Análisis de las caídas en domicilio de los pacientes en hemodiálisis

Abstract

Introduction: Patients with advanced chronic kidney disease on hemodialysis are increasing. Apart from age, they have a high comorbidity that together with a series of alterations in bone-mineral metabolism associated with the disease cause a greater propensity to fall.
Objectives: To analyze the incidence and characteristics of falls in patients with advanced chronic kidney disease on hemodialysis outside the dialysis unit.
Patients and Methods: We studied 60 patients with a mean age of 66.6 ± 14.2 years (70% men, 30% women). From the total sample, 27 patients (45%) had a fall in the last year.
Significant differences between patients who had fallen versus those who had not fallen (p = 0.017) on the dialysis time were found. 37% of men had suffered falls while women who had fallen were 61%.
59% of falls occurred in the home, 22% in the street and 8% in the hospital. Regarding the day of the fall, 41% of falls occurred the day of rest, 22% before or after the session and 15% did not remember.
Conclusions: Our results indicate that falls in hemodialysis patients have a high incidence. These falls are related to being a woman, staying longer on dialysis, have a greater degree of dependence or perform less physical activity. Falls occur mainly in the patient’s home and the rest day.