<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842017000400324</article-id>
<article-id pub-id-type="doi">10.4321/s2254-28842017000400006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dosis de diálisis alcanzada en pacientes en hemodiálisis según el acceso vascular empleado]]></article-title>
<article-title xml:lang="en"><![CDATA[Reached Dialysis dose in hemodialysis patients according to the type of vascular access]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pelayo Alonso]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Álvarez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cagigas Villoslada]]></surname>
<given-names><![CDATA[Mª José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa Llamazares]]></surname>
<given-names><![CDATA[Camino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuadrado Mantecón]]></surname>
<given-names><![CDATA[Mª Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gándara Revuelta]]></surname>
<given-names><![CDATA[Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla Unidad de Hemodiálisis Servicio de Nefrología]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>20</volume>
<numero>4</numero>
<fpage>324</fpage>
<lpage>329</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842017000400324&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842017000400324&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842017000400324&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Introducción Uno de los principales objetivos que se busca en el paciente en hemodiálisis es alcanzar una diálisis adecuada. Muchos autores defienden la dosis dialítica como un marcador para una diálisis adecuada. La bibliografía refiere una menor dosis dialítica en los pacientes con catéter permanente.  Objetivos: Evaluar la dosis de diálisis alcanzada por el paciente en función de su acceso vascular.  Material y Método: Estudio descriptivo prospectivo en pacientes en programa de hemodiálisis, que se dializaron al menos 1 mes, a través del mismo acceso vascular permanente. La dosis dialítica se valoró mediante Kt y Kt/V. Se recogieron datos de Kt medidos por el monitor mediante dialisancia iónica en todas las sesiones del período de estudio. El Kt se consideró adecuado si se alcanzan 40-45L en mujeres ó 45-50L en hombres, y como óptimo, si cifras mayores. El Kt/V fue calculado mediante la fórmula de Daugirdas 2ª generación, considerándose como adecuado si =1,3.  Resultados: Se estudiaron 45 pacientes con edad media de 66,78±15.86 años. El 31% se dializa a través de Fístula-Arteriovenosa (FAV). Los portadores de FAV alcanzaron Kt de 49,68L frente a 47,6L en los portadores de Catéter Venoso Central Permanente (CVC-P). El Kt/V fué 1,56 para FAV y 1,55 para CVC-P sin que estas diferencias fueran estadísticamente significativas. El Kt/V fue adecuado en el 78,6% de los portadores de FAV y el 77,4% de los portadores de CVC.  Conclusión: Según nuestros datos, no existe diferencia en la dosis de diálisis alcanzada según el acceso vascular empleado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: One of the main objectives of the haemodialysis patient is to achieve adequate dialysis. Many authors defend the dialysis dose as a marker for adequate dialysis. The literature refers to a lower dialysis dose in patients with a permanent catheter.  Objective: To evaluate the reached dialysis dose by the patient according to the type of vascular access.  Material and Method: Prospective descriptive study in patients in haemodialysis program, who were dialyzed at least 1 month, through the same permanent vascular access. The dialysis dose was assessed by Kt and Kt/V. Kt data, measured by the monitor, were collected by ionic dialysance in all sessions of the study period. Kt was considered adequate if 40-45L were reached in women or 45-50L in men, and as an optimum, if larger numbers were reached. The Kt/V was calculated using the Daugirdas' 2nd generation formula, considering it adequate if =1.3.  Results: Forty-five patients with a mean age of 66.78 ± 15.86 years were studied. Arteriovenous Fistula (AVF) was used in 31% of haemodialysis seasons. Patients with AVF reached a Kt of 49.68L versus 47.6L of those with Permanent Central Venous Catheter (P-CVC). Kt/V was 1.56 for patients with AVF and 1.55 for those with P-CVC, although without statistically significant differences. Kt/V was adequate in 78.6% of those with AVF and 77.4% of patients with P-CVC.  Conclusions: According to our data, there is no difference in the reached dialysis dose according to the type of vascular access employed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dosis de diálisis]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[acceso vascular]]></kwd>
<kwd lng="es"><![CDATA[diálisis adecuada]]></kwd>
<kwd lng="en"><![CDATA[dialysis dose]]></kwd>
<kwd lng="en"><![CDATA[haemodialysis]]></kwd>
<kwd lng="en"><![CDATA[vascular access]]></kwd>
<kwd lng="en"><![CDATA[adequate dialysis]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[E]]></given-names>
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</person-group>
<article-title xml:lang=""><![CDATA[Patient clearance time with different vascular access types]]></article-title>
<source><![CDATA[Int J Artif Orgnas]]></source>
<year>2013</year>
<volume>36</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>853-60</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
