Retrospective analysis of outpatient follow-up by the nephrology department of the Araguaia Public Regional Hospital in the year 2019-2021
DOI:
https://doi.org/10.33448/rsd-v11i17.38138Keywords:
Nephrology; Outpatient Clinics; Renal insufficiency, chronic.Abstract
This study aims to analyze the medical records of patients undergoing outpatient follow-up by nephrology at the Hospital Regional Público do Araguaia (HRPA), located in the city of Redenção-PA, in the year 2019-2021. This is a cross-sectional, retrospective, quantitative study, whose data were collected from the medical records available at the HRPA nephrology outpatient clinic. About 2711 medical records of patients with nephropathy were analyzed retrospectively, extracting the following information: gender, age group, city of residence, year of care, type of nephropathy and diagnosis or not of diabetes mellitus (DM). According to the sociodemographic profile, it was found that 50.3% of the visits were made to females and 49.7% to males. The main pathology found associated with hemodialysis therapy was chronic kidney disease (CKD), corresponding to 68% of cases, followed by glomerulonephritis with 13.5%, acute renal failure with 3%, and urinary tract infection with 0.5%. Of the others assisted, 8% had other unregistered diagnoses and 1% had no diagnosis. Systemic arterial hypertension together with DM are the main pathologies responsible for cases of CKD and its progression to the end stage of renal disease. The information gathered allows a broad view of the profile of the patient in the nephrology service, and highlights the need for prevention campaigns that reach the population with an increased risk factor, in order to prevent injuries and promote health, generating comprehensive care for the patient. health and quality of life for these patients.
References
Aguiar, L. K. de, Prado, R. R., Gazzinelli, A., & Malta, D. C. (2020). Fatores associados à doença renal crônica: inquérito epidemiológico da Pesquisa Nacional de Saúde. Revista Brasileira de Epidemiologia, 23. https://doi.org/10.1590/1980-549720200044
Ali, T., Khan, I., Simpson, W., Prescott, G., Townend, J., Smith, W., & Macleod, A. (2007). Incidence and outcomes in acute kidney injury: a comprehensive population-based study. Journal of the American Society of Nephrology: JASN, 18(4), 1292–1298. https://doi.org/10.1681/ASN.2006070756
Barroso, W. K. S., Rodrigues, C. I. S., Bortolotto, L. A., Mota-Gomes, M. A., Brandão, A. A., Feitosa, A. D. de M., Machado, C. A., Poli-de-Figueiredo, C. E., Amodeo, C., Júnior, D. M., Barbosa, E. C. D., Nobre, F., Guimarães, I. C. B., Vilela-Martin, J. F., Yugar-Toledo, J. C., Magalhães, M. E. C., Neves, M. F. T., Jardim, P. C. B. V., Miranda, R. D., & Póvoa, R. M. dos S. (2021). Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq. Bras. Cardiol., 116(3), 516–658. https://doi.org/10.36660/abc.20201238
Bastos, J. L. D., & Duquia, R. P. (2007). One of the most used epidemiological designs: cross-sectional study. Scientia Medica, 17(4), 229–232. https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/2806/2634
Bastos, M. G., & Kirsztajn, G. M. (2011). Doença renal crônica: importância do diagnóstico precoce, encaminhamento imediato e abordagem interdisciplinar estruturada para melhora do desfecho em pacientes ainda não submetidos à diálise. Jornal Brasileiro de Nefrologia, 33(1), 93–108. https://doi.org/10.1590/s0101-28002011000100013
Brasil. Ministério da Saúde. (2019). 14/3 – Dia Mundial do Rim 2019: Saúde dos Rins Para Todos | Biblioteca Virtual em Saúde MS. Biblioteca Virtual Em Saúde: MS. https://bvsms.saude.gov.br/14-3-dia-mundial-do-rim-2019-saude-dos-rins-para-todos/
Bravo-Zúñiga, J., Gálvez-Inga, J., Carrillo-Onofre, P., Chávez-Gómez, R., & Castro-Monteverde, P. (2019). Early detection of chronic renal disease: coordinated work between primary and specialized care in an ambulatory renal network of Peru. Brazilian Journal of Nephrology, 41(2), 176–184. https://doi.org/10.1590/2175-8239-jbn-2018-0101
Cortez, E. N., Rocha, F. H., Gontijo, T. L., & Otoni, A. (2022). Assistência aos pacientes com DRC na atenção básica de saúde: uma revisão sistemática de literatura. Research, Society and Development, 11(4), e35011427389. https://doi.org/10.33448/rsd-v11i4.27389
Dumont, L. S., Manata, I. C., Oliveira, V. A. C. D., Acioli, M. L. B., Pina, G. C., Real, L. L. C., & Macedo, R. G. (2021). Doença renal crônica: doença subdiagnosticada? Análise epidemiológica em um centro de diálise. Research, Society and Development, 10(14), e523101422278–e523101422278. https://doi.org/10.33448/rsd-v10i14.22278
Gordan, P. (2006). Grupos de Risco para Doença Renal Crônica Risk Groups for Chronic Kidney Disease. J Bras Nefrol Volume, 28(3). https://bjnephrology.org/wp-content/uploads/2019/11/jbn_v28n3s2a04.pdf
Leite, L. P., Cordeiro, G. P., Monteiro, B. C., Oliveira, P. G. A. de, Spineti, P. P. de M., Magalhães, M. E. C., Campana, E. M. G., & Brandão, A. A. (2020). Hipertensão na doença renal crônica em tratamento conservador. Rev. Bras. Hipertens, 27(4), 115–121. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1367989
Lopes, A. C. (2016). Tratado de clínica médica: Vols. 1 e 2 (3rd ed.). Roca.
Nerbass, F. B., Lima, H. do N., Thomé, F. S., Vieira Neto, O. M., Lugon, J. R., & Sesso, R. (2022). Brazilian Dialysis Survey 2020. Brazilian Journal of Nephrology, 44(3). https://doi.org/10.1590/2175-8239-jbn-2021-0198
Pereira, B., Barreto, S., Gentil, T., Assis, L., Md, E., De Castro, I., Laranja, S., Benedito, J., Pereira, Instituto De Assistência Ao Servidor, P., & Estadual. (2017). Artigo originAl | originAl Article 239 Autores. J Bras Nefrol, 39(3). https://doi.org/10.5935/0101-2800.20170041
Setie, L., Titan, S., & Abensur, H. (2013). Princípios básicos de nefrologia. Artmed.
Silva, M. C., Oliva, E. F. de S., Rickli, C., & Braga, L. de S. (2022). Caracterização do perfil epidemiológico dos pacientes com doença renal crônica, atendidos em uma unidade de tratamento dialítico em Campo Mourão-PR. Research, Society and Development, 11(4), e57211427966. https://doi.org/10.33448/rsd-v11i4.27966
Souza, F. S. de, Leite Júnior, M. de N. de L., Fontes, A. C. P. de F., Pichone, A. da S., Branco, G. da S., & Menezes, H. F. de. (2020). Panorama dos atendimentos realizados no ambulatório especializado de nefrologia no Hospital Universitário Clementino Fraga Filho (HUCFF), entre os anos de 2011 e 2017. Brazilian Journal of Health Review, 3(4), 8393–8408. https://doi.org/10.34119/bjhrv3n4-093
Tomich, G. M., Barbosa, D. A., Nogueira, A. C., Silva, Á. N. F. da, Melo, J. D. da G., & Duarte, W. B. (2022). Perfil de pacientes renais crônicos em tratamento hemodialítico em um hospital regional no sul do Pará, Brasil. Research, Society and Development, 11(10), e176111032653. https://doi.org/10.33448/rsd-v11i10.32653
Thomé, F. S., Sesso, R. C., Lopes, A. A., Lugon, J. R., & Martins, C. T. (2019). Brazilian chronic dialysis survey 2017. Brazilian Journal of Nephrology, 41(2), 208–214. https://doi.org/10.1590/2175-8239-jbn-2018-0178
Vaz, D. W. N., Trindade, K. de N. V., Evangelista, H. I., Eismann, F. C. P., Santos Filho, L. C. C. dos, & Silva, J. B. da. (2020). Análise epidemiológica da insuficiência renal crônica no Estado do Amazonas. Research, Society and Development, 9(9), e851998210. https://doi.org/10.33448/rsd-v9i9.8210
Wald, R., Quinn, R. R., Adhikari, N. K., Burns, K. E., Friedrich, J. O., Garg, A. X., Harel, Z., Hladunewich, M. A., Luo, J., Mamdani, M., Perl, J., Ray, J. G., & University of Toronto Acute Kidney Injury Research Group. (2012). Risk of chronic dialysis and death following acute kidney injury. The American Journal of Medicine, 125(6), 585–593. https://doi.org/10.1016/j.amjmed.2012.01.016
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