Evaluation of Patients with Chronic Renal Failure Admitted to the Emergency Department
Objective: The aim of this study is to retrospectively investigate the files of patients with Chronic renal failure (CRF) who have undergone any dialysis program and have been admitted to the emergency department, drawing attention to the preferred treatments with the most common diagnoses, together with demographic and clinical information.
Material and Methods: A total of 683 patients with CRF who were admitted to the emergency department of Meram Medical Faculty, Turkey in the last 5 years were searched and 224 patients, 189 of whom had hemodialysis (HD) and 35 of whom had peritoneal dialysis (PD), were included in the study. The demographic data, complaints and laboratory findings at the time of the admission to the emergency department, diagnoses, treatments and clinical outcomes were analysed.
Results: Sixty nine patients 69 patients had applied to the emergency department more than once. The most common presenting complaint in the HD group was shortness of breath, and for the PD group it was abdominal pain. Fourteen point three percent of all patients (14.3% ) died at the end of clinical follow-up. The presence of a history of cerebrovascular disease, antibiotic use in the emergency department, and ventilator use were found to be statistically significant in terms of mortality related factors.
Conclusion: The complaints pattern of patients on routine dialysis is quite wide. In some patients, medical treatment in the emergency department consists only of HD treatment. This shows that some of the dialysis patients need additional dialysis.
Eurasian J Critical Care. 2019;1(2):71-76 EJCC