TORRES, S. M.; http://lattes.cnpq.br/3960829755560836; TORRES, Sarah Monte.
Résumé:
Chronic kidney disease (CKD) consists of a clinical syndrome caused by the loss of
progressive and usually irreversible renal function. Initial treatment may be
conservative, however, when this is not effective, initiation of therapy is indicated.
dialysis, with hemodialysis being the most used. For this, it is essential to
maintenance and preservation of vascular accesses, as they are essential in the
renal regulation of dialysis services and problems related to these
These elements lead to decreased survival and increased number of infections.
This study aimed to profile the vascular accesses of patients with kidney disease.
submitted to hemodialysis in the city of Cajazeiras. It is a survey
cross-sectional quantitative approach. The study population consisted of all
individuals with CKD in a total of 50 patients undergoing hemodialysis in the
institution: Nephron Ca. Hemodialysis Clinic, in the municipality of Cajazeiras-PB. The
data obtained: age, gender, hemodialysis time, number of arteriovenous fistulas,
number of venous catheters, underlying disease and time of last patent access,
were analyzed based on absolute frequencies, percentages and tests
statistical. The most prevalent diseases found were hypertension and
diabetic nephropathy. Most of the accessions obtained were arteriovenous fistulas, in
42 patients (84%), the short-term characteristic catheter being the choice of
access to the 8 (16%) patients who completed the sample. The localization
The most prevalent among the fistulas was the left radiocephalic, 30 in all and among
the catheters, the right femoral vein and the right jugular vein stood out, with 3
patients presenting them in each of these locations. The number of
patients requiring only one fistula was 52% in total and the mean time
fistula use was 63.48 ± 59.04 months. With regard to catheters, the average of
time of use was 3.72 ± 3 months between 6 days and 10 months. The work shows
that the data provided are consistent with what societies and consensus
nephrology establish for vascular accesses, just not respecting the time
of use of temporary catheters.
