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- Title
ASSISTÊNCIA AO PACIENTE RENAL ANTES DO INÍCIO DA HEMODIÁLISE: ESTUDO RETROSPECTIVO.
- Authors
de Paula, Paulo Henrique Alexandre; Santos, Paulo Roberto; Salles Júnior, Luiz Derwal; de Araújo Dias, Maria Socorro; da Costa Pinheiro, Patrícia Neyva; Fernandes da Costa, Maria Izabelly
- Abstract
INTRODUCTION: the monitoring of renal patients before the start of hemodialysis is an important element for the implementation of preventive measures that delay or interrupt the progression to more advanced stages of the di sease. OBJECTIVE: to evaluate primary and tertiary care for people with Chronic Kidney Disease before hemodialysis. METHODS: retrospective, documentary, quantitative study with 35 renal patients who started hemodialysis in Sobral - Ceará, Brazil. Data were collected between January and March 2015. An instrument was used to outline the socioeconomic profile, laboratory data, etiology of chronic kidney disease, type of vascular access, and degree of comorbidity. In the Family Health Strategy, we sought to collect data on the number and dates of consultations, creatinine levels, qualitative urine tests, and referral to nephrologist. Data were analyzed using descriptive statistics. RESULTS: of the 35 patients, 19 (54.3%) were women and 16 (45.7%) men, with a mean age of 58.8 ± 17.7 years. Of the total, 22 (62.8%) were consulted in the Family Health Strategy before the start of hemodialysis. Of these, only 6 (22.3%) had their renal function assessed and 4 (18.1%) consulted a nephrologist. The time elapsed between the first consultation at the FHS and the start of hemodialysis was 2.5 days (median) and between the first consultation with a nephrologist and the start of hemodialysis, 273.5 days (median). The interval of 2.5 days indicated the start of urgent renal replacement therapy. CONCLUSION: chronic kidney disease is not screened in the majority of patients monito red by the FHS and few are seen by a nephrologist before starting hemodialysis
- Subjects
BRAZIL; CHRONIC kidney failure; TERTIARY care; RETROSPECTIVE studies; QUANTITATIVE research; FAMILY health; PRIMARY health care; DESCRIPTIVE statistics; HEMODIALYSIS; FAMILY services
- Publication
Ciencia, Cuidado e Saude, 2020, Vol 19, p1
- ISSN
1677-3861
- Publication type
Article
- DOI
10.4025/ciencuidsaude.v19i0.50407