Reconversión de la médula ósea en resonancia magnética nuclear, y anemia en pacientes con enfermedad renal crónica, Hospital José Carrasco Arteaga, Cuenca 2011

Abstract

Introduction: The chronic kidney disease affects 5-10% to the population; it implies the deterioration of the renal function, as well as their complications. The anemia is one of the main consequences of the illness, and the uremia seems to be one of the factors that avoids the bone marrow reconversion. The magnetic resonance is the election study for the valuation of the bone marrow. Objective: Identify the presence of bone marrow conversion of the nuclear magnetic resonance, and anemia in patients with chronic kidney disease in the Hospital "José Carrasco Arteaga" of Cuenca city, 2011. Methodology: It was a descriptive study. Images were acquired by magnetic resonance, of femurs to 216 patients with diagnosis of chronic kidney disease in the Hospital "José Carrasco Arteaga". We considered the variable age, sex, stage of chronic kidney disease, anemia and bone marrow reconversion. Results: Of the 216 patients, 92 (42.6%) were men and 124 (57.4%) were women, with an average of 58.6 years. The average of the rate of glomerular filtration was 51.3 mL/min/1.73m2; and of hemoglobin 13.2 gr/dL. 32.4% of the patients had anemia, which prevails in the men with 37% in front of 29% in the women. 29.6% of the patients presented bone marrow reconversion, being more frequent in the patients with stage 5; with slight prevalence in the patients with anemia. 39.5% of women and 16.3% of men presented bone marrow reconversion. Conclusions: Anemia is more frequent and pronounced as kidney damage progresses, and it is more common in males. The bone marrow reconversion occurs with equal frequency in the population, and is associated with females. There is no statistical dependence between anemia and bone marrow reconversion. KEY WORDS: CHRONIC KIDNEY DISEASE, ANEMIA, MAGNETIC RESONANCE.