Characterization of hemodialysis older adults at Abel Santamaria Cuadrado General Teaching Hospital, 2016-2017

• Main Authors: Leodan Jesús Pérez-Martín, Jersy Díaz-Roja, Miguel Varela-González, Cesar Adrián Blanco-Gómez, Kenia Montoto-Cáceres
• Format: Article
• Language: Spanish
• Published: Universidad de Ciencias Médicas de Pinar del Río 2020-03-01
• Series: Universidad Médica Pinareña
• Subjects: anciano; diálisis renal; unidades de hemodiálisis hospitalarias.
• Online Access: http://www.revgaleno.sld.cu/index.php/ump/article/view/439

Introduction: chronic kidney disease is considered a growing socio-economic and public health problem for all systems worldwide. Objective: characterize hemodialysis older adults at “Abel Santamaria Cuadrado” General Teaching Hospital during 2016-2017. Method: an observational, descriptive cross-sectional study was conducted, the target group was made up of the 139 patients suffering from chronic kidney disease who underwent hemodialysis treatment in the period study, the sample included 53 older adult patients, the data obtained was stored in a database for further analysis and processing, using descriptive statistics to present the results obtained. Results: male sex predominated (66 %), the age group from 65 to 69 (37,7 %). Hypertension was the cause of the utmost prevalence (41,5 %), the type vascular access for hemodialysis most applied in patients was the central venous catheter (60 %), and cardiovascular disease was the clinical characteristic associated with a morbidity and mortality rate of higher incidence (50,9 %). Cardiovascular diseases prevailed as the main causes of death (17 %).  Conclusions: older adults with hemodialysis treatment suffered from diabetes mellitus and/or hypertension as the principal comorbidities, which constitute at the same time, the triggering causes of the disease. The use of central venous catheter was common as a venous access. Cardiovascular diseases constituted the principal causes of mortality.