Examinando por Autor "Lino Perez, Jhomnela Pilar"
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Ítem Acceso abierto Efficacy of citrate compared to heparin in catheter sealing in hemodialysis patients(Universidad Privada Norbert Wiener, 2018-03-25) Peralta Rojas, María Consuelo; Lino Perez, Jhomnela Pilar; Rivera Lozada de Bonilla, OrianaMethodology: The study was a Systematic Review of 10 articles restricted to full-text articles. Selected articles were critically reviewed using the GRADE assessment system to identify the quality of evidence and strength of recommendations. Results: The results obtained from the reviews show that of the 10 scientific articles reviewed, 20% (n=2/10) report that the use of citrate is effective compared to heparin, with higher catheter survival rates and a more favorable side effect profile. 60% (n=6/10) indicate that citrate and heparin are similar as anticoagulants in sealing catheters; the use of sodium citrate does not present clear advantages in the prevention of infection complications compared to sodium heparin. 20% (n=2/10) report that there is no difference between citrate and heparin. Conclusion: It was concluded that heparin and citrate are effective in sealing catheters, with no significant differences found. In this regard, more comparable research studies are needed to discuss and conclude which recommendations should be transferred to clinical practice in hemodialysis.Ítem Acceso abierto Efficacy of citrate compared to heparin in sealing catheters in patients with hemodialysis(Universidad Privada Norbert Wiener, 2018-03-25) Peralta Rojas, María Consuelo; Lino Perez, Jhomnela Pilar; Rivera Lozada de Bonilla, OrianaMethodology: the study was a Systematic Review of 10 articles whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the evaluation of the GRADE system to identify the quality of evidence and strength of recommendations . Results: The results obtained from the reviews show that of the total of 10 scientific articles reviewed, 20% (n=2/10) report that the use of citrate is effective compared to heparin, greater survival of the catheters, has a profile more favorable side effect. 60% (n=6/10) indicate that citrate and heparin are similar as anticoagulant in the sealing of catheters, the use of sodium citrate does not present clear advantages in the complications of infections compared to sodium heparin. 20% (n=2/10) report that there is no difference between citrate and heparin. Conclusion: it was concluded that heparin and citrate are effective in sealing catheters, there were no significant differences. In this sense, more comparable research studies are necessary to be able to discuss and conclude which recommendations should be transferred into clinical practice in hemodialysis.
