<?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>S2254-28842020000100008</article-id>
<article-id pub-id-type="doi">10.37551/s2254-28842020008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores relacionados con el inicio no programado de hemodiálisis en pacientes seguidos en consulta ERCA]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors related to unplanned dialysis start in patients followed in ESRD consultation]]></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[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[Martínez-Álvarez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cobo-Sánchez]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarguren-Rodríguez]]></surname>
<given-names><![CDATA[Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sáinz-Alonso]]></surname>
<given-names><![CDATA[Rosa Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla Servicio de Nefrología/Hemodiálisis ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla Área de Calidad, Formación, I+D+I de Enfermería ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>68</fpage>
<lpage>74</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842020000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842020000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842020000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El inicio programado del tratamiento renal sustitutivo es un objetivo prioritario en el manejo de los pacientes con enfermedad renal crónica, ya que supone un gran impacto para la supervivencia de estos pacientes.  Objetivo: Analizar características clínicas implicadas en el inicio no programado de la hemodiálisis en pacientes seguidos en consulta ERCA.  Material y Método: Estudio retrospectivo observacional en pacientes incidentes en el periodo 2014-2018. Se recogieron datos clínicos y sociodemográficos de la historia clínica del paciente, tiempo de seguimiento en consulta ERCA, filtrado glomerular al inicio de la consulta ERCA, causa y tipo de inicio (programado o no) de la hemodiálisis, así como el acceso vascular empleado.  Resultados: Se incluyeron 168 pacientes incidentes seguidos en consulta ERCA. El 28,6% inició hemodiálisis de forma no programada. Los inicios programados se debieron a causa urémica y los no programados, a insuficiencia cardíaca (92% y 54% respectivamente, p&lt;0,001). Los pacientes con inicio no programado utilizaron un catéter en el 77% de las ocasiones (p&lt;0,001), tenían más edad (69,27±9,4 vs 65,18±12,75 años) y un menor tiempo de seguimiento en la consulta ERCA (15,60±12,37 vs 23,64±20,25 meses) que los pacientes con inicio programado.  Conclusiones: Pacientes de mayor edad, con menor tiempo de seguimiento en consulta ERCA tienen más riesgo de iniciar hemodiálisis de forma no programada a través de un catéter venoso central por falta de un acceso vascular definitivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The planned start of renal replacement therapy is a priority objective in the management of patients with chronic kidney disease, having a great impact on patient survival.  Objective: To analyse the clinical characteristics involved in the unplanned hemodialysis start in patients followed in ESRD consultation.  Material and Method: Retrospective observational study in incident patients in the 2014-2018 period. Clinical and sociodemographic data were collected on the patient's medical record, follow-up time in the ESRD consultation, glomerular filtration at the beginning of the ESRD consultation, cause and type of hemodialysis start (planned or not), as well as the vascular access used.  Results: 168 incident patients followed in ESRD consultation were included. 28.6% started hemodialysis in an unplanned way. The planned dialysis starts were due to uremic cause and unplanned due to heart failure (92% and 54% respectively, p&lt;0.001). Patients with unplanned start used a catheter 77% of the time (p &lt;0.001), were older (69.27 ± 9.4 vs. 65.18 ± 12.75 years) and shorter follow-up time in ESRD consultation (15.60 ± 12.37 vs. 23.64 ± 20.25 months) than patients with planned start.  Conclusions: Older patients, with shorter follow-up time in an ESRD consultation, have a higher risk of starting hemodialysis in an unplanned way through a central venous catheter due to lack of definitive vascular access.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad renal crónica avanzada]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones compartidas]]></kwd>
<kwd lng="es"><![CDATA[inicio no programado de diálisis]]></kwd>
<kwd lng="en"><![CDATA[advanced chronic kidney disease]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[shared decision making]]></kwd>
<kwd lng="en"><![CDATA[unplanned dialysis start]]></kwd>
</kwd-group>
</article-meta>
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