Tratamento conservador: influência sobre parâmetros clínicos de indivíduos e hemodiálise

Abstract

ResumoO diagnóstico precoce da Doença Renal Crônica (DRC) possibilita a implementação de medidas que adiam a entrada em hemodiálise (HD) e melhoram parâmetros clínicos. O objetivo deste estudo foi analisar as características epidemiológicas e clínicas dos indivíduos com DRC em HD que realizaram ou não tratamento conservador (TC). Foram coletados dados de prontuários médicos de 65 participantes, os quais foram entrevistados sobre diagnóstico e tratamento da DRC. Para análise dos dados, os indivíduos foram divididos entre os que realizaram TC ou não e, quanto ao tempo de TC, menor, igual ou maior que seis meses. A hipertensão arterial e o diabetes mellitus foram as principais causas da DRC, a qual foi diagnosticada, na maioria dos casos, por um nefrologista. A maior parte dos indivíduos que não realizaram tratamento conservador teve diagnóstico da DRC realizado em um hospital. Indivíduos que realizaram TC apresentaram melhores parâmetros bioquímicos, especialmente aqueles que o fizeram por mais de seis meses. O TC, sobretudo, realizado por equipes multidisciplinares, pode contribuir para melhoria dos desfechos da DRC tanto no período pré-dialítico quanto durante o tratamento de HD.Palavras-chave: Insuficiência Renal Crônica. Diálise. Terapêutica. Diagnóstico Precoce. AbstractEarly diagnosis of Chronic Kidney Disease (CKD) leads to the implementation of measures that are delaying undergoing hemodialysis (HD) and improve clinical parameters. The aim of this study was to analyze the epidemiological and clinical characteristics of individuals with CKD who underwent HD or not conservative treatment (CT). Data were collected from medical records of 65 participants who were interviewed about the diagnosis and treatment of CKD. For data analysis, subjects were divided between those who underwent CT or not and as to the time of CT less than, equal to or greater than six months. Hypertension and diabetes mellitus were the main causes of CRD, which were diagnosed, in most cases, by a nephrologist. Most individuals which did not receive a conservative treatment were diagnosed as having CRD in a hospital settting. Individuals who underwent CT showed better biochemical parameters, especially those who did so for more than six months. The TC mainly conducted by multidisciplinary teams, can contribute to improving the outcomes of CKD in both pre-dialysis and during HD treatment. As autoras declaram não haver conflitos de interesse. Keywords

The Caring Costs for Patients Bearing Chronic Kidney Disease (CKD), in a Non-dialytic Phase of a University Hospital / O Custo do Atendimento aos Pacientes com Doença Renal Crônica (Drc), em Fase Não Dialítica de um Hospital Universitário

“…Most are biochemistry, hematology, hormones, urinary and imaging tests. 37 In this research we have found a higher percentage in the number of records of biochemistry exams compared to other exams. It is important to emphasize the necessity of carrying out the laboratory tests for this assisted population, since these results help in the identification and classification of the stage of the disease and says about the hemodynamic balance of the patient, which is necessary to trace the best care practice with the intention of delaying the patient's entrance into dialysis.…”

“…It is important to emphasize the necessity of carrying out the laboratory tests for this assisted population, since these results help in the identification and classification of the stage of the disease and says about the hemodynamic balance of the patient, which is necessary to trace the best care practice with the intention of delaying the patient's entrance into dialysis. 37 In order to control the disease, it is extremely important to associate the results of the exams and the prescription of medication, which aims to control pressure levels, glycemic control, treatment of anemia, disorder of mineral and bone metabolism and dyslipidemia. These measures help in the CKD management.…”