Browsing by Author "Flores Enderica, Carlos Gabriel"

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    Prevalencia de depresión en pacientes con insuficiencia renal crónica sometidos a tratamientos de hemodialisís en la Unidad de Servicios Renales del Austro cia. ltda.
    (2011) Monsalve Serrano, Iván Andrés; Morales Crespo, Sthepanie Eliana; Veléz Lara, Andrea Monserrath; Pacurucu Castillo, Saúl Francisco; Flores Enderica, Carlos Gabriel
    Hemodialysis is the standard treatment in patients with chronic renal failure, which is for life, and brings multiple effects, including depression. This should be taken into account in the therapeutic management. Objectives: To determine the prevalence of depression, classification, characteristics such as age, sex, marital status, occupation and family functionality and identify possible causes of presentation in patients with chronic renal failure undergoing hemodialysis In the Unidad de Servicios Renales del Austro. Cia.Ltda, Cuenca - Ecuador 2011. Materials and Methods: A descriptive cross-sectional quantitative study. We applied the Beck Depression Test with a universe of 144 patients. Conclusions: •The prevalence of depression in patients with renal insufficiency was 16%. •We studied a population of 144 patients with a mean age of 53.70 years and 17.39 SD years, of which 60.4% were female, 65.3% of the cases were married, and 40.3% were unemployed, 83.3% of the cases came from functional families. And 50.7% of patients were with a treatment time of 12-60 months. • The degrees of depression were: 11.8% mild to moderate: 4.2%. • The occupation and family functioning is related to depression in this population. • There was no statistical association between the variables age, sex, marital status, or years of treatment with depression.
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    Sobrevida y complicaciones del paciente con injerto renal de donante cadavérico vs. donante vivo, controlados en el hospital "José Carrasco Arteaga" (IESS). Cuenca. 2007 marzo 2012
    (2012) Carrión Monsalve, Diego Marcelo; Espinoza Manzano, Carlos David; Flores Enderica, Carlos Gabriel; Mora Bravo, Franklin Geovany
    INTRODUCTION: The present descriptive study has as objective to determine the survival and complications presented among the patients that received a renal transplant and have been controlled in the “José Carrasco Arteaga” Hospital (IESS) in the city of Cuenca, between the years 2007 and 2012. METHODS: The recollection of the information of the patients was realized by reviewing the medical records and analyzing them using a database made in SPSS v. 15.0. An analysis of the cause of chronic renal failure, complications, rejection and loss of graft function related with the characteristics of the recipient and proceeding of the graft was made. For the study of the general characteristics of the patients we used the descriptive statistic method, and for the survival study we used Kaplan Meier survival curves. RESULTS: 83 patients receptors of kidney graft were studied, the etiology is specified in 42.2% of them. Hypertension and diabetes were the 13.3% and 10.8%, respectively. Grafts proceeding from cadaveric donor were 59%, and from live donor 41%. 71.1% of patients did not present any complications related with the surgery. Six months after transplant, 59.6% of patients did not present rejection, 31% presented at least one rejection, and 12% presented two or more rejections. Loss of graft reached 19.3% of patients. 9.6% of patients died, and among these, 75% died in the first month, 12.5% in the second month, and one six years later. CONCLUSIONS: The causes of chronic renal disease are not well established in the majority of cases. There is important number of patients that received a kidney graft from a living donor. Survival does not seem to be affected by variables such as sex, proceeding of graft, age, and dialysis time. Main complications are related with the surgical act.