Roberto Alcázar Arroyo, Luis M ª Orte Martínez, Alfonso Otero González
Chronic Kidney Disease (CKD) is, like other chronic diseases, a major public health problem, both for its high incidence and prevalence, for its high morbidity and mortality and socioeconomic cost.
Advanced Chronic Kidney Disease (ERCA) includes stages 4 and 5 of the classification of CKD. Is therefore defined as chronic kidney disease that causes severe decrease in glomerular filtration rate (GFR <>
Chronic Kidney Disease (CKD) is, like other chronic diseases, a major public health problem, both for its high incidence and prevalence, for its high morbidity and mortality and socioeconomic cost.
Advanced Chronic Kidney Disease (ERCA) includes stages 4 and 5 of the classification of CKD. Is therefore defined as chronic kidney disease that causes severe decrease in glomerular filtration rate (GFR <>
In each health area should protocolized joint monitoring between primary care and nephrology (Strength of Recommendation C). The creation of multidisciplinary units ERCA including nephrologists, nephrology nurse, dietitian and social worker, can comprehensively address the different aspects of the treatment of patients with ERCA, being cost-effective (Strength of Recommendation B).
. M. López Gómez
In most units of hemodialysis (HD) acts les, two of the most important problems that exist are the vascular access and the gradual increase in the incidents elderly patients. Both are risk factors of mortality and morbidity, requiring frequent hospital admissions in and involving a very remarkable health costs. The aim of this review is to show the most interesting studies published in 2007 on these two aspects.
Around vascular access for hemodialysis, a very worrying is the progressive increase in the percentage of incident and prevalent patients dialyzed with indwelling catheter, knowing that the catheter is a risk factor for major morbidity and mortality. The objectives of the dialysis units should be directed to-nuir decrease the percentage of catheters and early detection of arteriovenous fistulas at risk of thrombosis.
In recent years, the incidence of very elderly patients is experiencing a stable increase in stresses. This type of patient has a high rate of morbidity and mortality. The great challenge for nephrologists is to know which are the patients who truly can benefit from dialysis treatment.
addition, these patients presents some characteristics different from the rest of the general population on dialysis, requiring the adoption of different clinical criteria.
In most units of hemodialysis (HD) acts les, two of the most important problems that exist are the vascular access and the gradual increase in the incidents elderly patients. Both are risk factors of mortality and morbidity, requiring frequent hospital admissions in and involving a very remarkable health costs. The aim of this review is to show the most interesting studies published in 2007 on these two aspects.
Around vascular access for hemodialysis, a very worrying is the progressive increase in the percentage of incident and prevalent patients dialyzed with indwelling catheter, knowing that the catheter is a risk factor for major morbidity and mortality. The objectives of the dialysis units should be directed to-nuir decrease the percentage of catheters and early detection of arteriovenous fistulas at risk of thrombosis.
In recent years, the incidence of very elderly patients is experiencing a stable increase in stresses. This type of patient has a high rate of morbidity and mortality. The great challenge for nephrologists is to know which are the patients who truly can benefit from dialysis treatment.
addition, these patients presents some characteristics different from the rest of the general population on dialysis, requiring the adoption of different clinical criteria.
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