Abstract Introduction: Africa contributes to <10% of the total renal replacement therapy (RRT) patients worldwide. Due to a cooperation protocol, Portugal provides RRT and CKD care to patients from some African Countries of Portuguese Official Language (ACPOL). The purpose of this analysis was to describe the clinical characteristics and outcomes of patients from ACPOL who integrated our hemodialysis (HD) progr...
Abstract Renal artery thrombosis is a rare and overlooked cause of kidney failure. Clinical presentation is unspecific, leading to delays in diagnosis and, therefore, preventing timely treatment. Herein, we present a case of bilateral renal artery thrombosis that led to severe acute kidney injury assumed to be irreversible. A 61‑year‑old Caucasian female presented to the emergency department with nausea, vomiti...
Abstract Introduction: Portugal has one of the highest incidences and prevalence of end‑stage kidney disease in Europe, with haemodialysis (HD) being the most common modality of renal replacement therapy. The aim of our study was to analyse a cohort of patients who started HD in a large tertiary care hospital. Methods: Retrospective analysis of all adult individuals who started HD between January of 2014 and De...
Abstract Introduction: Vascular access (VA) has a significant impact in the quality of life and survival of patients on hemodialysis (HD). The very elderly are a subgroup of patients whose incidence of renal replacement therapy is the highest. This study aimed to evaluate the impact of the VA at HD start on one‑year mortality in this population. Methods: Retrospective analysis of patients aged 80 years or older...
ABSTRACT Introduction: Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have shown positive renal outcomes in diabetic patients. There is also emerging evidence in non-diabetic patients. This review was conducted to analyse the renal outcomes of SGLT2i in patients without diabetes mellitus (DM). Methods: A systematic review was performed in a Preferred Reporting Items for Systematic Reviews and Meta-Analyses ...
ABSTRACT Introduction: Delayed graft function (DGF), an outcome for which inflammation is critical, has been associated with worse outcomes after kidney transplantation (KT). The neutrophil to lymphocyte and platelet (NLP) ratio is a biomarker of systemic inflammation. We assessed postoperative NLP ratio applicability as an early predictor of DGF in KT patients. Methods: Retrospective cohort of adult patients s...
ABSTRACT Introduction: Dysproteinemia is associated with kidney damage and treatment of underlying conditions is crucial to minimize kidney damage. The aim of this study was to describe and analyze the characteristics and outcome of the patients diagnosed with dysproteinemia-associated kidney disease with initial renal presentation. Methods: We performed a retrospective observational study of the patients admit...
ABSTRACT Introduction: Acute kidney injury (AKI) is a major complication in critically ill septic patients and is associated with increased morbidity and mortality. A recent study suggested a risk score based on patient’s chronic comorbidities and acute events at intensive care unit (ICU) admission as a reliable tool for predicting AKI in critically ill adult population. The aim of this study was to adapt this ...