026 EPIDEMIOLOGICAL PROFILE OF INTRA-HOSPITAL DIALYTICAL ACUTE KIDNEY INJURY. THE EXPERIENCE OF THE PREVENT SENIOR OPERATOR, SPECIALIST IN CUSTOMER SERVICE IN THE THIRD AGE IN BRAZIL, IN 2016

Abstract

Category: Epidemiology and Outcomes from AKI Presenter: Dr SERGIO ANTONIO DIAS DA SILVEIRA JUNIOR Keywords: dialyses, acute, epidemiology, prognosys Prevent Senior is a private health care provider, founded in 1997, focusing on the preventive medicine model, making affordable prices available for the 49-year age group (the current average ticket is US $ 225.00/month). It is the pioneer in the care dedicated to the elderly in Brazil. Acute dialytic renal failure is a clinical entity, associated with high mortality rates, which often affects patients from the 5th decade of life. evaluate the epidemiological profile of the patients hospitalized in the Sancta Maggiore network, who were diagnosed with acute renal injury and underwent intra-hospital hemodialysis sessions. a prospective and observational study was performed between January 01 and December 31, 2016, evaluating the epidemiological profile of patients diagnosed with acute renal injury and submitted to intra-hospital dialysis sessions. Age, sex, access, comorbidities, recovery of renal function, diagnosis, hospital discharge and death were evaluated. The AKIN classification was used to define acute injury. We identified 555 patients admitted to clinical and surgical wards, corresponding to 1,49% of the total number of patients hospitalized in the period, who was submited into hemodialyses and classified as having acute renal failure (lower incidence than that found in the literature - 3.8%), of which 47,9% women and 52,1% men, with a mean age of 75,7 years. The double lumen catheter was the only type of vascular access used; peritoneal dialysis wasn't indicated for these patients. Systemic arterial hypertension was the main comorbidity presented, affecting 45% of the patients, followed by diabetes (27.8% of the cases). The causes of acute renal injury were: - septic (pneumonia 40%) responsible for 52%, cardiogenic shock 16%, major surgeries 15% and drug induced nephropathy 12%. There was recovery of renal function in 13.3% (lower than that found in the literature) with a 45,05% evolution for outpatient dialysis and the mortality rate was 41,80%. The mortality found was compatible with the data present in the literature, being a clinical entity with a high mortality rate. Despite the medical advances of recent years, acute dialysis renal failure, is a pathological entity with a high degree of mortality. Septic conditions, especially pneumonia, contribute to mortality and are among the main causes of renal impairment in patients with acute renal failure.