Examinando por Autor "Cisneros De La Cruz, Maria Elisvel"

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    Effectiveness of anticoagulation methods in the extracorporeal circuit to reduce complications in adult patients with chronic kidney failure undergoing hemodialysis
    (Universidad Privada Norbert Wiener, 2019-10-20) Cisneros De La Cruz, Maria Elisvel; Casasola Condor, Cinthya Liz; Pretell Aguilar, Rosa María
    Objective: Systematize the evidence on the effectiveness of anticoagulation methods in the extracorporeal circuit to reduce complications in adult patients with chronic renal failure undergoing hemodialysis. Material and Methods: The systematic review of the search has been restricted to articles with full texts, and the 10 selected articles were subjected to a critical reading, using the Grade System evaluation to identify their degree of evidence. These references were found in the following databases: Pubmed, Epistemonikos and Cochrane. The analyzes correspond: 50% systematic reviews, 30% randomized clinical trials, 10% case-control study and 10% cohort study. Having a quality of evidence that is 80% high and 20% moderate. Results: According to the results obtained in the research carried out, 60% (n = 6/10) of the evidence found indicates that the fractionated anticoagulant method is more effective than the conventional anticoagulant method. On the other hand, 30% (n=3/10) mention that both methods of anticoagulants are effective and, finally, 10% (n=1/10) mention that there is a lack of evidence/data that determines the benefit and effectiveness of anticoagulation methods in reducing complications of the extracorporeal circuit. Conclusion: 6 out of 10 evidence indicates that the fractional anticoagulation method is more effective than the conventional anticoagulation method, 3 out of 10 evidence mentions that both anticoagulation methods are effective and 1 out of 10 evidence mentions that the available data do not allow determining which methods of Anticoagulation is more effective than the extracorporeal circuit to reduce complications in adult patients with chronic renal failure undergoing hemodialysis.