Avaliação do risco cardiovascular e da severidade da doença renal em pacientes em hemodiálise

Abstract

Objective: to analyze cardiovascular risk (CVR) and the severity of kidney disease in hemodialysis (HD) patients. Methods: an investigative, cross-sectional and quantitative study with a sample of 54 patients on HD. The Framingham Risk Score (ERF) was used to calculate the CVR and the Kidney Disease Severity Index (ISDR). Results: the data pointed to medium and high RCV (61.10%) according to the ERF. The most prevalent risk factors for ERF were systemic arterial hypertension, physical inactivity and high sodium consumption. According to the ISDR, 81.48% of patients with high and medium risk of severity of CKD were identified. The most evident variables in the ISDR were the decrease in visual acuity and access to dialysis. There was a statistical association between ERF and high sodium consumption and between ERF and ISDR. Conclusion: Medium and high cardiovascular risk and medium and high risk of kidney disease severity were prevalent in HD renal patients in the study. Priority should be given to multidisciplinary care, by surveying strategies to minimize risks and promote adherence to treatment, in order to improve the survival and quality of life of this population.