25-HYDROXY VITAMIN D LEVELS ARE RELATED TO PARAMETERS OF RESIDUAL RENAL FUNCTION IN ADULT PERITONEAL...
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Transcript of 25-HYDROXY VITAMIN D LEVELS ARE RELATED TO PARAMETERS OF RESIDUAL RENAL FUNCTION IN ADULT PERITONEAL...
![Page 1: 25-HYDROXY VITAMIN D LEVELS ARE RELATED TO PARAMETERS OF RESIDUAL RENAL FUNCTION IN ADULT PERITONEAL DIALYSIS PATIENTS. M. Zeiler, T. Monteburini, R.M.](https://reader035.fdocuments.us/reader035/viewer/2022070313/5542eb73497959361e8d9dc3/html5/thumbnails/1.jpg)
25-HYDROXY VITAMIN D LEVELS ARE RELATED TO PARAMETERS OF RESIDUAL RENAL FUNCTION IN ADULT PERITONEAL
DIALYSIS PATIENTS.
M. Zeiler, T. Monteburini, R.M. Agostinelli, R. Marinelli,
S. SantarelliU.O. Nefrologia e Dialisi, Ospedale “Carlo Urbani”, Jesi (AN)
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25(OH) Vitamin D ~ GFR
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Scopo dello Studio
Scopo dello studio è stato quello di analizzare la relazione tra 25(OH)-Vitamina D e parametri della funzionalità renale in pazienti adulti sottoposti a dialisi peritoneale.
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Materiali e Metodi
Rilevazioni durante il PET:PET 4 ore con glucosio 2.27%Pazienti con diuresi residua >100ml/dieClearance della creatinina (Cl-Crea)Clearance dell‘urea (Cl-Urea) Kt/VEscrezione frazionale dell‘urea (FE-Urea)
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Risultati - 1Pazienti Sesso [M / F] n=32 M 23 F 9
Età [anni]
63±16 (22 – 83)
25(OH)-Vitamina D[ng/ml]
13.9±7.7 (4.0 – 32.9)
Insufficienza [20-30]
5 pazienti
Defizienza [<20]
25 pazienti
Diuresi residua [ml/die] 1108±683 (200 - 2500)
Cl-Crea [l/settimana] 80±30 Renale 49±34 PD 30±9
Cl-Urea [l/settimana] 74±16 25±15 49±9
Kt/V 2.0±0.6 0.7±0.5 1.3±0.3
FE-Urea 0.54±0.16
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Risultati - 2
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Risultati - 3
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Risultati - 4
FE-Urea vs CL-Crea FE-Urea vs 25-OH Vit D
?
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Conclusioni - 1
Pazienti adulti in dialisi peritoneale presentono nella maggioranza dei casi valori di deficienza di 25(OH) Vitamina D
25(OH) Vitamina D ~ eliminazione renale di urea e creatinina~ clearance renale dell‘urea~ escrezione frazionale dell‘urea
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Conclusioni - 2Our Study:
Vit D insufficiency 15.6%Vit D deficiency 78.1%No correlation: Vit D # BMI Vit D # Albumin Vit D # Kt/V renal Vit D # Cl-Crea renal
Correlation: Vit D - Cl-Urea renal Vit D - Urea Excretion Vit D - Crea Excretion Vit D - FE-Urea
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Conclusioni - 3
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