Examinando por Materia "Continuous Renal Replacement Therapy"

Mostrando 1 - 4 de 4

Acceso abierto
Comparative effectiveness of trisodium citrate and heparin for extracorporeal circuit anticoagulation in adults with renal failure undergoing renal replacement therapy.
(Universidad Privada Norbert Wiener, 2018-11-04) Espinoza Canales, Carolina Desidet De Jesús; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize the evidence on the effectiveness of trisodium citrate versus heparin for anticoagulation of the extracorporeal system in adult patients with renal failure undergoing renal replacement therapy. Materials and methods: A systematic review of eleven scientific articles with a maximum age of ten years. According to the type of research, 54.5% are systematic reviews, 18.2% are clinical trials, 18.2% are retrospective cohorts, and 9.1% are meta-analyses. Regarding quality, 81.8% are of high quality and 18.2% are of moderate quality. 36.4% of the evidence comes from China, followed by 36.4% from England, 9.1% from Switzerland, 9.1% from Austria, and 9.0% from Amsterdam. A summary table was prepared with the main data from each selected article. Results: 100% of the evidence indicates that the use of trisodium citrate is more effective for anticoagulation of the extracorporeal circuit in adult patients with renal failure undergoing renal replacement therapy, in terms of filter lifespan, lower bleeding risk, and less circuit loss. Conclusions: The use of citrate is more effective compared to heparin in adult patients undergoing renal replacement therapy for anticoagulation of the extracorporeal circuit.
Acceso abierto
Efficacy of Citrate Versus Heparin Anticoagulation in Decreasing Bleeding in Patients With Acute Renal Failure on Continuous Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 1905-07-09) Cabanillas Huamán, Augusto Enrique; Rosas Casique, Diana Beatriz; Remuzgo Artezano, Anika
Objective: Systematize the evidence on the effectiveness of citrate anticoagulation versus heparin to reduce bleeding in patients with acute renal failure on continuous renal replacement therapy. Results: The results obtained from the systematic reviews show that of the total of 10 scientific articles reviewed, 100% (n=10/10) report that the use of citrate anticoagulation is more effective compared to the use of heparin. , show that the implementation of a protocol, and the choice of first-line use of citrate anticoagulation is safe, and has more advantages than heparin, because it presents a lower risk of bleeding complications. and/or bleeding. Fernández states that the incidence of hemorrhage was (0% vs. 10.3%). Zhang indicated that citrate is able to reduce the risk of bleeding 0.28 (95% CI 0.15 0.50). Wu reported a statistically significant decrease in bleeding (RR, 0.34; 95% CI, 0, 17-0.65). Conclusions: 100% (n=10/10) show that the use of citrate anticoagulation is more effective compared to the use of heparin, because it significantly reduces the risk and complications of hemorrhage and/or bleeding.
Acceso abierto
Level of knowledge of vascular accesses in arteriovenous fistulas and self-care practices of hemodialyzed patients at a private clinic in Lima, 2023
(Universidad Privada Norbert Wiener, 2023-03-05) Yanamí Saldaña, Jesica Milagros; Suarez Valderrama, Yurik Anatoli
Objective: To identify relationship between of level on knowledge of vascular access in arteriovenous fistulas and the self-care practices of hemodialysis patients in a private clinic in Lima. Methodology: The research to be applied in terms of the type will be the applied one, what refers to the approach to be considered would corresponding to quantitative one, and the designing wold being non experimental, observational, and of a correlational level, in terms the cut it wouldl correspond to the sectional cross one. Population and Sample: This population addresed corresponding to 60 patients, which would being established for investigator's conveniences through on a non-probabilistic of sampling. Technique and Instruments: Regarding this techniques would use survey and observation, it would being survey and of instruments to be use would on correspond to 01 questionnaire to value variables knowledge and 01 checking list to value practices on self-care of the arteriovenous fistula of patients on hemodialysis. It is specified that these have a reliability of the Cronbach's Alpha with values equivalent to 0.98 and 0.85 respectively. Data processing and analysis: This collected information would be treated on an th excel template to the corresponding control and classification, and the type of relationship that exists in between these variables evaluated on the study would be established, applying the so-called non-parametric inferential statistics through the chi square test.
Acceso abierto
Quality of nursing care and patient satisfaction in the hemodialysis unit of a private clinic in Lima, 2023
(Universidad Privada Norbert Wiener, 2023-03-26) Huiza Flores, Noelia Veronica; Cárdenas de Fernández, María Hilda
Objective: To determining how quality caring nurse is relationated with patient satisfaction hemodialysis unit of a private center in Lima. Methodology: The research to be applied in terms of the type will be applied, what refers to the approach to be considered would corresponding the quantitative, and design would be at non experimental, observational, and of the strong correlational level, in terms in these cut it will correspond to the cross to sectional one. Population and Sample: These population would be on 75 patients, which would be determinining for the investigator's conveniencing of non one probabilistic sampling. Technique and Instruments: Regarding this technique would being used, it being on survey and psychometric tools or instruments to be used have being correspond to the Care Q and SERVQHOS questionnaires, what have being modify and to adapting to the population with renal involvement. It is specified these have a reliability of Cronbach's Alpha with values equivalent 0.89 and 0.93 coa-respectively. Data analysis and processing: The collected information would being treated in excel template for the corresponding control and classification, and type of relationship these exists between variables evaluating in the study would being established, apply the so called non parametric inferential statistics through the chi square test.