A5063500178- Dialysis and Renal Disease Management
- Chronic Kidney Disease and Diabetes
- Cardiac Valve Diseases and Treatments
- Acute Kidney Injury Research
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Aortic Disease and Treatment Approaches
- COVID-19 Clinical Research Studies
- Renal and Vascular Pathologies
- Ethics and bioethics in healthcare
- Muscle and Compartmental Disorders
- Renal Diseases and Glomerulopathies
- Healthcare cost, quality, practices
- Healthcare Systems and Reforms
- Public Policy and Governance
- Public Health in Brazil
- Blood Pressure and Hypertension Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Renal Transplantation Outcomes and Treatments
- SARS-CoV-2 and COVID-19 Research
- Infective Endocarditis Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Parathyroid Disorders and Treatments
- Central Venous Catheters and Hemodialysis
- Vasculitis and related conditions
Hospital de Clínicas
2009-2024
Sociedad Española de Nefrología
2015-2024
Universidad de la República
2009-2023
Ministerio de Salud Pública
2021-2022
Artistic Realization Technologies
2022
Délégation Paris 5
2021
Université Paris Cité
2021
Universidad de Montevideo
2014-2020
Instituto Nacional de Investigación Agropecuaria
2008-2017
American Society of Nephrology
2016
Chronic kidney disease (CKD) represents a major challenge for Latin America (LA), due to its epidemic proportions and high burden the population affected public health systems.Our methods have been reported previously: This paper shows data last 10 years until 2010, from American Dialysis Renal Transplantation Registry (RLADTR).20 countries participated in surveys, covering 99% of (LA). The prevalence end-stage renal (ESRD) under replacement therapy (RRT) LA increased 119 patients per...
Acute kidney injury (AKI) has increasingly been recognized as an important public health issue due to its rising frequency, associations with early and late adverse outcomes economic burden. Given the importance of determining available resources address this serious issue, AKI Committee SLANH conducted a survey obtain information about infrastructure, human equipment devoted treatment in Latin America A total 246 units from 14 countries participated survey, majority them pertaining...
Introduction The Renal Healthcare Program Uruguay (NRHP-UY) is a national, multidisciplinary program that provides care to chronic kidney disease (CKD) patients. In this study, we report the global results of CKD patient outcomes and comparison between those treated at NRHP-UY Units, with patients who were initially included in but did not adhere follow up. Methods A cohort not-on dialysis prospectively October 1 st 2004 September 30 th 2017 was followed-up until 2019. Two groups compared:...
Renal failure is a frequent event after cardiopulmonary by-pass. Hemodynamic alterations that occur during surgery, as well factors depending on the host, are main risk for renal dysfunction. To evaluate frequency and dysfunction in this setting, cohort of fifty patients with preoperative serum creatinine under 1.5 mg/dL, submitted to cardiac surgery by-pass was analyzed. Variables related patient condition, intraoperative postoperative periods were recorded. function assessed by clearances...
Acute kidney injury (AKI) occurs frequently after cardiac surgery. Although numerous variables were identified as predictors for AKI, there is a lack of information about possible differences in risk factors according to the level preoperative renal function. Preoperative, intraoperative, and postoperative data from 4118 adult patients submitted surgery January 1, 2000, December 31, 2005, included study. AKI was defined by an increase serum creatinine (SCr) ≥ 0.3 mg/dL Patients stratified...
Background: Acute kidney injury (AKI) is a frequent complication in patients under mechanical ventilation (MV). We aimed to assess the risk factors for AKI with particular emphasis on those potentially preventable. Study Design, Setting, and Participants: Retrospective analysis of large, multinational database MV >24 h normal renal function at admission. was defined according creatinine-based KDIGO criteria. Risk were analyzed time point which occurred: early (≤48 after ICU admission, AKIE)...
End-stage renal disease (ESRD) represents a major challenge for Latin America (LA). Epidemiological information needed to assist in the development of ESRD care region. The American Dialysis and Renal Transplant Registry (RLADTR), has published several reports its continuity implied sustained effort entire LA Nephrology community. This paper summarizes results corresponding year 2012.Our methods have been reported previously. Participant countries complete an annual survey collecting data on...
Acute kidney injury (AKI) in cardiac surgery is associated with complications, early and late mortality increased health care expenditures. The overall dynamic comorbidity-adjusted contributions of an episode AKI on during long-term follow-up have not been fully explored. A longitudinal cohort 7075 adult patients admitted for were enrolled the study. Follow-up data obtained through telephonic survey after 1, 5, 10, 15 years or from National Mortality Registry. All-cause was assessed at five...
Introduction Epidemiology of acute kidney injury (AKI) is highly dependent on patient characteristics, context and geography. Considering the limited information in Latin America Caribbean, we performed a study with aim to contribute improve its better understanding. Methods Observational, prospective, longitudinal, multinational cohort addressed determine risk factors, clinical profile, process care outcomes AKI region. Patients meeting KDIGO definition were included over 9-month period...
The Latin American Society of Nephrology and Hypertension conducted a prospective cohort, multinational registry patients with kidney impairment associated to COVID-19 infection the objective describe characteristics acute disease under these circumstances. study was carried out through open invitation in order region. Eight-hundred seventy from 12 countries were included. Median age 63 years (54–74), most male (68.4%) diverse comorbidities (87.2%). Acute injury (AKI) hospital-acquired 64.7%...
Aim IgA nephropathy (IgAN), the most common glomerulopathy worldwide and in Uruguay, raised treatment controversies. The study aimed to analyze long-term IgAN outcomes treatment.Methods A retrospective analysis of a Uruguayan cohort, enrolled between 1985 2009 followed up until 2020, was performed. Ethics Committee approved study. inclusion criteria were (a) biopsy-proven IgAN; (b) age ≥12 years; (c) available clinical, histologic, data. patients divided into two groups, with...
El Registro Latinoamericano de Diálisis y Trasplante Renal (RLDTR), recopila reporta anualmente desde 1991 los datos países afiliados a la Sociedad Latinoamericana Nefrología e Hipertensión (SLANH), habiéndose constituido en uno registros regionales diálisis trasplante más importante nivel mundial, merced al esfuerzo dedicación sucesivos comités coordinadores representantes nacionales que son su fuente información. objetivo este artículo es describir situación RDT América Latina el Caribe,...
Background Optimal immunosuppressive treatment for membranous nephropathy is still a matter of controversy. Current recommendations include oral cyclophosphamide combined with steroids (modified Ponticelli regimen) as first-line in patients who are high risk. However, concerns about the cumulative toxicity persist. In last 30 years, protocol based on low-dose intravenous plus has been used to treat Uruguay. We aimed assess efficacy this regimen induce clinical remission nephropathy. Methods...
Despite recognized geographic and sex-based differences in hemoglobin the general population, these factors are typically ignored patients with chronic kidney disease (CKD) whom a single therapeutic range for is recommended. We sought to compare distribution of across international nondialysis CKD populations evaluate predictors hemoglobin.
IntroductionRaising awareness of acute kidney injury (AKI) is an essential strategy for minimizing the burden this lethal syndrome. The AKI Commission Latin American Society Nephrology and Hypertension conducted educational program based on networked learning.MethodsTwo online courses with similar methodologies were developed, 1 course nephrologists other primary care physicians (PCP). developed as a distance education, asynchronous modality multiple strategies: written lessons, videos,...
Bicuspid aortic valves (BAVs) are associated with ascending aneurysms. We studied BAV patients before and after valve replacement (AVR) to determine the risk predictors of root dilatation surgery. (n=60) an ≤45 mm who underwent AVR were followed by echocardiography (6.2±2 years) measured. No statistical difference was found between preoperative postoperative diameter as well association variables studied. The use statins or β-blockers did not affect follow-up on diameter. Preoperative died...
Mineral and bone disorder biomarkers 'normal ranges' are controversial. The aim of the study was to evaluate association between serum calcium (Ca), phosphate (P), intact parathyroid hormone (iPTH), 25(OH) vitamin D levels mortality risk, in a chronic kidney disease (CKD) grade (G) 3b-4 cohort. Uruguayan National Renal Healthcare Program (NRHP-UY) CKD patients' cohort, included 1 October 2004 March 2020 followed-up until 2021, analyzed with Ethics Committee approval. A total 6473 patients...