Evaluation of Patients with Chronic Renal Failure Admitted to the Emergency Department

Abstract

Objective: The aim of this study is to retrospectively investigate the files of patients with Chronic renal failure (CRF) who have undergone any dialysis program and have been admitted to the emergency department, drawing attention to the preferred treatments with the most common diagnoses, together with demographic and clinical information.

Materials and Method: A total of 683 patients with CRF who were admitted to the emergency department of Meram Medical Faculty, Turkey in the last 5 years were searched and 224 patients, 189 of whom had hemodialysis (HD) and 35 of whom had peritoneal dialysis (PD), were included in the study. The demographic data, complaints and laboratory findings at the time of the admission to the emergency department, diagnoses, treatments and clinical outcomes were analysed.

Results: 69 patients had applied to the emergency department more than once. The most common presenting complaint in the HD group was shortness of breath, and for the PD group it was abdominal pain. 14.3% of all patients died at the end of clinical follow-up. The presence of a history of cerebrovascular disease, antibiotic use in the emergency department, and ventilator use were found to be statistically significant in terms of mortality related factors.

Conclusion: The complaints pattern of patients on routine dialysis is quite wide¹. In some patients, medical treatment in the emergency department consists only of HD treatment. This shows that some of the dialysis patients need additional dialysis. 

Keywords

• Emergency department,chronic renal failure

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