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...

Objective: To assess the development of acute renal failure in patients undergoing elective surgery for benign prostate hypertrophy. Material y Method: The study was performed in patients from the Urology Service in 2 de Mayo National Hospital from September 22011 to February 2012. The AKIN definition was used for acute renal failure and data was collected from clinical records. The description used means, standard deviations, percentages, and rates. In order to find an association between the occurrences of acute renal failure categorical variables, bivariate and multivariate logistic regression tests were used. Results: One hundred and twenty three patients were assessed; their average age was 69,29 ± 8,27 years. Hypertension was reported in 23,58% and diabetes mellitus was found in 8,94%. Urinary outlet obstruction was found in 4,07%. Their average weight was 66,94 ± 14,2 Kg, hemogl...

Introduction: In Peru there are different hospitals and university programs for training of specialists in nephrology. Objective: To assess the perception of physicians who attend such programs. Methods: We carried out a descriptive cross-sectional national-level study in physicians who were in the last two years of nephrology training during February 2012 and who had graduated from it in 2010 and 2011. A self-applied questionnaire was developed along with the Peruvian Society of Nephrology based on international standards. The questionnaire evaluated: mentoring, clinical training, procedures, external rotations, research and global perception. Results: Forty doctors were surveyed nationwide. 82.5% had tutors, 22.5% of them said their support was poor. A 27.5% described their theoretical formation as deficient. The practical training was perceived as acceptable globally; however, improve...

Objective: To assess the development of acute renal failure in patients undergoing elective surgery for benign prostate hypertrophy. Material y Method: The study was performed in patients from the Urology Service in 2 de Mayo National Hospital from September 22011 to February 2012. The AKIN definition was used for acute renal failure and data was collected from clinical records. The description used means, standard deviations, percentages, and rates. In order to find an association between the occurrences of acute renal failure categorical variables, bivariate and multivariate logistic regression tests were used. Results: One hundred and twenty three patients were assessed; their average age was 69,29 ± 8,27 years. Hypertension was reported in 23,58% and diabetes mellitus was found in 8,94%. Urinary outlet obstruction was found in 4,07%. Their average weight was 66,94 ± 14,2 Kg, hemogl...

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).

Objetivo. Describir los hallazgos oculares en una población en diálisis crónica convencional. Material y Métodos. Se realizó un estudio observacional, descriptivo y transversal en los pacientes en hemodiálisis crónica en el Servicio de Nefrología del Hospital Nacional Dos de Mayo de Lima. Resultados. Se estudió a 31 pacientes con edad promedio de 62,67 ± 12,46 años y 45,16% fueron varones. Como antecedente, 87,1% tenían hipertensión arterial y 45,16%, diabetes mellitus. Los síntomas oculares más frecuentes fueron: visión borrosa (67,74%), lagrimeo (38,71%), prurito (25,81%), ardorocular (16,13%) y astenopia (6,41%). La presión intraocular promedio fue14,5± 5,28mmHg en el ojo derecho y 14,23 ± 4,78mmHg en el ojo izquierdo. Agudeza visual, ceguera en 6,07% de los pacientes y baja visión en 39,39%. Los hallazgos externos más frecuentes fueron: Depósitos córneo-conjunt...

Introduction: Dialysis patients have chronic complications that impair their quality of life, such as eye involvement caused by chronic kidney disease (CKD) comorbidities, or because of specific CKD effects. This paper aims to describe funduscopy, visual acuity and intraocular pressure findings in a population undergoing chronic conventional dialysis. Material and Methods: This is a descriptive and observational crosssectional study performed in patients undergoing chronic hemodialysis in the Nephrology Service of 2 de Mayo National Hospital in Lima – Peru. Results: Thirty-one patients were studied, their average age was 62.67 ± 12.46 years, 45.16% were male, 87.1% had hypertension, and 45.16% had diabetes mellitus 45.16%. The most common ocular symptoms were blurred vision (67.74%), tearing (38.71%), pruritus (25.81%), burning sensation in the eyes (16.13%) and asthenopia (6.41%). Th...

Objetivo. Describir los hallazgos oculares en una población en diálisis crónica convencional. Material y Métodos. Se realizó un estudio observacional, descriptivo y transversal en los pacientes en hemodiálisis crónica en el Servicio de Nefrología del Hospital Nacional Dos de Mayo de Lima. Resultados. Se estudió a 31 pacientes con edad promedio de 62,67 ± 12,46 años y 45,16% fueron varones. Como antecedente, 87,1% tenían hipertensión arterial y 45,16%, diabetes mellitus. Los síntomas oculares más frecuentes fueron: visión borrosa (67,74%), lagrimeo (38,71%), prurito (25,81%), ardorocular (16,13%) y astenopia (6,41%). La presión intraocular promedio fue14,5± 5,28mmHg en el ojo derecho y 14,23 ± 4,78mmHg en el ojo izquierdo. Agudeza visual, ceguera en 6,07% de los pacientes y baja visión en 39,39%. Los hallazgos externos más frecuentes fueron: Depósitos córneo-conjunt...

Introduction: Dialysis patients have chronic complications that impair their quality of life, such as eye involvement caused by chronic kidney disease (CKD) comorbidities, or because of specific CKD effects. This paper aims to describe funduscopy, visual acuity and intraocular pressure findings in a population undergoing chronic conventional dialysis. Material and Methods: This is a descriptive and observational crosssectional study performed in patients undergoing chronic hemodialysis in the Nephrology Service of 2 de Mayo National Hospital in Lima – Peru. Results: Thirty-one patients were studied, their average age was 62.67 ± 12.46 years, 45.16% were male, 87.1% had hypertension, and 45.16% had diabetes mellitus 45.16%. The most common ocular symptoms were blurred vision (67.74%), tearing (38.71%), pruritus (25.81%), burning sensation in the eyes (16.13%) and asthenopia (6.41%). Th...

Objetivo: Determinar la prevalencia, características de la clínica y factores relacionados a prurito en pacientes de hemodiálisis. Material y métodos: Estudiamos a 188 pacientes de hemodiálisis crónica. Se encuestó a los pacientes para determinar la prevalencia y la clínica de prurito (alteración del sueño, frecuencia, localización, calendario, relación con diálisis y tratamiento). Se evaluó la relación entre los antecedentes de prurito y clínica y de laboratorio (calcio, fósforo, albúmina, ferritina, Kt/V, RCP, hemoglobina y hepatitis). Se realizó un análisis univariante y multivariante de estas variables. Resultados: La prevalencia de prurito fue 37,2%. El sueño fue perturbado en 37,14%, con una intensidadmoderada de acuerdo a una escala visual analógica (6,2 puntos). El prurito tuvo una presentación diaria en el 98,8% de los pacientes; fue localizado en la parte...

Objetivo: Determinar la prevalencia, características de la clínica y factores relacionados a prurito en pacientes de hemodiálisis. Material y métodos: Estudiamos a 188 pacientes de hemodiálisis crónica. Se encuestó a los pacientes para determinar la prevalencia y la clínica de prurito (alteración del sueño, frecuencia, localización, calendario, relación con diálisis y tratamiento). Se evaluó la relación entre los antecedentes de prurito y clínica y de laboratorio (calcio, fósforo, albúmina, ferritina, Kt/V, RCP, hemoglobina y hepatitis). Se realizó un análisis univariante y multivariante de estas variables. Resultados: La prevalencia de prurito fue 37,2%. El sueño fue perturbado en 37,14%, con una intensidadmoderada de acuerdo a una escala visual analógica (6,2 puntos). El prurito tuvo una presentación diaria en el 98,8% de los pacientes; fue localizado en la parte...

Objetivos. Describir las características de la hipertensión arterial (HTA) y la hipertensión arterial paradójica (HTAP), y sus factores asociados en pacientes en hemodiálisis. Material y Métodos. Se estudió a 203 pacientes. Se definió HTA como antecedente clínico y/o toma de medicamentos para la HTA; presión arterial promedio (PAP): presión arterial medida antes y después de hemodiálisis; HTA no controlada, si PAP >140/90 mmHg. Se definió HTAP como presión diastólica posdiálisis mayor de 10 mmHg que en prediálisis. Se evaluó edad, tiempo en diálisis, etiología de la enfermedad, peso interdialítico, antecedente cardiovascular, analítica individual, tipo y número de antihipertensivos. Se realizó un análisis univariante y multivariante de estas variables. Resultados. La prevalencia de HTA fue 79,8% y la de HTA no controlada, 54,9%. La edadpromedio fue 56,25 ± 1...

Objetivos. Describir las características de la hipertensión arterial (HTA) y la hipertensión arterial paradójica (HTAP), y sus factores asociados en pacientes en hemodiálisis. Material y Métodos. Se estudió a 203 pacientes. Se definió HTA como antecedente clínico y/o toma de medicamentos para la HTA; presión arterial promedio (PAP): presión arterial medida antes y después de hemodiálisis; HTA no controlada, si PAP >140/90 mmHg. Se definió HTAP como presión diastólica posdiálisis mayor de 10 mmHg que en prediálisis. Se evaluó edad, tiempo en diálisis, etiología de la enfermedad, peso interdialítico, antecedente cardiovascular, analítica individual, tipo y número de antihipertensivos. Se realizó un análisis univariante y multivariante de estas variables. Resultados. La prevalencia de HTA fue 79,8% y la de HTA no controlada, 54,9%. La edadpromedio fue 56,25 ± 1...