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

Year 2019, Volume: 1 Issue: 2, 71 - 76, 03.09.2019

Emine Kaya , Başar Cander

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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