¿Cuándo iniciar diálisis en la insuficiencia renal aguda en pacientes críticos?

García, Eva Rodriguez; Santos, Julio Pascual

doi:10.1016/j.nefro.2016.12.002

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Anteriormente la técnica empleada para la diálisis constaba de la hemofiltración arteriovenosa continua, que eliminaba líquidos intracelulares en pacientes resistentes a diuréticos, resultando beneficioso en la salud de algunos pacientes. Han trascurrido varios años de estudios y actualización de conocimientos para ir modificando hasta llegar a las técnicas más adecuadas a las demandas actuales; por lo que la técnica arteriovenosa es sustituida por la técnica veno-venosa más la implementación de las bombas peristálticas, técnicas de ultrafiltración, hemofiltración, la hemodiafiltración y hemodiálisis continua 3 .…”

Section: Introductionunclassified

Manejo de enfermería en pacientes sometidos a terapia continua de remplazo renal

Ramírez-Palacios,

Rodríguez-Plascencia,

Romero-Fernández

et al. 2023

Vida y Salud

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Objetivo: analizar el manejo de enfermería en pacientes sometidos a terapia continua de remplazo renal. Método: Revisión documental. Resultados y conclusión: Se han identificado que para el manejo de la IRA en pacientes críticos es el TRRC, siendo el más utilizados a nivel mundial, los estudios realizados en diversos artículos no muestran una amplia heterogeneidad en variables como son los criterios de inclusión o el momento de inicio de la TRRC, con el paso del tiempo las modalidades de la terapia en diálisis han avanzado buscando el método más adecuado para el paciente y tenemos las siguientes modalidades (UFVVLC, HFVVC, HDVVC o HDFVVC) y ajustando la dosis de diálisis utilizada han demostrado ser, al menos, tan eficaces y seguras como sus alternativas.

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Section: Introductionunclassified

Manejo de enfermería en pacientes sometidos a terapia continua de remplazo renal

Ramírez-Palacios,

Rodríguez-Plascencia,

Romero-Fernández

et al. 2023

Vida y Salud

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“…Complications during hemodialysis sessions are frequent, with high levels of dependence, a high degree of comorbidity and low survival rates, compared to young patients. 2,[5][6][7][8][9] While general mortality in hemodialysis is 15%, it exceeds 20% in patients older than 75 years. The most frequent causes are cardiovascular ones, followed by the infectious causes.…”

Section: Introductionmentioning

confidence: 99%

“…Attending the elderly in hemodialysis also involves main differences in medical and socioeconomic terms. Complications during hemodialysis sessions are frequent, with high levels of dependence, a high degree of comorbidity and low survival rates, compared to young patients 2,5–9 . While general mortality in hemodialysis is 15%, it exceeds 20% in patients older than 75 years.…”

Section: Introductionmentioning

confidence: 99%

Cohort study with patients older than 80 years with stage 5 chronic kidney failure on hemodialysis vs conservative treatment: Survival outcomes and use of healthcare resources

et al. 2020

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Renal replacement treatment has not been generalized to the elderly for different reasons. The main objective of the present cohort study is to compare survival in patients older than 80 years with chronic kidney disease stage 5 on renal replacement treatment with those on conservative treatment. The use of healthcare resources is compared too. A Cox proportional hazards regression analysis was run with the outcome variable death during the follow‐up period. The independent variables were treatment type, age, gender, smoking habit, serum albumin, hemoglobin, Charlson Index, diabetes mellitus, arterial hypertension, ischemic cardiopathy, and neoplasm. For outcome variable “death,” renal replacement treatment obtained a hazard ratio of 0.273 (P .006, CI95% 0.108‐0.686) vs conservative treatment. In conclusion, patients older than 80 years with chronic kidney disease stage 5 on renal replacement treatment presented a lower mortality risk than those receiving conservative treatment. Comorbidity and age are both associated with mortality, but do not cancel out the survival advantage. In healthcare resources, the renal replacement treatment group made greater use of tests, medical visits and consumption of hospital dispensing drugs, but there were no differences with respect to the days of hospital admission or assistance in home hospitalization.

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Influence of early hemodialysis on the septic acute kidney injury outcome

Queiroz¹,

Bacci

2022

Rev. esc. enferm. USP

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Objective: to analyze the influence of early hemodialysis on the outcome of acute septic kidney injury. Method: this is an observational, analytical, prospective study with patients diagnosed with acute septic kidney injury on hemodialysis. A questionnaire for data collection was used as an instrument. We used the Shapiro-Wilk, nonparametric Kruskal-Wallis, Mann-Whitney U, Student t and chi-square tests for analysis. Results: of the 40 patients analyzed, 60% were male, with a mean age of 55 (±16.8) years, and length of hospital stay of 43 (±26.2) days. When separating patients undergoing early and late hemodialysis into two groups, an increase in serum creatinine (p = 0.001) was observed in those who underwent late hemodialysis, however, creatinine ≥ 4mg/dl is one of the characteristics of this group. In both groups, there was a high mortality: 62.5% (10) in the early hemodialysis group and 41.7% (10) in the late hemodialysis group, with vasopressor use (p = 0.001) being the main risk factor. Conclusion: early onset of hemodialysis in acute septic kidney injury based on KDIGO definitions did not influence the outcome. However, vasopressor use associated with hemodialysis in septic patients was a predictor of death.

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¿Cuándo iniciar diálisis en la insuficiencia renal aguda en pacientes críticos?

Cited by 4 publications

References 19 publications

Manejo de enfermería en pacientes sometidos a terapia continua de remplazo renal

Manejo de enfermería en pacientes sometidos a terapia continua de remplazo renal

Cohort study with patients older than 80 years with stage 5 chronic kidney failure on hemodialysis vs conservative treatment: Survival outcomes and use of healthcare resources

Influence of early hemodialysis on the septic acute kidney injury outcome

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