Perfil de pacientes admitidos em unidade de terapia renal substitutiva hemodialítica do Distrito Federal em contexto de pandemia por covid-19

Abstract

Objective: to characterize the profile of patients admitted to a public hemodialytic renal
replacement therapy unit in the Federal District in the context of a Covid 19 pandemic.
Methodology: prospective non-concurrent study carried out in a hemodialysis unit of a
hospital in the Federal District, including those admitted to a hemodialytic renal replacement

therapy unit from the emergency room from February 2020 to August 2021. Data were
collected from the unit's admission book and analyzed using the Statistical Package for the
Social Sciences (SPSS) ® program, version 25. Result: 217 patients took part in the study.
Comparing the groups, those who died were older and had a shorter length of stay in hospital
than those patients who were discharged/transferred. Higher frequency of adult emergency
room emergency room, followed by respiratory/ Covid emergency room and surgical
emergency room center. Main entry diagnoses: Hypertensive, Diabetic, Covid -19 and Sepsis
carriers. Most male, 60 years or older, presence of two or more comorbidities, negative
serology (HIV, Hepatitis B, Hepatitis C). Verifying the association of these factors with the
clinical outcome, age over 60 (OR=2.862; CI 95%=1.294 – 6.329), positive serology
(OR=3.732; CI 95%=1.433 – 9.723) and origin of Covid emergency room ( OR=2.263; 95%
CI=1.115 – 4.592) significantly increased the risk of death outcome. Conclusion: Nursing
becomes vitally essential in the prevention of serious conditions when it identifies possible
weaknesses in the most prevalent clinical cases associated with the need for hemodialytic
RRT.