CARTA AL EDITOR
REVISTA DE LA FACULTAD DE MEDICINA HUMANA 2021 - Universidad Ricardo Palma10.25176/RFMH.v21i4.4084
THE REALITY OF PATIENTS IN HEMODIALYSIS BEFORE COVID 19 PANDEMIC
LA REALIDAD DEL PACIENTE EN HEMODIALISIS ANTES DE LA PANDEMIA COVID 19
Mónica Vásquez Bambaren1,a, Víctor Soto-Caceres1,a,c, Victor Serna-Alarcón2,a,b
1. Faculta de medicina humana Universidad San Martín de Porres
2. Faculta de medicina humana Universidad Privada Antenor Orrego
a Surgeon
b Doctor in clinical and translational research
c Doctor of Medicine
Mr. Editor
In a pilot test carried out in the department of Lambayeque (Peru) about the profile of patients who entered hemodialysis for the first time with grade five chronic kidney disease (CKD 5), evidence was found different from other Latin AmericanThe treatment modality for CKD 5 patients increased through hemodialysis according to the Latin American Registry of Dialysis and Kidney Transplantation from 2000 to 2008. In Peru, 84.75% of patients are registered with this form of treatment still in force in our country and others(1).
During admission to hemodialysis, the majority of patients are people with low socioeconomic status. In this population, health promotion and prevention is not intensified, being more susceptible to non-communicable chronic diseases (2).
When these patients are admitted to hemodialysis for the first time, the clinical assessment is essential but epidemiological references must also be taken into account in order to have a better management. In laboratory tests, they are admitted with a hematocrit less than 30%, albumin less than 3.5 g / dl and with positive hepatitis C; the most common vascular access is venous catheter (3). However, the pilot provides that the age, gender and vascular access coincide but the predominant causes are firstly arterial hypertension and secondly, diabetic nephropathy with a reason for admission of diabetic encephalopathy in the majority, being this last data where several studies do not take it into account; In the laboratory tests, a hematocrit of 23.53%, hemoglobin of 7.82, albumin of 3.12 gr / dl, creatinine of 11.17 and non-reactive to hepatitis C was found, reinforcing the information from the pilot, in a public hospital in our country in 2018 , where it is obtained that in terms of sex it is slightly higher in men than in women, the age is less than 60 years, the causes are according to predominance as described above and in the case of hemoglobin it is less than 7g / dl (4).
In conclusion, the patient who is admitted to CKD 5 hemodialysis for the first time should be treated in an interdisciplinary manner through practical strategies by health personnel, especially by nephrologists, since this will allow, in the medium term, to be able to train the first level of care to thus avoid patients do not arrive in inadequate conditions to the emergency; and in the same way, information can be updated to keep track of reality and thus establish a health policy that helps to improve current management.
Authors' Contributions: MVB, VSA have participated in the conception of the article, the
data collection, its writing, VRSC carried out the approval of the final version in addition to
contributing in the final writing.
Financing: Self-financed
Conflicts of Interest: The authors declare no conflict of interest.
Received: August 15, 2021
Approved: September 04, 2021
Corresponding author: Victor Serna Alarcón
Address: Mz C lote 28 Urb. Ingeniería, Trujillo.
Cellphone: 969444641
Email: victor.serna.alarcon@gmail.com
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