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Analysis of clinical characteristics of dialysis patients at the University Hospital

Fátima B Cintrón Rosa, Elvin Soto Hernández, Anmelys Rivera Valentín

    Boletin De La Asociacion Medica De Puerto Rico
    |November 28, 2017
    PubMed

    Insights

    This study analyzed hemodialysis patients in Puerto Rico, finding a younger population than expected with high rates of hypertension and coronary artery disease (CAD). Early detection of CAD and better blood pressure control are recommended for Chronic Kidney Disease (CKD) patients.

    Area of Science:

    • Nephrology
    • Cardiology
    • Public Health

    Background:

    • Chronic Kidney Disease (CKD) and dialysis patient populations are increasing globally.
    • Cardiovascular complications pose a significant mortality risk for dialysis patients.

    Purpose of the Study:

    • To characterize the clinical and demographic profiles of maintenance hemodialysis patients at University Hospital in San Juan, Puerto Rico.

    Main Methods:

    • A review of 55 active hemodialysis patients.
    • Data collection included demographics, clinical characteristics, comorbidities (diabetes mellitus, hypertension, CAD), dialysis vintage, and socioeconomic factors.

    Main Results:

    • The study identified a relatively young hemodialysis population.
    • Hypertension (63-78%) and Coronary Artery Disease (CAD) (36-50%) were prevalent comorbidities.
    • Lower annual income was associated with both age groups, but education level was not.

    Conclusions:

    • The findings suggest a younger hemodialysis demographic in Puerto Rico than anticipated.
    • Hypertension and CAD are key risk factors requiring management in CKD patients.
    • Recommendations include improved blood pressure control and early CAD detection prior to dialysis initiation.
    Abstract

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