Abstract: SA-PO0339
Epidemiology of First Renal Replacement Therapy (RRT) in a Guatemalan Military Teaching Hospital: Cohort Study
Session Information
- Dialysis: Epidemiology and Facility Management
November 08, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 801 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Moreno, Rodolfo Alejandro, Gobierno de Guatemala, Guatemala City, Guatemala Department, Guatemala
- Armas, David Alejandro, Gobierno de Guatemala, Guatemala City, Guatemala Department, Guatemala
- Coello Rivera, Solange Elizabeth, Gobierno de Guatemala, Guatemala City, Guatemala Department, Guatemala
Background
Acute or chronic kidney disease (CKD) develops different stages,most advanced stages usually requiring RRT to maintain functions that native kidneys are unable to perform.Indications of RRT such as:intoxications,fluid overload,metabolic and solute disturbances.We present the epidemiology,clinical characteristics and main causes for initiation of RRTin hospitalized patients
Methods
Cohort study and retrospective analysis data at a tertiary Guatemalan level teaching-hospital.The primary outcome was to characterize the main criteria to start RRT with conventional hemodialysis (HD) exclusively.Epidemiological data:sex,comorbidities,hospitalization time for RRT and all-cause death were evaluated
Results
From Jun 2021 to Nov 2024, a total of 130 patients were selected, the mean age was 67 years and women accounted for 36% of patients Fig1.HBP, CKD and DM were present in 70%, 63%, and 55% of patients respectively Fig 2.The mean estimated FGR for initiation of HD was 11.7ml/min/1.73m2.Uremic syndrome,fluid overload and metabolic acidosis were the main criteria for RRT in 59.2%,12% and 5.3% of patients respectively Fig3.The average time to initiate RRT within hospitalization was 6.61 days with a 24% of in-hospital mortality
Conclusion
This cohort reported clinical data of patients receiving RRT for the 1st time, uremic syndrome was the most common cause of initiation RRT, similar to world literature.Over 60% of patients were in the ICU,requiring high amounts of IV fluids/medications,being susceptible to severe underlying disease with the development of oliguria.29% with CKD progressed to RRT, making volume overload the 2nd most common criteria for initiation RRT. Male patients presented higher incidence of RRT than female, this was attributed to a larger proportion of male patients.The in-hospital mortality for RRT was 24% is lower than the 49% reported in the literature.This is the first study in Guatemala that analyzes the clinical and epidemiological characteristics of patients requiring the initiation of RRT
Funding
- Government Support – Non-U.S.