[Hydroelectrolyte, acid-base, and renal function changes in patients with acquired immunodeficiency syndrome]. / Alterações hidroelectrolíticas, ácido-básicas e da função renal em pacientes portadores da síndrome da imunodeficiência adquirida.
Rev Assoc Med Bras (1992)
; 39(1): 43-7, 1993.
Article
em Pt
| MEDLINE
| ID: mdl-8220507
BACKGROUND: A variety of metabolic and renal disturbances have been described in patients with Acquired Immunodeficiency Syndrome (AIDS) but their influence on the clinical outcome has not been reported. The present study was undertaken in order to evaluate the prevalence of fluid and electrolyte, acid-base, and renal function disturbances in AIDS patients. The influence of these abnormalities on the clinical outcome was studied as well. MATERIAL AND METHODS: Following to a previously established protocol, the charts of all patients hospitalized during the first semester of 1989 were reviewed. RESULTS: The prevalence of hyponatremia was 45% and 80.7% at admission and during hospitalization respectively of 99 patients. Hypokalemia was present in 23.1% of the patients. Metabolic acidosis and renal failure were 20.1% and 28.4% prevalent. The relative risk for mortality in patients with hypokalemia was 4.4. Metabolic acidosis and acute renal failure had relative risks of 12.9 and 21.4. CONCLUSIONS: There is an elevated prevalence of fluid and electrolyte, acid-base and renal function disturbances in these patients. The presence of hypokalemia, metabolic acidosis, and renal failure are significantly associated with mortality in AIDS.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidose
/
Síndrome da Imunodeficiência Adquirida
/
Injúria Renal Aguda
/
Hipopotassemia
/
Hiponatremia
Tipo de estudo:
Etiology_studies
/
Guideline
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Brasil
Idioma:
Pt
Revista:
Rev Assoc Med Bras (1992)
Ano de publicação:
1993
Tipo de documento:
Article
País de publicação:
Brasil