“Factores que inciden sobre las complicaciones de accesos vasculares en los pacientes de la Unidad de Hemodiálisis Reynadial del 2021 - 2022.”

Abstract

Background: Characterization of the variables associated with complications and death in patients in a hemodialysis program. Materials and methods: A retrospective cohort study, in patients with chronic kidney disease in a Reynadial SA renal hemodialysis unit in Ecuador between January 2021 and 2022. A sample of 342 patients was collected, which according to the inclusion criteria 153 patients were selected. total. Results: An increase in mortality related to a decrease in serum albumin and potassium values was found, with a mean of 4.7 (SD 0.7; p 0.018) for potassium and a mean of 3.5 (SD 0 .5, p 0.021) for serum albumin, in relation to mortality at one year. RR for patients with AV fistula and mortality of 0.36 (95% CI 0.15-0.85), and 3.25 (95% CI 1.42-7.40) for patients with temporary catheter and mortality with a Kaplan-Meier curve showing a 12-month survival of 87.6%. Conclusions: Chronic kidney disease is an entity on the rise. In our population, age, renal function and hemoglobin levels are not related to early death, but are related to potassium concentration and albumin levels, with respect to vascular access. the AV fistula is related to greater survival.