#4430 PREVALENCE OF AMPUTATION IN HD PATIENTS: A DIALYSIS PROGRAM WITHOUT SOCKS

Abstract Background and Aims Peripheral arterial disease affects very commonly CKD patients on dialysis. Frequently such injuries precede severe complications that lead to hospitalizations, amputations even death. Objectives: Study the prevalence of ulcers amputation dialysis, analyze related risk factors, post-surgical results establish a prevention program. Method Descriptive, observational, retrospective (7 years), single-center study in with Results 202 (12 PD 190 HD), 67 active 135 off 127 men 75 women. Average age 69 years. time dialysis 47 months. Vascular access: 56%, native fistula 37% catheter 7% prosthesis. Cause 30,2% ND, 22.8% NAS. 95.54% HBP, 46.53% DM 26.73% Ischemic heart disease, 31.19% chronic ischemia, 26.24% had intermittent claudication, 12.38 % all comorbidities indicated. Higher comorbidity males M:F 4:1. 53.47% ex-smokers or habit. Ulcers 29.7% (40 20 women), 76.67%, diabetics. Half (48.94%) presented ulcers. The most frequent was vascular ulcer (43.67%) followed by associated diabetic foot (26.67%) pressure 15%. Amputations (11 major 13 minor) 24 (16 8 women) prevalence: overall 12%, 22.34%, 40% 46% if they are Analytics amputees. Average: PTH 352 ng/dl, Phosphorus 4.4 mg/dl, Vitamin D 19 Albumin 3.3g/dl, hypercholesterolemia 20%. 17 ischemia were revascularized (76.47% ended amputation). Mortality: 88 died (43.56%), which 41 (68.33%) amputees (83.33%, 3 early mortality late mortality). Conclusion is high. Most male, high cardiovascular previous history Mortality increases CKDG5D There need for 11dialysis without socks” programs detection reduce incidence