Caracterización clínica y epidemiológica de pacientes con enfermedad renal crónica atendidos en el Hospital Roberto Gilbert desde enero 2015 - diciembre 2023.

Abstract

Chronic kidney disease (CKD) is a global health problem with a discouraging prognosis in pediatrics, meaning a great impact in adulthood. Epidemiological data record between 55 and 60 diagnoses per million inhabitants under 18 years of age, with 1% of the entire general population having end-stage kidney disease. Characterized by accumulating harmful elements in the body and inability to eliminate them, with the need for emerging palliative treatment Material and methods: Observational, cross-sectional, descriptive and retrospective study, carried out with data obtained from the computer system of the Roberto Gilbert Children's Specialty Hospital in the city of Guayaquil. Results: From the 123 patients with criteria for chronic kidney disease, the following were obtained: adolescent age group (48%), male sex (63%), renal structural alteration (64%), with predominance in neurogenic bladder (25%), KDIGO III stage (37%), from the urban area of Guayas (67%), renal size less than the 5th percentile (51%), with drug support treatment (81%) and dialysis therapy (19%) Conclusions: Chronic kidney disease is diagnosed in a late stage, with patients in KDIGO III stage, especially in young males, with a mean diagnosis of 13 patients per year. Many of the complications occur as the disease progresses, with the need for treatment in relation to medication and emergent dialysis therapy, with prevention being the best option to avoid developing this pathology.