Revista Archivo Médico de Camagüey
versão ISSN 1025-0255
Background: Chronic renal insufficiency is internationally catalogued as an epidemic and also considered a disastrous disease. Objective: To evaluate the obtained results carrying out arteriovenous fistulas for hemodialysis. Method: A prospective study during a year was performed (June 2004 to May 2005) at «Manuel Ascunce Domenech» University Hospital of Camaguey, in 86 operations of permanent vascular access carried out to 56 patient carriers of chronic renal insufficiency. For primary data collection a survey with ten qualitative variables was utilized; for the evaluation of the results, methods of descriptive statistics were used and relations of bivaried statistical meaning, as well as computer methods that guarantee in a dependable manner the results. Results: The age group older than 60 years and the male sex predominated, the most frequent etiological causes of renal insufficiency were the nephroangiosclerosis and the diabetic nephropathy with 17 patient (30,3%) for each one of them. The majority of the operations 52 (60,5%) were carried out in the 90 days after diagnosis of chronic renal insufficiency. Conclusions: It was shown that while smaller was the time between the diagnosis of chronic renal insufficiency and carrying out the permanent vascular access the results were better, as well as the prior protection of the member to operate, factors that exert a directly positive action to the immediate function and that are susceptible to be modified by the action of the doctor to achieve better accesses.
Palavras-chave : Epidemiology descriptive; adult; prospective studies; arteriovenous fistula [etiology]; kidney failure chronic [complications]; renal dialysis; anastomosis surgical.