RESUMEN
BACKGROUND: Depression is highly prevalent among patients with end-stage renal disease, nevertheless few patients are assessed or offered medical treatment to minimize its effects. This study assessed quality of life among these patients and studied the association between end-stage renal disease and depression. MATERIAL AND METHODS: We carried out a cross-sectional study with 123 patients over 19 who were undergoing renal substitutive therapy. Quality of life and depression were assessed using the Kidney Disease Quality of Life Short Form-36 and the Beck Depression Inventor. In order to measure the patients' metabolic state, we carried out medical and laboratory tests. Quality of life predictors were analyzed with multiple ordinal logistic regression models. RESULTS: The highest scores from the generic core belonged to social functioning dimensions (62.7) and mental health (65.9). For the specific core, the highest scores were in dimensions associated with support offered by the dialysis team (78.2) and from social support networks (75.3). Depression was the most consistent predictor of quality of life. CONCLUSION: The use of programs and measuring tools to measure quality of life prior to and during renal dialysis or hemodialysis, as well as a timely psychiatric evaluation, can be very useful in monitoring improvement, decline and response to anti-depressant treatment throughout the course of end-stage renal disease.
Asunto(s)
Depresión/epidemiología , Calidad de Vida , Diálisis Renal , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
BACKGROUND: there are few systematic studies reporting the prevalence of oral mucosal lesions in children. The reported prevalence is ranging from 4.1 % to 52.6 %, probably due to differences in methodology and population. The aim was to identify the prevalence of oral mucosal lesions in children population. METHODS: a cross, descriptive, retrospective study in children who attended the dental clinic San Lorenzo Atemoaya was done (January 2006-July 2009); the data was obtained from medical records. Oral mucosal lesions were recorded. Descriptive analysis and unconditional logistic regression were conducted. RESULTS: the sample was 367; there were 200 males (54.5 %). The median age was six years. The prevalence of oral mucosal lesions was 66.2 %. The most common lesions were cheilitis simple (41.1 %), melanotic macule (18.3 %), petechiae (16.9 %) and traumatic ulcer (12 %), without difference between sexes. The sucking lip was associated with cheilitis simple (OR 1.7, p = 0.013) and recurrent ulcers with onychophagia (OR 15.75, p = 0.026). CONCLUSIONS: it was observed a higher prevalence of oral mucosal lesions in children than reported in other papers. Association is confirmed between parafunctional habits and oral mucosal lesions.
Introducción: la prevalencia de las lesiones de mucosa bucal en los niños varía de 4.1 a 52.6 %, debido a diferencias poblacionales y metodológicas. El objetivo fue identificar la prevalencia de dichas lesiones y su posible asociación con antecedentes patológicos y hábitos parafuncionales en una población infantil, atendida en la clínica dental San Lorenzo Atemoaya. Métodos: estudio descriptivo, retrospectivo y transversal de niños atendidos entre 2006 y 2009. Se obtuvieron las prevalencias de las lesiones y para la asociación entre variables se utilizó regresión logística no condicional. Resultados: de 1228 expedientes, 367 correspondieron a niños, 200 del sexo masculino (54.5 %). La mediana de edad fue de seis años. La prevalencia de las lesiones de la mucosa bucal fue de 66.2 %. Las lesiones más frecuentes fueron la queilitis simple (41.1 %), la mácula melanótica (18.3 %), las petequias (16.9 %) y la úlcera traumática (12 %), sin diferencias entre sexos. La succión labial se asoció con queilitis simple (RM = 1.7, p = 0.013) y onicofagia con úlceras recurrentes (RM = 15.75, p = 0.026). Conclusiones: se observó alta prevalencia de lesiones de mucosa bucal en la población infantil estudiada y se confirma la asociación con hábitos parafuncionales.
Asunto(s)
Enfermedades de la Boca/epidemiología , Distribución por Edad , Queilitis/epidemiología , Niño , Preescolar , Estudios Transversales , Femenino , Hábitos , Humanos , Lactante , Recién Nacido , Masculino , Melanosis/epidemiología , México/epidemiología , Mucosa Bucal , Úlceras Bucales/epidemiología , Prevalencia , Púrpura/epidemiología , Estudios Retrospectivos , Distribución por SexoRESUMEN
Antecedentes: La depresión está bien identificada entre pacientes con enfermedad renal terminal, sin embargo, pocos pacientes reciben evaluación o terapia médica para minimizar los efectos de este trastorno. Nuestro estudio evalúa la calidad de vida de estos pacientes y su relación con depresión. Material y métodos: Se realizó un estudio transversal en 123 pacientes mayores de 19 años de edad con tratamiento sustitutivo renal. La calidad de vida y la depresión se evaluaron mediante los cuestionarios de calidad de vida en enfermedad renal versión 1.3 (KDQOL SF-36) y el inventario de depresión de Beck. El estado metabólico se determinó mediante estudios de laboratorio. Los predictores de calidad de vida se estimaron mediante modelos múltiples de regresión logística ordinal. Resultados: En el módulo genérico del instrumento de calidad de vida, las calificaciones más altas correspondieron a las dimensiones de función social (62.7) y salud mental (65.9), mientras que para el módulo específico correspondieron a apoyo del equipo de diálisis (78.2) y apoyo social (75.3). El predictor de calidad de vida más consistente fue depresión. Conclusiones: La medición de calidad de vida, antes y después de la terapia dialítica, y la evaluación psiquiátrica temprana pueden ser muy útiles para monitoreo del mejoramiento, del deterioro y la respuesta al tratamiento antidepresivo durante la evolución de la insuficiencia renal terminal.
BACKGROUND: Depression is highly prevalent among patients with end-stage renal disease, nevertheless few patients are assessed or offered medical treatment to minimize its effects. This study assessed quality of life among these patients and studied the association between end-stage renal disease and depression. MATERIAL AND METHODS: We carried out a cross-sectional study with 123 patients over 19 who were undergoing renal substitutive therapy. Quality of life and depression were assessed using the Kidney Disease Quality of Life Short Form-36 and the Beck Depression Inventor. In order to measure the patients' metabolic state, we carried out medical and laboratory tests. Quality of life predictors were analyzed with multiple ordinal logistic regression models. RESULTS: The highest scores from the generic core belonged to social functioning dimensions (62.7) and mental health (65.9). For the specific core, the highest scores were in dimensions associated with support offered by the dialysis team (78.2) and from social support networks (75.3). Depression was the most consistent predictor of quality of life. CONCLUSION: The use of programs and measuring tools to measure quality of life prior to and during renal dialysis or hemodialysis, as well as a timely psychiatric evaluation, can be very useful in monitoring improvement, decline and response to anti-depressant treatment throughout the course of end-stage renal disease.