Guía de unidades de hemodiálisis 2020

Alcalde-Bezhold, Guillermo; Alcázar-Arroyo, Roberto; Angoso-de-Guzmán, Manuel; Arenas, María Dolores; Cobo, Patricia Arribas; Gómez, Juan Manuel Díaz; García-Maset, Rafael; González‐Parra, Emilio; Hernández-Marrero, Domingo; Herrero-Calvo, José Antonio; Molina, Pablo; Molina-Núñez, Manuel; Otero-González, Alfonso; Pascual, Julio; Pereira-García, Mónica; Pérez‐García, Rafael; Prieto-Velasco, Mario; Pulido, Juan Francisco Pulido; Sánchez-Álvarez, J. Emilio; Sánchez-Hernández, Rosa; Sequera-Ortiz, Patricia de; Pino, María Dolores del Pino y; Rodríguez-Navarro, Carlos Quereda; Bezhold, Guillermo Alcalde; Arroyo, Roberto Alcázar; Guzmán, Manuel Angoso de; Pino, Ma Dolores Del; Marrero, Domingo Hernández; Maduell, Francisco; González, Alfonso Otero; García, Rafael Pérez; Jiménez, Dolores Arenas; Arias‐Guillén, Marta; Hernández, Ángel Martín de Francisco; Malo, Alejandro Martín; González, Rosa Inés Muñoz; Izquierdo, Rafael Díaz-Tejeiro; Lucas, Milagros Fernández; Martínez, E. Gutiérrez; López, Raquel Ojeda; Velasco, Mario Prieto; Benítez, Patrocinio Rodríguez; Santolaya, Alfredo José Sáenz; Roblero, María Fernanda Slon; Briones, José Luis Teruel; Molina, Fernando Tornero

doi:10.1016/j.nefro.2021.07.011

Cited by 5 publications

(7 citation statements)

References 430 publications

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“…This is the first survey in Spain that attempts to approach both the opinions of the patients and the professionals working in the units. Many of the answers obtained in the survey coincide with the recommendations made in the Spanish guidelines for hemodialysis centers [4], such as the need for the center to provide comfort, privacy, spaciousness, natural light, ventilation, and for a domestic environment to predominate over a hospital environment, as evidenced by the phrase “a center that looks less like a hospital”, which increases the validity of these guidelines [4].…”

Section: Discussionmentioning

confidence: 66%

“…The center guidelines that establish how the architectural design of hemodialysis units should be in Spain [4], do not reflect the opinions and preferences of people with kidney disease on dialysis about what the ideal dialysis center should be like. People with kidney disease are the focus of hemodialysis units [20,21] and these should be designed to improve their experience [22,23], so their opinions should be considered when giving indications on how to design them.…”

Section: Discussionmentioning

confidence: 99%

“…Historically, the definition of what a hospital and outpatient hemodialysis unit should be like has been based on the recommendations of scientific societies and health authorities [2-4], as well as on the requirements of the different state and regional regulations [5]. This definition contemplates, among other things, the rooms it should contain, their square meters and accessibility [6-13].…”

Section: Introductionmentioning

confidence: 99%

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Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

Jiménez¹,

Manso²,

Dapena³

et al. 2022

Preprint

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People with kidney disease on hemodialysis spend 4 hours of their lives three times a week in hemodialysis units. Although the new concept of 21st century medicine gives special prominence to the opinion of patients and family members, the reality is that this is rarely considered when establishing the requirements that a dialysis center should meet.Objective: To know and compare the opinion and preferences of patients, family members and professionals regarding the design of a dialysis unit and the potential activities they believe should be carried out during the session in order to provide architects with real information for the construction of a dialysis center. .Methods: Anonymous and voluntary survey in electronic format addressed to patients, relatives and professionals belonging to the 18 hemodialysis centers of the renal foundation and to ALCER and its different delegations, in relation to leisure activities to be carried out in the dialysis center and preferred design of the treatment room. The results obtained between the patient-family group and the professionals were compared. Results: We received 331 responses, of which 215 were from patients and family members (65%) and 116 (35%) from professionals. The most represented category among professionals was nursing (53%), followed by assistants (24%) and physicians (12.9%). A higher proportion of patients (66%) preferred rooms in groups of 10-12 patients as opposed to professionals who preferred open-plan rooms (p<0.001). The options that showed the most differences between patients and professionals were chatting with colleagues and intimacy (options most voted by patients/families), versus performing group activities and visibility (professionals). Conclusions: The professionals' view of patients' needs does not always coincide with the patients' perception. The inclusion of the perspective of people with kidney disease continues to be a pending issue in which we must improve both patient organizations and professionals, and the opinion of professionals and patients must be included in the design of a dialysis unit and the activities to be developed in it

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

Jiménez¹,

Manso²,

Dapena³

et al. 2022

Preprint

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“…La clave de la prevención de la bacteriemia está en el manejo del punto de conexión en la entrada y salida del paciente de hemodiálisis y en las manipulaciones intra-tratamiento, siendo la principal vía de entrada de patógenos 32 . La contaminación y colonización interna del acceso vascular puede producirse porque no exista una limpieza exhaustiva de la línea previa a la conexión, que el material utilizado no sea estéril, o por la trasmisión aérea al no utilizar de forma adecuada la mascarilla 33 . Tal y como indica el estudio realizado por Besarab A.…”

Section: Discussionunclassified

Análisis de la influencia de la pandemia por el virus SARS-CoV-2 sobre la tasa de bacteriemia en catéteres venosos tunelizados en una unidad de hemodiálisis

et al. 2023

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Antecedentes: La infección relacionada con catéter venoso central (CVC) está asociada a una elevada morbimortalidad y se ha relacionado con la bacteriemia asociada a CVC, disfunciones de catéter, la manipulación y las medidas higiénicas tomadas durante la misma. Objetivo: El objetivo del presente estudio fue comparar la tasa de bacteriemia entre los años 2019 y 2020, primer año de pandemia por el virus SARS-CoV-2, en una unidad de hemodiálisis de un hospital de la Comunidad Autónoma de Madrid. Material y Método: Se ha llevado a cabo un estudio observacional retrospectivo transversal en el que se compararon datos relativos a la manipulación y al funcionamiento del catéter, y tasa de bacteriemias relacionadas con el catéter entre los años 2019 y 2020 a través de la base de datos de la unidad. Resultados: En 2019 se incluyeron 35 pacientes, que presentaron una tasa de bacteriemia de 1,42/1000 días de catéter y 29 pacientes en 2020, con una tasa de bacteriemia de 1,82/1000 días de catéter, no encontrándose diferencias significativas (p=0,54), no encontrando un riesgo de bacteriemia incrementado o disminuido durante el primer año de pandemia producida por el virus SARS-CoV-2. Conclusiones: Como principal conclusión de este estudio, podemos afirmar que no se ha evidenciado que la llegada de la pandemia producida por la enfermedad del coronavirus y las medidas adoptadas frente al virus SARS-CoV-2, tanto organizacionales como de prevención, sean un factor de riesgo o protección respecto a la tasa de bacteriemia, probablemente debido al bajo número de eventos encontrados.

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“…Regardless of the basic requirements of quality of care, safety and comfort that every hemodialysis unit must meet, this study considers it important to go further in order to improve the experience of the application during those 4 hours. As an example, the Spanish center guidelines that establish how the architectural design of hemodialysis units should be in Spain 4 do not reflect the opinions and preferences of people with kidney disease on dialysis about what the ideal dialysis center should be like. People with kidney disease are the focus of hemodialysis units 24 , 25 and these units should be designed to improve their experience 26 , 27 so their opinions should be considered when giving indications on how to design them.…”

Section: Discussionmentioning

confidence: 99%

Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

Arenas Jiménez,

Manso,

Dapena

et al. 2023

PPA

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Aim The opinion of hemodialysis patients, professionals and family members is rarely considered in the design of a hemodialysis unit. Purpose To know and compare the opinion and preferences of patients, family members and professionals regarding the design of a dialysis unit and the potential activities they believe should be carried out during the session in order to provide architects with real information for the construction of a dialysis center. Patients and Methods Anonymous and voluntary survey in electronic format addressed to patients, relatives and professionals belonging to the 18 hemodialysis centers of the renal foundation and to ALCER and its different delegations, in relation to leisure activities to be carried out in the dialysis center and preferred design of the treatment room. The results obtained between the patient-family group and the professionals were compared. Results We received 331 responses, of which 215 were from patients and family members (65%) and 116 (35%) from professionals. The most represented category among professionals was nursing (53%), followed by assistants (24%) and physicians (12.9%). A higher proportion of patients (66%) preferred rooms in groups of 10–12 patients as opposed to professionals who preferred open-plan rooms (p<0.001). The options that showed the most differences between patients and professionals were chatting with colleagues and intimacy (options most voted by patients/families), versus performing group activities and visibility (professionals). Conclusion The professionals’ view of patients’ needs does not always coincide with the patients’ perception. The inclusion of the perspective of people with kidney disease continues to be a pending issue in which we must improve both patient organizations and professionals, and the opinion of professionals and patients must be included in the design of a dialysis unit and the activities to be developed in it.

show abstract

Guía de unidades de hemodiálisis 2020

Cited by 5 publications

References 430 publications

Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

Análisis de la influencia de la pandemia por el virus SARS-CoV-2 sobre la tasa de bacteriemia en catéteres venosos tunelizados en una unidad de hemodiálisis

Different Perspectives of Spanish Patients and Professionals on How a Dialysis Unit Should Be Designed

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