RT Journal Article
T1 Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office.
T2 Estudio ERCA. Características basales, evaluación de la aplicación de la información estructurada para la elección de tratamiento renal sustitutivo y evolución a un año de los pacientes incidentes en la consulta ERCA.
A1 Guerrero Riscos, María Angeles
A1 Toro Prieto, Francisco Javier
A1 Batalha Caetano, Paula
A1 Salgueira Lazo, Mercedes
A1 González Cabrera, Fayna
A1 Marrero Robayna, Silvia
A1 Santana Estupiñán, Raquel
A1 Álvarez Martín, Carlos
K1 Advanced renal chronic failure
K1 Conservative treatment
K1 Diálisis domiciliaria
K1 Educational process
K1 Elección de tratamiento renal sustitutivo
K1 Enfermedad renal crónica avanzada
K1 Home dialysis
K1 Proceso educativo
K1 Renal replacement therapy modality choice
K1 Tratamiento conservador
AB Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office. Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016. 336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m2; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m2. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P The population of ACRF patients is elder, comorbid, with high rate hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice.
YR 2019
FD 2019-04-23
LK http://hdl.handle.net/10668/13881
UL http://hdl.handle.net/10668/13881
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DS RISalud
RD Apr 16, 2025