Characterization of clinical comorbidities and complications in a group of patients undergoing hemodialysis in a reference institution in Medellin, Colombia.
Keywords:
Renal replacement therapy, Renal dialysis, Chronic renal insufficiency, Coninuos renal replacement therapyAbstract
Aim: To characterize the clinical complications and comorbidities presented by patients undergoing hemodialysis in Medellín - Colombia. Materials and methods: Retrospective descriptive observational study, which included hemodialysis patients > 18 years of age who presented some complication associated with the treatment. Non-probabilistic sampling of consecutive cases was carried out. The information was collected from medical records. The analysis was carried out through the IBM SPSS Version 25 program, absolute and relative frequencies were estimated, as well as medians with interquartile ranges. This work had ethical approval. Results: 20 patients were included, of which 60% (12) were male, the median age was 68.5 years and 60% (12) belonged to the subsidized regime. The main pathological antecedents were hypertension in 100% (20), followed by diabetes mellitus in 45% (9). Regarding the replacement therapy time, the median was 25.5 months (Q1: 18.5; Q3: 66). The main associated complications were venous coagulation in 44,4% (12) followed by bleeding in 37% (10) and suspicion of infection in 11.1% (3), most of the bleeding was light. due to decannulation. Conclusion: Renal replacement therapy in general did not represent a high risk of life-threatening complications in patients who underwent it, since most of these adverse effects were considered mild, did not negatively modify quality of life and were easily corrected, similar to that reported in the literature.
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Yepes-Delgado CE, Pérez-Dávila S, Montoya-Jaramillo M, Orrego-Orozco BE. Stage progression and need for renal replacement therapy in a renal protection programme in Colombia. A cohort study. Nefrologia. 2017;37(3):330-37. DOI: 10.1016/j.nefro.2016.11.023
Friedman T, Lopez EE, Quencer KB. Complications in Percutaneous Dialysis Interventions: How to Avoid Them, and How to Treat Them When They do Occur. Tech Vasc Interv Radiol. 2017;20(1):58-64. DOI: 10.1053/j.tvir.2016.11.009.
Ghonemy T, Farag S, Soliman S, Amin E, Zidan A. Vascular access complications and risk factors in hemodialysis patients: A single center study. Alexandria Journal of Medicine. 2016;52(1):67-71. DOI: 10.1016/j.ajme.2015.04.002
Poinen K, Quinn RR, Clarke A, Ravani P, Hiremath S, Miller LM, et al. Complications From Tunneled Hemodialysis Catheters: A Canadian Observational Cohort Study. Am J Kidney Dis. 2019;73(4):467-75. DOI: 10.1053/j.ajkd.2018.10.014.
Masud A, Costanzo EJ, Zuckerman R, Asif A. The Complications of Vascular Access in Hemodialysis. Semin Thromb Hemost. 2018;44(1):57-9. doi: 10.1055/s-0037-1606180.
Yang K, Liu J, Sun J, Zhou Y, Zhao Q, Li S, et al. Proteomic study provides new clues for complications of hemodialysis caused by dialysis membrane. Science Bulletin. 2017. DOI: 10.1016/j.scib.2017.08.026
Yang K, Liu J, Sun J, Zhou Y, Zhao Q, Li S, et al. Proteomic study provides new clues for complications of hemodialysis caused by dialysis membrane. Science Bulletin. 2017. DOI: 10.1016/j.scib.2017.08.026
Arhuidese IJ, Orandi BJ, Nejim B, Malas M. Utilization, patency, and complications associated with vascular access for hemodialysis in the United States. J Vasc Surg. 2018;68(4):1166-74. DOI: 10.1016/j.jvs.2018.01.049.
Gubensek J, Zrimsek M, Premru V, Buturovic-Ponikvar J, Ponikvar R. Temporary Catheters as a Permanent Vascular Access in Very Elderly Hemodialysis Patients: Frequency of Complications and Interventions. Ther Apher Dial. 2016;20(3):256-60. DOI: 10.1111/1744-9987.12433.
Premuzic V, Smiljanic R, Perkov D, Gavranic BB, Tomasevic B, Jelakovic B. Complications of Permanent Hemodialysis Catheter Placement; Need for Better Pre-Implantation Algorithm? Ther Apher Dial. 2016;20(4):394-9. DOI: 10.1111/1744-9987.12397.
Amira CO, Bello BT, Braimoh RW. A study of outcome and complications associated with temporary hemodialysis catheters in a Nigerian dialysis unit. Saudi J Kidney Dis Transpl. 2016;27(3):569-75. DOI: 10.4103/1319-2442.182401.
Yap HY, Pang SC, Tan CS, Tan YL, Goh N, Achudan S, Lee KG, Tan RY, Choong LH, Chong TT. Catheter-related complications and survival among incident hemodialysis patients in Singapore. J Vasc Access. 2018;19(6):602-608. DOI: 10.1177/1129729818765055
Bentata Y, Hamdi F, Al Zaarir H, Abualtayef MT, Haddiya I, Benzirar A, et al. Cutaneous necrosis of the arteriovenous fistula puncture site in chronic hemodialysis: A historical complication or an ever-present threat? A series of 26 cases. Hemodial Int. 2021;25(1):29-34. DOI: 10.1111/hdi.12888.
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