VERA HERMINA KALIKA KOCH
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina
LIM/36 - Laboratório de Pediatria Clínica, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/36 - Laboratório de Pediatria Clínica, Hospital das Clínicas, Faculdade de Medicina - Líder
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
- Comparative role of PET and Kt/V determination in pediatric chronic peritoneal dialysis(2012) WATANABE, Andreia; LANZARINI, Vivian V.; FILHO, Ulisses D.; KOCH, Vera H.Introduction: Nutritional state and growth are considered as prognostic markers of chronic peritoneal dialysis (PD) adequacy in pediatric patients. The euvolemia, blood pressure control, and metabolic and electrolytic equilibrium are parameters to be achieved by PD treatment. Objective: To describe the chronic PD prescription parameters of a cohort of pediatric patients and to compare the obtained hemodynamic, antrophometric and adequacy results with those suggested by the literature. Methods: Retrospective analysis based on clinical records evaluation of 30 pediatric patients undergoing PD for more than 6 months from January 1998 to May 2005. Results: In the present study, 17/30 (56.7%) were boys. Chronic kidney disease was secondary to uropathy in 66.7% of the cases. The infusion volume was > 1,000 ml/m(2) in 9 patients. The peritoneal membrane was characterized as high (27.8%), high-average (33.3%), low-average (22.2%) and low transporter (16.7%). The weekly urea Kt/V was > 2.1 in all the evaluated patients. Blood pressure parameters above the 95th percentile despite the use of antihypertensive medication were observed in 5/30 patients, four of whom with CKD secondary to glomerulopathy. The initial and final Body Mass Index and weight for height ratio were preserved in 83.3% (25/30) patients. Conclusion: Elevated indexes of small solutes removal are easily attained in pediatric PD patients and do not imply optimal clinical management do not imply optimal climanagement.
conferenceObject COLLABORATIVE BRAZILIAN PEDIATRIC RENAL TRANSPLANT REGISTRY (COBRAZPED-RTX): A REPORT FROM 2004-2014(2015) GARCIA, Clotilde; PESTANA, Jose Medina; MARTINS, Suelen; NOGUEIRA, Paulo; BITTENCOURT, Viviane; ROHDE, Roberta; CAMARGO, Maria; CAMARGO, Maria; FELTRAN, Luciana; ESMERALDO, Ronaldo; CARVALHO, Rebeca; SCHVARTSMAN, Benita; VAISBICH, Maria; KOCH, Vera; WATANABE, Andrea; CUNHA, Mariana; MENESES, Rejane; PRATES, Liliane; BELANGERO, Vera; PALMA, Lilian; CARVALHO, Deise; MATUK, Teresa; BENINI, Vanda; LARANJO, Simone; ABBUD FILHO, Mario; FERNANDES, Ida; RAMALHO, Horacio; LIMA, Eleonora; PENIDO, Jose; ANDRADE, Claudia; GESTEIRA, Maria; TAVARES, Marcelo; PENIDO, Mariana; SOUZA, Vandrea De; WAGNER, MarioconferenceObject CLINICAL PROFILE AND OUTCOME OF PACIENTS RECEIVING VENOVENOUS RENAL REPLACEMENT THERAPY IN A TERTIARY PEDIATRIC INTENSIVE CARE UNIT(2015) QUEIROZ, A. R. F. B.; PIMENTEL, L. L.; SOUTINHO, J. L. L.; BALDANZI, G.; WATANABE, A.; KOCH, V. H. K.- Thromboprophylaxis after kidney transplantation in children: Ten-year experience of a single Brazilian center(2021) BEATRICE, Julia Maimone; TAKAHASHI, Marcelo Straus; CELESTE, Daniele Martins; WATANABE, Andreia; KOCH, Vera Hermina Kalika; CARNEIRO, Jorge David AivazoglouBackground Kidney transplantation is the gold standard treatment for children with end-stage chronic kidney disease. Graft thrombosis is an important cause of graft failure, with high morbidity, mortality, and impact on quality of life and to the health system. The role of thromboprophylaxis in this setting is still uncertain. We describe the demographic characteristics and thrombotic risk factors in pediatric renal transplant recipients, determining the rate of renal graft thrombosis, and discuss the role of thromboprophylaxis. Methods This retrospective study reviewed 96 pediatric renal transplantations between 2008 and 2017 in a single hospital. Patients were assigned to one of two groups: children who did not receive thromboprophylaxis after transplantation and those who did. We reported their characteristics, comparing the incidence of graft thrombosis and hemorrhagic complications between the groups. Results Forty-nine patients (51%) received thromboprophylaxis. Thrombosis occurred in 5 patients who did not receive thromboprophylaxis (5.2%) compared with none in the group that did (p = .025). In all patients, renal graft thrombosis resulted in early graft loss. Thirteen patients had hemorrhagic complications. Seven were unrelated to pharmacological thromboprophylaxis (2 major, 1 moderate, and 4 minor bleeding, which either did not receive thromboprophylaxis or had bleeding prior to thromboprophylaxis), while six occurred during heparinization (2 major, 1 moderate, and 3 minor bleeding). There was no significant difference in the rate of hemorrhagic complications between the groups (p = .105). Conclusions The rate of renal graft thrombosis was 5.2%. Thrombosis remains an important cause of early graft loss. Thromboprophylaxis was associated with a reduction in graft thrombosis without increased risk of bleeding.
conferenceObject Nutritional status of pediatric patients on hemodialysis after changing the dietary protocol(2016) WATANABE, A.; SATIVO, C.; KOCH, V.; OHTA, M.; GANDOLFO, A.; ZAMBERLAN, P.conferenceObject Evaluation of thrombophilia in children before renal transplant and outcome of prophylactic anticoagulation post-transplant(2015) CARNEIRO, J. D. A.; WATANABE, A.; KOCH, V. H. K.; SCHVARTSMAN, B. G. S.; GARANITO, M. P.; MESSI, G. B.; NAHAS, W. C.; D'AMICO, E. A.conferenceObject ABPM in children and adolescents with renovascular hypertension(2016) LEITE, B.; BATISTA, G.; SUZUKI, L.; DRAGER, L.; FURUSAWA, E.; KOCH, V.; WATANABE, A.