Ocorrência e fatores associados às calcificações em artéria carótida detectadas por radiografia panorâmica digital em pacientes renais crônicos em hemodiálise
Chronic Kidney Disease (CKD) leads to a progressive and irreversible kidney failure. The final and most severe stage of the disease often requires support therapy by hemodialysis. CKD patients have a higher risk of developing cardiovascular complications, such as atherosclerosis. This condition i...
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| Formato: | Dissertação |
| Idioma: | por |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/23472 |
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| Resumo: | Chronic Kidney Disease (CKD) leads to a progressive and irreversible kidney
failure. The final and most severe stage of the disease often requires support therapy by
hemodialysis. CKD patients have a higher risk of developing cardiovascular
complications, such as atherosclerosis. This condition is characterized for the fatty
plaques accumulation in inner layer of blood vessels, which when calcified can be
observed on panoramic radiographs. The aim of this study was to evaluate the detectable
carotid artery calcifications (CAC) occurrence in digital panoramic radiography in CKD
patients undergoing hemodialysis. The clinical data were obtained from Nephrology
department records of the Onofre Lopes Hospital of Federal University of Rio Grande do
Norte, RN (UFRN) and the panoramic radiographs were collected from imaging service
database at the Dentistry Department of UFRN. The exams analyzes were done by a
single radiologist, previously calibrated. Of the 309 patients in the study, 15.9% had
calcifications. To verify the associations between the presence of CAC, and the
independent variables of the study, Chi-square and Fisher's exact tests were used. A
statistically significant association (p≤0.05) was observed between the presence of these
calcifications and age, sex, hemodialysis time, diabetes mellitus and presence of styloid
process elongation. The results revealed a high occurrence of CAC in patients with CKD
on hemodialysis when compared to the general population. |
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