Acesso vascular para hemodiálise: experiência do serviço de nefrologia do Hospital da Cidade de Passo Fundo, RS

Abstract

INTRODUCTION: Chronic kidney disease is considered a worldwide cause of high morbidity and mortality. Approximately 90% of dialysis patients in Brazil receive hemodialysis treatment. The ideal vascular access is one that provides good blood flow, low complications and adequate survival. OBJECTIVE: To describe the prevalence of baseline pathology, age, gender and types of vascular access, and to verify if there is a difference in the quality of hemodialysis based on Kt / V and URR laboratory parameters. METHODS: This was a cross-sectional observational study, whose sample consisted of 81 patients with chronic renal disease on terminal hemodialysis at 370 hemodialysis sessions. The following variables were evaluated through the service database: sex, age, baseline disease, vascular access type, Kt / V value and URR in the period from January to June 2018 of the nephrology sector of the City Hospital of the city of Passo Fundo / RS. RESULTS: The sum of diabetes mellitus and systemic arterial hypertension occupy 70% of the causes of CKD, the most commonly used method of vascular access is the arteriovenous fistula, approximately 78% of the patients. There was no significant statistical difference between the type of vascular access and hemodialysis quality with IC (-0.078 - 0.022) CI (-1.720 - 2.876) results for Kt / V and URR respectively. CONCLUSION: Although the research shows no difference in the types of access, more studies are needed, such as a randomized clinical trial, since this study only serves to raise this questioning.