Emergency nephrological interventions – most frequent reasons for inpatient treatment
Journal Title: Polish Journal of Public Health - Year 2013, Vol 123, Issue 1
Abstract
[b]Introduction. [/b]Kidney diseases represent a significant medical and social issue. Modern medicine has made immense progress in the process of diagnostics and treatment of the said diseases. However, the effective prophylactics and possibly the promptest medical assistance in cases demanding emergency nephrological intervention remain the key questions here. [b]Aim. [/b]The purpose of this paper was to assess the reasons for emergency admissions of patients with kidney diseases to hospital and determine the scale of emergency interventions at the nephrological department. [b]Material and methods. [/b]The research was carried out based on the analysis of a retrospective group of 3334 patients of Independent Public University Hospital No 1 in Zabrze, who checked in the nephrology emergency room throughout the years 2005-2010. The research included adults with nephrological ailments, both dialyzed and non-invasively treated. The admission indications were presented in 14 categories. [b]Results.[/b] Approximately 50% of patients admitted to the Nephrological Department were of both sexes, in the 18-93 age group (average age – 56). The most frquent reason for emergency interventions was the condition qualifying for renal replacement therapy (18.3%). Patients with systemic ailments accompanying renal diseases constituted 14.2%, 12.8% patients had hemodialysis catheter dysfunction, 11.8% – patients with dialysis related acute peritonitis; 11.1% – were hemodialyzed patients with pathological symptoms of other systems; 14.7% – were hemodialized patients with similar ailments. Patients admitted with acute renal failure accounted for 4.3%, while 2.8% of all the patients admitted to the emergency room had urinary tract infections. Other rare cases in the patients admitted represent ca. 10%. [b]Conclusions.[/b] 1. The number of emergency nephrological interventions was ca. 50% compared to the total number of patients and no declining tendency has been observed. 2. The number of male patients hospitalized for lifesaving reasons exceeded the number of female patients. The most frequent causes for hospitalization were sepsis symptoms in male patients and urinary tract infections in female patients. 3. The highest rate of causes demanding emergency nephrological assistance includes qualifications for renal replacement therapy.
Authors and Affiliations
Anna Gałecka, Michał Ekkert, Ewa Nowakowska-Zajdel, Andrzej Kozowicz, Małgorzata Muc-Wierzgoń, Teresa Kokot
Keywords
Related Articles
- EP ID EP93834
- DOI -
- Views 134
- Downloads 0
Tick paralysis
Over 50 tick species of [i]Argasidae [/i]and [i]Ixodidae [/i]family can cause toxicoses in hosts. Among them tick paralysis is the most dangerous for people and animals. Toxins causing the syndrome are secreted by “b” ce...
Ego resiliency and the condition of health
[b]Introduction. [/b]Increasing interest in factors disturbing health has resulted in numerous discoveries connected with theoretical basis of health disorders and also to individual resources, which protect a person aga...
Long term care for elderly in USA.
The main purpose of this article is to introduce physicians and health care providers in Poland to American system that was designed to care for elderly in the different settings. During the 20th century the number of pe...
Maski depresyjne u pacjentów leczonych stomatologicznie. Opis przypadków
Depresja jest chorobą, która może powodować trudności diagnostyczne i przyjmować „maski” dolegliwości fizycznych, odwracając uwagę od psychicznych źródeł problemu. Chorzy z zaburzeniami psychiatrycznymi są niejednokrotni...
Respektowanie praw pacjenta w opiece okołoporodowej w województwie podlaskim - badania wstępne.
[b]Cel pracy.[/b] Celem pracy była ocena przestrzegania praw pacjenta w szpitalach położniczych województwa podlaskiego. [b]Materiał i metody.[/b] Badanie ankietowe przeprowadzono wśród 1000 pacjentek publicznych zakła...