CHALEGRE, C. M. S.; SIQUEIRA, H. G. F.; ALMEIDA, T. D. R.; ALMEIDA, THIAGO DANILLO RODRIGUES DE; FEITOSA, V. A.; FEITOSA, VALKERCYO A.; FEITOSA, VALKERCYO A.; http://lattes.cnpq.br/5362648733186862; http://lattes.cnpq.br/3707487415779368; http://lattes.cnpq.br/9334071101578610; http://lattes.cnpq.br/0398166603412236; CHALEGRE, Cibelly Mayza da Silva.; SIQUEIRA, Hítalo Glauco Fernandes.; ALMEIDA, Thiago Danillo Rodrigues de.; FEITOSA, Valkercyo Araújo.
Resumo:
The increasing prevalence of non-communicable chronic diseases such as
hypertension and diabetes mellitus represents the most important risk factors that
contribute to the increased incidence of Terminal Chronic Renal Failure. Those
diseases are important because they are a global public health problem, due to its
high prevalence and morbimortality. Renal Replacement Therapy (RRT) is an
essential treatment for such patients, hemodialysis is the main form of RRT used
throughout the world. In Brazil, there is a nationwide lack of data that could
contribute to monitoring the population in RRT. Therefore the main objective of this
study was to characterize the epidemiological profile of the patients with chronic
renal failure under hemodialysis treatment in the city of Campina Grande-PB. In
order to reach this purpose, a Cross-sectional study was conducted in the four
dialysis services of the city of Campina Grande-PB with 410 randomly selected
participants. sociodemographic, clinical and biochemical records were collected.
Of all patients, 59% were male, 41.7% were between 40-60 years old, 53.2% were
married or in a stable relationship. Among them, 99.5% depended on the Sistema
Único de Saúde (SUS-National Health System). Low level of formal education was
present in 24.6% of the patients. Arteriovenous fistula was the most used method
of access in 94.1%. The presumptive etiologies were hypertensive nephrosclerosis
(45.1%), diabetic nephropathy (16.5%), undetermined causes (17.8%),
glomerulopathies (6.1%), polycystic disease (4.1%) and others (10.4%). The Kt/V
was appropriate in 88% and the albumin values were low in 37.3% of the patients.
Secondary hyperparathyroidism was present in 30.6% of them, and despite the
use of erythropoietin, low hemoglobin levels (<10 g / dL) were observed in 48.7%
of those patients. This study determined the profile of the patients submitted to
hemodialysis in the city of Campina Grande- PB, and may subsidize new studies
for monitoring epidemiological transitions population, underscores the need for
greater rigor to achieve the targets recommended by K/DOQI for bone metabolism
and hemoglobin levels.