Epidemiological characteristics of patients starting chronic hemodialysis in the Alberto Sabogal Sologuren Hospital 2015
DOI:
https://doi.org/10.24265/horizmed.2016.v16n2.02Keywords:
Chronic kidney disease, Hemodialysis, EpidemiologyAbstract
Objective: To identify the epidemiological characteristics of patients starting chronic hemodialysis during 2015 in the Alberto Sabogal Sologuren, EsSalud Hospital. Callao, Peru. Material and Methods: Observational and descriptive cross-sectional study. The study population consisted of 30 patients who started chronic hemodialysis therapy in the Alberto Sabogal Sologuren, Hospital EsSalud. Information was obtained through a form developed by the researcher through two sources; medical history and by reference of the same patient and / or family. The main epidemiological variables collected were: personal and clinical data, emphasizing the latter on the previous control in pre dialysis stage, that is, if the patients had some preparation by a team of renal dialysis health professionals for their scheduled entry for dialysis. Results: The mean age was 62.3 years, and 53.3% of patients were older than 60 years. The mode of admission was by emergency: 73.3%, and 13.3% for surgery and hospitalization. The type of access used 86.7% temporary catheter; 10% arteriovenous fistula and 3.3% tunneled catheter. Diabetes and hypertension with 36.7% and 33.3% respectively were the most common causes of CKD. Conclusion: Half of patients, who started hemodialysis were beyond the sixth decade of life and came in poor clinical, gasometry and biochemical conditions. A large proportion of patients admitted for emergency rooms with the consequent negative impact on the economy and survival of patients. The most common vascular access for hemodialysis was the temporary catheter.
Downloads
References
Jha V., Garcia-Garcia G, Iseki K et al. Chronic kidney disease: global dimension and perspectives. Lan Cet. 2013;(382): 260-72.
Lugon JR (primero), Strogoff de Matos JP. Disparities in endstage renal disease care in South America. Clin Nephrol. noviembre de 2010;74 Suppl 1:S66-71.
Cusumano AM, Gonzales MC, García García G, et. al. Latin American Dialysis and Renal Transplant Registry: 2008 Report (data 2006). Clin Nephrol. 2010;74(Suppl 1).
Sociedad Peruana de Nefrología. Microalbuminuria en pacientes adultos ambulatorios sin control nefrológico y con factores de riesgo de enfermedad renal crónica en Servicios de Nefrología de Perú. Nefrol Madr [Internet]. 2012 [citado 19 de octubre de 2015];32(2). Recuperado a partir de: http://scielo.isciii.es/scielo.php?pid=S0211-69952012000200009&script=sci_arttext
Yesid Coronado C, Lombo JC, Correa I, Quintero N. Características clínicas y demográficas de los pacientes incidentes en diálisis crónica y su relación con el ingreso programado a diálisis. Acta Médica Colomb. 2013;138-42.
Alcázar Arroyo R, Albalate M. Nuevas fórmulas para estimar el filtrado glomerular: Hacia una mayor precisión en el diagnóstico de la enfermedad renal crónica. Nefrol Madr. 2010;30(2):143-6.
Alarcón JC, Lopera JM, Montejo JD, Henao CM, Rendón G. Epidemiologic profile of patients in dialysis, CTRB and RTS, Medellin branch 2000-2004. Acta Médica Colomb. 2006;31(1).
Pinar Martinez, Enrique. Cuidados de enfermería en pacientes con enfermedad renal crónica en fase aguda. [España]: Universidad Católica de Murcia; 2014.
Sanabria M, Muñoz J, Trillos C, Hernández G, Latorre C, Díaz CS, etal. Dialysis outcomes in Colombia (DOC) study: a comparison of patient survival on peritoneal dialysis vs hemodialysis in Colombia. Kidney Int Suppl. abril de 2008;(108):S165-72.
Alvarez Perez, Rosario, Velasco Ballesteros, Sonia. La consulta de predialisis de enfermería: logros y oportunidades de mejora. Rev Soc Esp Enferm Nefrológica. 2007;10(3): 166-71.
Azevedo LM, Calero RR, Chávez E, Gonzáles B, Bayo MA, Hernández SB, etal. ¿Cómo inician hemodiálisis los pacientes en nuestro hospital? Diálisis Traspl Publ Of Soc Esp Diálisis Traspl. 2015;36(2):60-60.
Avila-Saldívar María. Enfermedad renal crónica: prevención y detección temprana en el primer nivel de atención. Med Interna México. 2013;29(2):148-53.
Teruel JL, Burguera Vion V, Gomis Couto A, Rivera Gorrín M, Fernández-Lucas M, Rodríguez Mendiola N, etal. Elección de tratamiento conservador en la enfermedad renal crónica. Nefrología. mayo de 2015;35(3):273-9.
Lombardo, M., Andrade, L, Demicheli, H, San Martín, C, Lancestremere, G, Blanco, C, etal. Situación actual de la anemia asociada a enfermedad renal en una muestra poblacional de pacientes con deterioro de la función renal, sin requerimientos de diálisis en la República Argentina - estudio APREDIA. Rev Nefrol Dialisis Transpl. 2014;34(3): 112-22.
Cases-Amenós A, Martínez-Castelao A, Fort-Ros J, BonalBastons J, Ruiz MP, Vallés-Prats M, etal. Prevalencia de anemia y su manejo clínico en la enfermedad renal crónica estadios 3- 5 no en diálisis en Cataluña: estudio MICENAS I. Nefrol Madr. 2014;34(2):189-98.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 Horizonte Médico (Lima)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Horizonte Médico (Lima) (Horiz. Med.) journal’s research outputs are published free of charge and are freely available to download under the open access model, aimed at disseminating works and experiences developed in biomedical and public health areas, both nationally and internationally, and promoting research in the different fields of human medicine. All manuscripts accepted and published in the journal are distributed free of charge under the terms of a Creative Commons license – Attribution 4.0 International (CC BY 4.0).