The Health Ministry attends Peruvian population without social security and without a national dialysis program. Attention is limited to a few hospitals with dialysis centers. objectives: To determine mortality in the first hospitalization for dialysis in a population without social security. design: Descriptive study. Setting: Hospital Nacional Dos de Mayo, Lima, Peru. Patients: Patients with chronic renal disease. Interventions: We studied patients who started dialysis from January to December, 2012. We described averages, percentages, standard deviations. Main outcome measures: Clinical characteristics of patients starting dialysis. results: In 105 patients studied mean age was 55.5 years, 62.9% were men. Most common etiology was not determined (39.1%) followed by diabetic nephropathy (31.4%); 71.7% were not previously attended at our hospital; 46.7% knew their diagnosis of chronic ki...

Background: Failing to attend a monthly session within a scheme of conventional dialysis may increase mortality by 30%. Objectives: To describe the frequency and perceived causes of non-adherence to dialysis in a Peruvian national reference public hospital. Design: Descriptive study. Setting: Nephrology department, Hospital Nacional 2 de Mayo, Lima, Peru. Participants: Patients with more than one year on dialysis. Interventions: The number of absences to appointed sessions was determined and a validated questionnaire was used to describe perceptions regarding the causes of absences. Main outcomes measures: Low adherence to dialysis defined as patients with more than one absence per month or more than 12 absences between July 2012 and July 2013. Results: The study included 54 patients, of which 27 were male. Average age was 57 ± 16.4 years and average time on dialysis was 40.6 ± 11.5 mo...

Introduction: Acute kidney injury on dialysis has high mortality in hospitalized patients especially in ICU and there are no updatedstudies in our country. Objectives: To describe characteristics of acute kidney injured patients on dialysis at a general hospital. Design:Descriptive single center observational study. Setting: Hospital Nacional Dos de Mayo, Lima, Peru. Patients: Acute kidney injured (AKI)patients on dialysis. Interventions: We studied patients with AKI on dialysis from January to December, 2012. We described averages,percentages, standard deviations. Main outcome measures: Clinical characteristics of patients with AKI on dialysis. Results: Forty-threeacute kidney injured cases on dialysis were reported. Average age was 58.5 years (SD: 16.6), 28 were male, 20 patients (46.5%) werefrom ICU. The main cause of dialysis admission was oligoanuria (60.5%) followed by uremic encep...

Hyperkalemia (HK) is a common and potentially fatal emergency services (1) pathology. As a result, timely and appropriate care, the same as in the context of a structure of limited attention by cumbersome bureaucratic processes and overcrowding emergency services-as presented in the hospitals of the Ministry of Health (MOH) is required - can translate into delayed diagnosis and initiation of therapy as well as in poor therapeutic indications with complications resulting in patient death (2).

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