CHARACTERISTICS OF ADMISSION TO HEMODIALYSIS OF THE PATIENT WITH CHRONIC KIDNEY DISEASE IN SANTA CRUZ-BOLIVIA: A DESCRIPTIVE AND ANALYTICAL OBSERVATIONAL MULTICENTER CROSS-SECTIONAL STUDY

E-Poster

https://storage.unitedwebnetwork.com/files/1099/187852d00f198cea250bc5d353205a9f.pdf

Abstract Title

First Name *

Enzo

Last Name *

Vera Chavez

Co-author 1

Daniela Beltran dradaniela.beltran@gmail.com Villa 1ero de Mayo Municipal Hospital Nefrologia Santa Cruz de La Sierra

Co-author 2

Melissa Vidal Peña melissavidal9211@gmail.com Davosan Hemodialysis Santa Cruz de La Sierra

Co-author 3

Katherin Rios Justiniano katitariosjust@gmail.com San Juan De Dios University Hospital Hemodialysis Santa Cruz de La Sierra

Co-author 4

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Co-author 7

Co-author 8

Co-author 9

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Introduction

Chronic kidney disease (CKD) has become a global public health issue. Admission characteristics of hemodialysis (HD) are determinants of the morbimortality of this population.

Methods

Admission mode to HD, demographics, comorbidities, vascular access, and awareness about their disease data was collected by surveys and medical records (MR) were performed in Santa Cruz from multicenter HD services from the Single Health System (SUS) and Social Security (SS) from September to October 2023.

Results

A total of 301 patients with an average age of 53.3 years, 51% were male. The age group with the highest prevalence was 40 to 65 years of age. 75.5% belong to the SUS and 24.5% to the SS. The most common pathological antecedents are diabetes (DM) 62.7% and hypertension (HTN) 44.1%.
Of the 68.1% of the patients who knew they had CKD, within one year before HD, 83% had a consultation with a nephrologist. Of the 31.9% of patients who did not know that they had CKD; 16.9% were followed by other specialties and general medicine; however, none of the cases were referred to nephrology. 33.4% of patients used traditional medicine as treatment.
Concerning the admission mode to HD, only 11% of patients were scheduled, of which 9.3% had an arteriovenous fistula (AVF), and 89% were admitted by emergency with a venous catheter.
104 MR were accessed from the HD reception of SUS patients; no MR was obtained from SS, and 16% of these patients had criteria for severe anemia and transfusion requirements. However, of the 301 patients, 39% recalled having been transfused. 29.5% were aware of PD, and 56.4% knew about kidney transplants.

Conclusions

In the region, the largest age group in HD is between 41 and 65 years old. Despite a large percentage of patients who consult with nephrology, the most common form of HD initiation was through emergency and via venous catheter, leading to higher morbidity and mortality rates. It is crucial to take these factors into account when planning the most suitable intervention aimed at monitoring patients with CKD in order to reduce the incidence of unplanned hemodialysis.

There are no conflicts of interest.

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