Avaliação da força muscular respiratória e função pulmonar em pós-transplantados renais

Abstract

Introduction: Chronic kidney disease (CKD) is a condition that negatively affects several systems, including the respiratory system. The most effective therapy for these patients is transplantation. Thus, we seek to assess respiratory muscle strength and lung function in post-kidney transplant patients. Methods: Cross-sectional study carried out at the Hospital Geral de Fortaleza, including 23 kidney transplant patients. Maximum inspiratory and expiratory pressures (Pimax and Pemax) were analyzed as parameters of respiratory muscle strength (FMR) and Forced Vital Capacity (FVC) and Forced Expiratory Volume in the first second (FEV1) to assess lung function (PF). Results: As for FMR, the Pimax found was 60 ± 10.80 cm/H2O and the predicted 90 ± 20.50 cm/H2O, with 34.7% of participants reaching this value. In relation to Pemax, the value of 77.4 ± 11.2 cm/H2O was found and the predicted value of 100 ± 19.05 cm/H2O, with 8.7% of the participants reaching the predicted value. As for FP, the FVC found was 3.0 ± 1.02 l/min and the predicted 3.7 ± 0.70 l/min, with 21.8% of people reaching the predicted value and the FEV1 found was 2.20 ± 0.80 and the predicted 2.90 ± 1.00, but no participant reached this value. Conclusion: Most of the transplanted patients had values below the predicted individualized normality, for strength and lung function.