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RISS 인기검색어
- 검색키워드
- 저자 : ( Miguel Angel Flores Caballero ) (검색결과 1 건)
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( Hector Raul Ibarra Sifuentes ),( Victor Ivan Segura Huicochea ),( Perla Rocio Colunga Pedraza ),( Miguel Angel Flores Caballero ),( Jose Guadalupe Martinez Jimenez ),( Concepcion Sanchez Martinez ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Patients on hemodialysis have a death rate adjusted for age four to fi ve times higher than the general population, so early nephrology referral affects survival, also the presence of hypoalbuminemia, hyperphosphatemia, and anemia. Methods: Descriptive, observational, prospective, Unicentric Trial, involved patients with ESRD who entered the emergency area in a teaching hospital, indicating Interventional Hemodialysis (HI), which were studied for 90 days; Demographic, clinical and laboratory data were collected. Patients were followed by phone call and meeting at 30, 60 and 90 post-HI days. Statistical analysis were realized with SPSS 18 for Windows, performed descriptive statistics and survival by Kaplan-Meier was conducted. Results: In this trial were included 41 patients, mean age 50.59 years (range 17-76 years), 23 men (56.1%). The rating for nephrologist was recorded in 9 (22%). The data results were Albumin, 2.88 ± 0.57 mg/dL, phosphate, 9.48 ± 2.90 mg/dL, Hemoglobin 7.22 ± 1.42 g/dL. From the total of patients, 15 (36.6%) died within 90 days; of which 9 (60.9%) were men; Albumin levels were lower in those who died when compare with the living (2.79 vs 2.93), phosphate levels were higher when compare to living (9.97 vs 9.20); and the level of Hb was higher in those who died (7.5 vs 7.0). Survival rates at 30, 60 and 90 days were 92.7%, 85.4% and 63.4% respectively. Conclusions: Mortality found in this study is high compared with reported worldwide. When the nephrologist referral was analyzed, patients who died were the same as the number of patients without prior reference. Hypoalbuminemia and hyperphosphatemia correlate with mortality, as demonstrated in previous studies. Importantly, in our population, patients who died, had a higher hemoglobin level when compare with survivors.
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