Abstract

BORROTO DIAZ, Gerardo; BARCELO ACOSTA, Malicela; RODRIGUEZ ALONSO, Héctor  and  GUERRERO DIAZ, Carlos. Aspectos clínicos en la evolución de la diabetes mellitus postrasplante renal. Rev cubana med [online]. 2002, vol.41, n.3, pp.146-151. ISSN 0034-7523.

274 patients who underwent kidney transplantation at "Hermanos Ameijeiras" Clinical and Surgical Hospital were studied to determine some clinical characteristics in the evolution of these patients. 2 groups were created, according to the presence or not of post-transplant diabetes mellitus: group I (n = 39) and group II (n = 235). The existance of metabolic complications, such as arterial hypertension: GI, n = 32 (82.2 %); G II, n = 179 (76.17 %); hypercholesterolemia: GI, n = 33 (87.2 %);G II, n = 94 (40 %); and hypertriglyceridemia: GI, n = 25 (64.1 %); G II, n = 50 (21.2 %) was determined. The lipid parameters were statistically significant on comparing both groups. Comparisons were made regarding infectious complications as urinary sepsis: GI, n = 36 (92.3 %); G II, n = 179 (76.1 %); skin infections: G I, n = 32 (82 %); G II, n = 188 (80 %); digestive infections: G I, n = 9 (23.0 %); G II, n = 24 (10.2 %); respiratory infections: G I, n = 16 (41.0 %) G II, n = 75 (31.9 %); systemic infections and CNS infections. The probability of having no PTDM and of preserving the graft was analyzed according to Kaplan and Meir’s curves. A logarithmic range test was applied.

Keywords : DIABETES MELLITUS; RISK FACTORS; HYPERTENSION; HYPERLIPIDEMIA; KIDNEY TRANSPLANTATION [adverse effects].

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