ASOCIACIÓN ENTRE LA FUNCIÓN RENAL RESIDUAL, LA CALIDAD DE VIDA Y EL DETERIORO COGNITIVO: UNA PERSPECTIVA EN PACIENTES EN HEMODIÁLISIS

Abstract

Residual renal function (RRF) is a parameter that can be assessed in patients with preserved urinary function, as its associated with diuresis greater than 100 ml/day. In people receiving renal replacement therapy, the persistence of RRF is a positive predictor, while its absence has a negative impact on the cardiovascular system. However, in Ecuador there are few studies that determine the RRF of patients on hemodialysis, and no information was found about its relationship with other factors. For this reason, the present study aimed to determine the association of RRF with quality of life and cognitive impairment in 28/56 hemodialysis patients in a unit in Guayaquil. Among those with preserved RRF, it was found that the majority were women (71.43%), aged between 36 and 64 years (71.43%), and on hemodialysis for 3-7 years (42.86%) as a complication of hypertension (42.86%). High quality of life levels were higher among those who preserved their RRF (42.86% vs. 38.10%). And the levels of cognitive impairment had a similar distribution between both groups (85.72% vs. 85.72%), although severe cognitive impairment only occurred among those with absent RRF. Finally, based on the 3 findings of this study, its concluded that there are relationships between female sex (p=0.002), better quality of life levels (p=0.085) and preservation of RRF. This motivates the development of strategies focused on improving the quality of life of male hemodialysis patients from the start of therapy.