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Vascular accesses for hemodialysis: current situation in the State of Ceará, Brazil.

Authors :
Teixeira Lima, João Kennedy
Teixeira Lima, Sylvia Rannyelle
de Lima Júnior, Antonio Leonel
Gonçalves de Abreu, Ana Carolina
Corrêa, João Antônio
Source :
Revista Brasileira de Crescimento e Desenvolvimento Humano. 2022, Vol. 32 Issue 2, p283-293. 11p.
Publication Year :
2022

Abstract

Introduction: the ideal access for hemodialysis is represented by arteriovenous fistulas both as initial access and in use and are determinants of health care parameters for chronic renal patients. Objective: to evaluate vascular access for hemodialysis. Methods: this is a cross-sectional study, with a sample of 2513 individuals on hemodialysis in Ceará. Data were collected on age, sex, time of treatment, underlying disease, initial access and access in use. The data were divided into two groups, the interior of the state and the Metropolitan Region of Fortaleza, in the State of Ceará, and compared using the Student’s Test (p<0.05). Results: the most common age group was between 19 and 64 years (73%). Men prevailed in both regions, 713 (63%) in the countryside and 792 (57%) in the metropolitan area. The most common cause of Chronic Kidney Disease was Hypertension 306 (27%), followed by Disease of undetermined cause 295 (26%) in the countryside; in the metropolitan region, Diabetes Mellitus 356 (26%) was the main cause, followed by Hypertension and Disease of undetermined cause, each with 344 (25%), p=0.001. In the countryside, 9% started treatment for fistula while in the metropolitan area 12%, p=0.011. 79% of patients in the countryside used fistulas and 81% in the metropolitan area, p=0.156. Conclusion: arteriovenous fistulas are more frequent as initial accesses in the metropolitan region than in the interior, but there is an equivalence of fistulas in use in both regions. Catheter is the main initial access route. The evaluation of vascular accesses in Ceará showed that hemodialysis services are able to maintain good parameters of care for patients with chronic kidney disease. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01041282
Volume :
32
Issue :
2
Database :
Academic Search Index
Journal :
Revista Brasileira de Crescimento e Desenvolvimento Humano
Publication Type :
Academic Journal
Accession number :
157698363
Full Text :
https://doi.org/10.36311/jhgd.v32.13318