrology Journal, Biomedical Journal, and Mexican and Colombian Urology Journal. The research design is as follows: 30% (3/10) systematic reviews, and 70% (7/10) cohort studies. 30% (3/10) of the evidence is of high quality, and 70% (7/10) is of moderate quality. Furthermore, 40% of the evidence comes from Spain, 20% from Cuba, 20% from Colombia, 10% from Mexico, and 10% from Chile. Results: 100% (n=10/10) of the scientific evidence consulted indicates that kidney transplantation from a living donor is more effective than kidney transplantation from a deceased donor for graft and recipient survival in adult patients with end-stage renal disease, proving to be the best treatment, as it results in fewer complications and improved quality of life. Conclusion: Kidney transplantation from a living donor is more effective than kidney transplantation from a deceased donor for graft and recipient survival in adult patients with end-stage renal disease.
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Effectiveness of training to improve cardiorespiratory fitness in renal transplant recipients
(Universidad Privada Norbert Wiener, 2019-04-07) Ramirez Linares, Samantha Debbie; Villarreal Carruitero, Cynthia Esperanza; Rivera Lozada de Bonilla, Oriana
Material and Methods: Systematic observational and retrospective quantitative review, subject to critical selection, using the Grade evaluation system to establish the degree of evidence, located in the following databases: Scielo, Pubmed, Epistemonikos, Researchgate and Sciencedirect. Of the 10 articles systematically reviewed, 80% were of high quality as described below: 20% (n= 2/10) are meta-analysis, 10% (n= 1/10) are systematic reviews and 50% (n= 5/10)) is a randomized controlled trial. According to the results acquired from the systematic review carried out in the present study of the countries of Italy (30%), followed by England (20%), Japan (10%), China (10%), Canada (10%) Greece (10%) and Holland (10%). Results: Thus, of the evidence found, 100% (n=10/10) (9-18) indicate that training is effective in improving cardiorespiratory capacity in kidney transplant recipients. Conclusion: 10 of the 10 articles determine that exercise training is effective in improving cardiorespiratory fitness in kidney transplant recipients.
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Efficacy of hypothermic perfusion machine compared to cold storage in reducing the risk of developing delayed graft function in cadaveric donor renal transplantation
(Universidad Privada Norbert Wiener, 2020-02-01) Orozco Espinoza, Katherine Thalia; Salvador Ramirez, Karla Stefany; Arevalo Marcos, Rodolfo Amado
Objective: Systematize the evidence on the hypothermic perfusion machine compared to cold storage to reduce the risk of developing delayed graft function in deceased donor kidney transplantation. Material and Methods: Retrospective and observational systematic review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following information sources Scielo, Elsevier, PubMed and Epistemonikos. Of the 10 articles reviewed systematically, 100% of high quality as described below: 90% of high quality as described below: 50% (n= 5/10) are meta-analyses, 20% (n= 2/ 10) is a systematic review and 20% (n= 2/10) are randomized controlled trials of moderate quality. 10% (n= 1/10) is a cohort study and They belong to the countries of China (20%), Australia (10%), England (10%), Spain (10%), Canada (10%), Brazil (10%), Belgium (10%), Netherlands (10%). %) and the United States (10%). Results: 100% (n=10/10) indicate that the hypothermic perfusion machine is more effective than cold storage in reducing the risk of developing delayed graft function in kidney transplant from a deceased donor. Conclusion: The hypothermic perfusion machine is more effective than cold storage in reducing the risk of developing delayed graft function in deceased donor kidney transplantation.
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Efficacy of kidney transplant versus dialysis to improve quality of life in patients with end-stage chronic kidney disease
(Universidad Privada Norbert Wiener, 2017-08-05) Quispe Ventura, Milagros del Rosario; Flores Flores, Fresia Nora del Carmen; Remuzgo Artezano, Anika
The purpose of the work is to determine the effectiveness of kidney transplant versus dialysis, and to establish uniformity of criteria in patient care from a nephrological point of view; 10 articles were selected in which 100% of the evidence found indicates that kidney transplant is more effective than dialysis; The effectiveness of kidney transplant over dialysis to improve quality of life in patients with ESRD is then concluded.
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Efficacy of renal transplantation compared to dialysis in improving quality of life in patients with chronic renal failure
(Universidad Privada Norbert Wiener, 2018-01-27) Navarro Valdivieso, Ana Lucía; Rivera Lozada de Bonilla, Oriana
Materials and Methods: The type of study of this work is qualitative, with a design of systematic reviews, controlled clinical trials, cross-sectional analytical, correlational and quasi-experimental study, the database instrument Pubmed NCBI, scielo, Cochrane. Not older than 10 years, in English. Results: in the present study, a population of 20 research articles was analyzed, the sample was 10 articles, of which 40% (4) correspond to systematic review, 30% (3) controlled clinical trials, 10% (1 ) cross-sectional analytical, 10% (1) correlational, 10% (1) is quasi-experimental study. We find that 30% (03) correspond to Spain, with 20% (02) we find Poland and with 10% (01) we find Canada, the United States, France, Georgia and the United Kingdom. Conclusions: According to the 10 articles reviewed, 100% conclude that kidney transplant is more effective and provides better quality of life because they experience better life participation rates compared to patients who receive dialysis, and the risk of mortality and cardiovascular events is reduced. The emotional role of mood in post-transplant patients significantly improves the quality of life and is classified as excellent, this is due to the fact that the majority of patients have a support network of their family, friends and/or healthcare professionals. health.
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Evidence on the effectiveness of direct-acting antiviral agents to treat hepatitis C in kidney transplant recipients
(Universidad Privada Norbert Wiener, 2020-02-01) Melendez Velasquez, Oscar David; Villalta Pineda, Rosa Lisette; Gamarra Bustillos, Carlos
Materials and methods: A retrospective systematic review, observational, and subject to critical analysis, using the GRADE evaluation method to identify the level of evidence from the published studies in the following databases: Wiley Online Library, PubMed, ScienceDirect, Epistemonikos, and Scielo. Of the 10 articles systematically reviewed, 10% (n=1/10) are systematic reviews, 10% (n=1/10) are meta-analyses, 30% (n=3/10) are randomized controlled trials, and 50% (n=5/10) are cohort studies. These studies come from the United States (30%), Germany (20%), Spain (20%), China (10%), Pakistan (10%), and Austria (10%). Results: 100% (n=10/10) indicate that therapy with direct-acting antiviral agents is effective in treating hepatitis C in renal transplant recipients. Conclusion: Therapy with direct-acting antiviral agents is effective in treating hepatitis C in renal transplant recipients.
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Obese recipients increase risk of delayed graft function
(Universidad Privada Norbert Wiener, 1905-07-09) Encalada Borjas, Nadia Peggy; Guivín Munayco, Elizeth del Pilar; Remuzgo Artezano, Anika
Material and methods: The systematic review of 10 selected articles, using the database Pubmed, Advance Access, Redalyc, Open Access, Researchgate, Wiley Online Library, HHS Public Access. The 10 evidence = 100% (n=10/10) is quantitative (16-25) in design; 30% (n=3/10) systematic review and meta-analysis (16-18) and 70% (n=7/10) cohort study. Results: According to the systematic review, shown in the 10 articles, 30% (3) are systematic review - meta-analysis and 70% (7) are cohort studies, which come from the United States (50%), followed by Brazil ( 10%),England(10%),Holland(10%),Italy(10%),France(10%).point out that 100%(n=10)(16 - 25) of the evidence found specify that obese post-kidney transplant recipients have a greater risk of delayed graft function. Conclusion: The 10 articles reviewed, 100% (n=10/10), according to the evidence found, it is concluded that obese recipients do increase the risk of delayed graft function in post-kidney transplantation, accompanied by a significant increase in the risk of several adverse outcomes such as; post-surgical cardiovascular, metabolic (Diabetes mellitus 2) lymphatic complications with longer hospital stay. However; It is evident that kidney transplantation can be performed safely in these obese recipients with survival and graft rates similar to those of non-obese patients.
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Peritoneal dialysis compared to hemodialysis as a predictor of greater survival in kidney transplant patients
(Universidad Privada Norbert Wiener, 1905-07-09) Gomez Miranda, Nataly Priscila; Mauricio Revollar, Nadia Mey; Remuzgo Artezano, Anika
Pre-transplant peritoneal dialysis has a higher 5-year survival rate than hemodialysis. It was found that pretransplant patients on peritoneal dialysis had a significantly higher incidence of delayed graft function than hemodialysis patients. 40% (n=4) of the evidence found indicates that peritoneal dialysis may be the most appropriate modality for patients waiting to receive a kidney transplant. Peritoneal dialysis is a predictor of greater survival compared to hemodialysis in kidney transplant patients
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Risk factors for urinary tract infection in kidney transplant patients
(Universidad Privada Norbert Wiener, 2017) Garcia Mejia, Jessenia Janina; Wong Zárate, Shirley Karla; Mendigure Fernandez, Julio
Objective: To analyze and synthesize the results of the systematic review of studies on risk factors for urinary infections in renal transplant patients. Methodology: This is a systematic review where 17 articles were selected from databases such as LILACS, SCIELO, PUBMED, GOOGLE ACADEMIC, CLINICAL TRANSPLANTATION, ELSERVIER, COCHRANE. The Grade assessment was used to evaluate evidence quality. Results: The risk factors for urinary infection in renal transplant patients are mostly female sex, invasive urological procedures, prolonged catheter use, diabetes, kidney stones, vesicoureteral reflux, and advanced age, among others. Conclusion: Renal transplant patients are at risk of urinary tract infections due to factors like sex, diabetes, kidney stones, and urological anomalies, aggravated by the urological procedures they undergo.
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Risk factors for urinary tract infection in patients with kidney transplants
(Universidad Privada Norbert Wiener, 1905-07-09) Hermosa Altez, Martha Elena; Lecca Tapia, Giuliana; Rivera Lozada de Bonilla, Oriana
The present research is an observational and retrospective Systematic Review, the search has been restricted to articles with full text and the selected articles were subjected to critical reading, using the GRADE instrument to evaluate the methodological quality of the included studies and determine the degree of the evidence, 10 articles were chosen, we found that 20% of the research found correspond to Brazil, the United States (20%) and 60% to Argentina, Yemen, Pakistan, Mexico, Korea and Spain. Most of the descriptive studies of medium quality of evidence (100%) have been analyzed. Results: The main risk factors associated with UTI are female sex (50%), presence of urethral catheters (30%), immunosuppressive therapy ( 30%). Conclusions: Urinary tract infection is the infection with the highest incidence in kidney transplant recipients and the risk factors are female sex, presence of urethral catheters, and immunosuppressive therapy.
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Self-care and quality of life in adult patients with kidney transplantation in the internal medicine office of the Edgardo Rebagliati Martins national hospital, Lima 2021
(Universidad Privada Norbert Wiener, 2021-12-05) Cabrera Concha, Milagros; Mori Castro, Jaime Alberto
The population consisted of 52 adult patients with kidney transplants, who were selected according to the inclusion and exclusion criteria proposed, including kidney graft recipients from the Edgardo Re National Hospital.
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Virus no hepatótropos en pacientes trasplantados renales de un hospital de EsSalud de Lima, 2023
(Universidad Privada Norbert Wiener, 2025-04-22) Miranda Fuchs, Yohanna Milagros; Cabrejos Chilge, Gabriel Emigdio
Los virus no hepatótropos son agentes infecciosos latentes que pueden desarrollarse postrasplante de órganos como los trasplantes renales en diferentes establecimientos de salud. El objetivo del estudio fue determinar los principales virus no hepatótropos en pacientes trasplantados renales de un hospital de EsSalud de Lima, 2023. Se revisaron la totalidad de historias clínicas (censal) del área de trasplantes de un hospital de EsSalud durante los meses de enero a diciembre del año 2023. Posteriormente se elaboró una ficha de recolección de datos donde se detalló información demográfica (edad, sexo, procedencia) y clínica (tipo de donante). La información obtenida se almacenó en una base de datos Microsoft Excel y se analizaron mediante estadística descriptiva. Los virus no hepatótropos frecuentes en pacientes trasplantados renales de un hospital de EsSalud de Lima, 2023 fueron el Citomegalovirus (41.8%), y Poliomavirus (18.2%), los factores sexo, edad, procedencia y tipo de donante no influyeron en la frecuencia de virus no hepatótropos. Los resultados sugieren la continuidad del monitoreo del paciente trasplantado para obtener un diagnóstico oportuno de infecciones virales y brindar un tratamiento adecuado.