SciELO - Scientific Electronic Library Online

vol.21 issue4Parapharyngeal schawannnomaPediatric diseases more frequently: a peruvian perspective author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista de la Facultad de Medicina Humana

Print version ISSN 1814-5469On-line version ISSN 2308-0531

Rev. Fac. Med. Hum. vol.21 no.4 Lima Oct./Dec. 2021 


The reality of patients in hemodialysis before Covid-19 pandemic

Mónica Vásquez Bambaren1  , Surgeon

Víctor Soto-Caceres1  , Doctor of Medicine

Victor Serna-Alarcón2  , Surgeon, Doctor in clinical and translational research

1 Faculta de medicina humana Universidad San Martín de Porres, Lima-Perú.

2 Faculta de medicina humana Universidad Privada Antenor Orrego, Lima-Perú.

Mr. Editor

In a pilot test carried out in the department of Lambayeque (Peru) about the profile of patients who entered hemodialysis for the first time with grade five chronic kidney disease (CKD 5), evidence was found different from other Latin American

The treatment modality for CKD 5 patients increased through hemodialysis according to the Latin American Registry of Dialysis and Kidney Transplantation from 2000 to 2008. In Peru, 84.75% of patients are registered with this form of treatment still in force in our country and others1.

During admission to hemodialysis, the majority of patients are people with low socioeconomic status. In this population, health promotion and prevention is not intensified, being more susceptible to non-communicable chronic diseases2.

When these patients are admitted to hemodialysis for the first time, the clinical assessment is essential but epidemiological references must also be taken into account in order to have a better management. In laboratory tests, they are admitted with a hematocrit less than 30%, albumin less than 3.5 g / dl and with positive hepatitis C; the most common vascular access is venous catheter3. However, the pilot provides that the age, gender and vascular access coincide but the predominant causes are firstly arterial hypertension and secondly, diabetic nephropathy with a reason for admission of diabetic encephalopathy in the majority, being this last data where several studies do not take it into account; In the laboratory tests, a hematocrit of 23.53%, hemoglobin of 7.82, albumin of 3.12 gr / dl, creatinine of 11.17 and non-reactive to hepatitis C was found, reinforcing the information from the pilot, in a public hospital in our country in 2018 , where it is obtained that in terms of sex it is slightly higher in men than in women, the age is less than 60 years, the causes are according to predominance as described above and in the case of hemoglobin it is less than 7g / dl4.

Due to the aforementioned, the doctor-patient relationship should be emphasized for a greater knowledge of associated comorbidities and possible complications that may occur during and after treatment; going hand in hand with mental health surveillance involving the family and caregiver for greater effectiveness in improving health in a holistic way; and in the same way, it takes into account the nutritional management in a diet that makes up for the deficit of proteins, vitamins and iron.5-6

In conclusion, the patient who is admitted to CKD 5 hemodialysis for the first time should be treated in an interdisciplinary manner through practical strategies by health personnel, especially by nephrologists, since this will allow, in the medium term, to be able to train the first level of care to thus avoid patients do not arrive in inadequate conditions to the emergency; and in the same way, information can be updated to keep track of reality and thus establish a health policy that helps to improve current management.


1. Gonzalez-Bedat. Análisis del crecimiento de la prevalencia de las diferentes modalidades de tratamiento sustitutivo de la función renal en Latinoamérica. Rev. Nefrol. Dial. Traspl. 2014; 34 (4):170 -182. [ Links ]

2. García-García G, Jha V. Enfermedad renal crónica en poblaciones en situación de desventaja. Rev. Nefrol. Dial. Traspl. 2015; 35(1):1-6. [ Links ]

3. M. Marinovich. Características de la Población Incidente en Diálisis Crónica en Argentina. Rev. Nefrol. Dial. Traspl. 2011; 31(3): 104-117 [ Links ]

4. Huauya-Leuyacc C, Palacios-Guillen AM, Benites-Zapata VA. Factores epidemiológicos asociados a la referencia temprana al nefrólogo para hemodiálisis crónica en pacientes de un Hospital Público de Perú. Rev. Nefrol. Dial. Traspl. 2018; 38(2):126-33. [ Links ]

5. Román D, Bustamante J. Aspectos nutricionales en la insuficiencia renal. Nefrología. 1 de julio de 2008; 28(3):333-42. [ Links ]

6. Candia, L. (2013). Seguimiento del paciente con enfermedad renal crónica en el primer nivel de atención de salud. Rosario de Santa Fe: Rev. Med. Rosario 2013, 79:28-38. [ Links ]

Financing: Self-financed

Received: August 15, 2021; Accepted: September 04, 2021

Corresponding author: Victor Serna Alarcón Address: Mz C lote 28 Urb. Ingeniería, Trujillo. Cellphone: 969444641

Authors' Contributions: MVB, VSA have participated in the conception of the article, the data collection, its writing, VRSC carried out the approval of the final version in addition to contributing in the final writing

Conflicts of Interest: The authors declare no conflict of interest

Creative Commons License Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons