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          "titulo" => "Factores en la eliminación de fósforo en hemodialisis"
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        "resumen" => "Summary The hemodialysis (HD) population continues growing and aging, reason why they are required to adapt the human, economic and materials resources to be taken care of. Objective: To analyze the distribution of the consultations and the times of admissions in the different Hospital services of which an peripheral arranged HD Center depends. Method: We analyzed all the consultations to the Hospital Urgencies Departments and Hospitable admissions of all the patients who received HD in the arranged Center Ponfedial, (sanitary area Ponferrada of 150,000 inhabitants) in period 01/12/02 to the 31/05/05. Results: we prospectively examined a population of 87 HD patients (71,0±12,5 years, 77,9 % male, 31,4% diabetics) time in HD 21,0±22,7 months. They were a total of 286 (9,5/month) consultations in the Service of Urgencies (2,31 consult/patient/year), 37,4% of them did not motivate admissions. The most frequent consultation (28,9%) was the complications of vascular access (70,9% of them required positioning a transitory catheter&#59; 1,1 complication of catheter/months, 1 permanent catheter is placed/1,2 months and 1 fistulography/1,2 months), cardiac causes 10,3%, acute pulmonar edema: 9,3%, infectious: 8,4% and traumatologic: 8,4%. There were 179 admissions (5,9/month&#59; 1,44 hospitalizations/patient/year&#59; 4,0±14,2 days of admissions): cardiovascular cause: 37,4%, by vascular access: 18,4%, infectious disease: 17,0%, digestive: 6,7%, traumatologic: 3,9% and by other causes: 11,0%. The cardiovascular group takes 46,5% (60,8% of them by vascular peripheral disease) of the total of days of hospitalizations, infectious 16,7%, neoplasic 8,4% and vascular access 7,6%. The neoplasic causes were the greater average with 36,0±21,6 days of hospitalization, by amputations 23,0±38,1 days, by stroke 14,5±10,6 days, infected ulcers of lower extremities members 10,0±19,0, other vascular treatments 10,0±4,7, ischemic heart disease 8,5±20,3 and heart failure 7,5±5,2 days. Our prevalent population of 49,5 patients needed 3 to 7 hospitable beds, 0,33 temporal catheter, 1 tunneled permanent catheter and 1 fistulography per month. Conclusions: The cardiovascular causes, the accesses and the infectious ones are the main causes of consultations, hospital admissions and time of hospitalizations. Keywords: Hemodialysis. Hospitalizations. "
      ]
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        "resumen" => "La población en hemodiálisis (HD) continúa creciendo y envejeciendo, por lo que se requieren adecuar los recursos humanos, materiales y económicos para ser atendida. Objetivo: Analizar la distribución de las consultas, los ingresos y los tiempos de estancia hospitalaria en los distintos Servicios Hospitalarios de los que depende un Centro de HD concertado. Método: Analizamos todas las consultas al Servicio de Urgencias (SºU) e ingresos hospitalarios de todos los pacientes que recibieron HD en el Centro concertado Ponfedial, (área sanitaria Ponferrada de 150.000 habitantes) en el período 01/12/02 al 31/05/05. Resultados: Se dializaron 87 pacientes (media de 49,5 pacientes/año, edad media de 71,0±12,5 años, 77,9 % masculinos, 31,4% diabéticos) tiempo en HD 21,0±22,7 meses. Fueron un total de 286 consultas en el SºU(2,31 consultas/paciente/año), de ellas 37,4% no motivaron internaciones. La consulta más frecuente 28,9% fueron las complicaciones del acceso (de ellas 70,9% requirieron colocación de catéter transitorio&#59; 1,1 complicación de catéter/mes, se coloca 1 catéter permanente/1,2 meses y 1 fistulografía/1,2 meses), causas cardíacas 10,3%, edema pulmonar: 9,3%, infecciosas: 8,4% y traumatismos: 8,4%. Fueron 179 ingresos (1,44 hospitalizaciones/paciente/año&#59; 4,0±14,2 días de estancia hospitalaria): causa cardiovascular 37,4%, por angioacceso 18,4%, infecciosas 17,0%, digestivas 6,7%, traumatológicas 3,9% y por otras causas 11,0%. El grupo cardiovascular se lleva el 46,5% (60,8% de ellas por vascular periférico) del total de días de ingreso, las infecciosas 16,7%, neoplásicas 8,4% y angioacceso 7,6%. Las causas neoplásicas tuvieron la media mayor con 36,0±21,6 días de estancia hospitalaria, por amputaciones 23,0±38,1 días, por accidente cerebro vascular 14,5±10,6 días, úlceras infectadas de miembros inferiores (MMII) 10,0±19,0, otros tratamientos vasculares 10,0±4,7, coronariopatías 8,5±20,3 y descompensación cardíaca 7,5±5,2 días. Fueron de 3 a 7 camas/mes ocupadas por nuestros pacientes hospitalizados. Conclusiones: Las causas cardiovasculares, los accesos y las infecciosas son las principales causas de consultas, ingresos y estancias hospitalarias. "
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