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Enfermería Nefrológica
On-line version ISSN 2255-3517Print version ISSN 2254-2884
Abstract
GARCIA, Esther et al. Key aspects in maintaining residual diuresis in an incremental haemodialysis schedule. Experience of ten years. Enferm Nefrol [online]. 2020, vol.23, n.2, pp.199-204. Epub Oct 05, 2020. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842020020.
Introduction:
Incremental or progressive haemodialysis is a modality for starting haemodialysis, based on residual diuresis and adapted to the needs of the patient, and not very widespread despite the potential benefits. For correct follow-up, it is necessary to establish specific guidelines in each haemodialysis session, which must be known by the staff who treat these patients regularly.
Aim: To analyse the evolution of patients who start renal replacement therapy with incremental haemodialysis.
Material and Method:
Retrospective observational study of incident patients on renal replacement therapy using incremental haemodialysis in our centre in the last 10 years. Comparison of baseline and 12-month follow-up results was carried out.
Results:
In the study period, 49 patients with incremental haemodialysis were included. Although the residual diuresis falls in the first year from 2030±600 ml/day to 1300±500 (p<0.05), in most cases, it remains above one litre. Urea clearance also decreases from 5.7±1.6 ml/min to 3.4±1.6 ml/min per year (p<0.05).
Conclusions:
Starting renal replacement therapy with incremental haemodialysis can keep residual diuresis longer. Knowledge of the technique and correct handling during dialysis sessions are key.
Keywords : Incremental dialysis; Residual urine; Haemodialysis; Nursing care.