Características clínico-epidemiológicas de pacientes que ingresan a terapia sustitutiva modalidad hemodiálisis pediátrica. Unidad de nefrología de la Ciudad Hospitalaria Enrique Tejera. Valencia, Estado Carabobo. Enero 2008- diciembre 2015

Abstract

Hemodialysis is a dialysis replacement therapy frequently used in pediatrics; It is for this reason that this research arises to know clinical epidemiological characteristics. General Objective: To analyze the clinical and epidemiological characteristics of patients entering pediatric hemodialysis substi- tute therapy treated at the Nephrology Unit of the Enrique Tejera Hospital City of Valencia, Carabobo State, from January 2008 to December 2015. Methodology: Observational, descriptive study, Non-experimental, cross-sectional, retrospective, the population consisted of pediatric patients in chronic renal disease stage DV, sampled by 21 patients in hemodialysis modality. Results: The male gender is the most affected, being these adolescents of rural origin with 67%; The etiologic cause of CKD and that led to hemodialysis was the nephrotic syndrome 23.3% in turn the clinical manifestations were: dizziness, hypotension, paresthesia, headache and vomiting in male adolescents 47.6% and in female school-age with a 19%. While the metabolic complications were hypocalcemia and hypophosphatemia in adolescent males with 48% and only hypocalcemia in preschool and schoolgirls with 9.6%. Regarding the vascular access employed, it was of temporal type with anatomical right jugular location with 20.7%, and relative to the half-life of the catheter was 3 months or less with 42.9%. Conclusion: Male adolescents are the most frequently found in hemodialysis, presenting clinicalmetabolic complications such as dizziness, hypotension, hypocalcemia and hypophosphatemia, as well as the most frequent vascular access is the temporal one with a half-life less than and equal to 3 months