Clinical Profile of End Stage Renal Disease in Patients Undergoing Hemodialysis

Chaudhari, Sandip; Sadavarte, Ashwin V.; Chafekar, Deodatta

doi:10.18311/mvpjms/0/v0/i0/8555

Cited by 12 publications

(18 citation statements)

References 7 publications

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“…Out of 37 patients in the study, 23 patients were male which were similar to the study done in Nepal Medical College in 2008 A.D. 5 This is also similar to the study done in India by Sandip et al in 2017 A.D. 6 A study done in Iran in 2009 A.D also had male majority in presentation. 7 This shows that male are frequently seeking treatment facilities for their problems and females may be neglected for the treatment purpose.…”

Section: Discussionsupporting

confidence: 84%

Clinical profile of end stage renal disease in patients on maintenance haemodialysis in a tertiary hospital

Dhungana

Pun

Banstola

2020

J. Gandaki Med. Coll. Nepal

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Introduction and Objectives: Chronic kidney disease is an increasing health problem worldwide and the burden of such patients is increasing in developing countries like Nepal as well. The final treatment for End Stage Renal Disease is only renal replacement therapy. The objective was to study the demographic and clinical profile of patients with End Stage Renal Disease undergoing haemodialysis. Methods: This was a prospective, observational study carried out in a tertiary hospital after obtaining ethical consent from the Institutional Review Board. The study period was from June 1st to August 31st, 2019. Thirty seven patients, older than 15 years who were on maintenance haemodialysis on regular basis in the hospital for at least 3 months were selected for the study. Patient’s records were used for the data collection as well as direct questionnaire to the patients on follow up for routine haemodialysis. Data were entered into Statistical Package for the Social Sciences 21 and descriptive analysis was done. Results: Twenty-six patients were under 50 years with male: female ratio of 1.64:1. Mean duration of haemodialysis of patients was 3.82 years. Most common cause for end stage renal disease was hypertension followed by idiopathic cause. Anaemia and hypocalcaemia were found to be the common complications associated with the patients. Conclusions: Prevention and early treatment may be the key to decrease the incidence of chronic kidney disease patients and also halt the progression to End stage renal disease.

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Section: Discussionsupporting

confidence: 84%

Clinical profile of end stage renal disease in patients on maintenance haemodialysis in a tertiary hospital

Dhungana

Pun

Banstola

2020

J. Gandaki Med. Coll. Nepal

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“…15 In another study, Chaudhari et al found diabetic nephropathy (32.0%), hypertensive nephropathy (20.0%) and chronic glomerulonephritis (10.0%) to be the most common etiology of CKD and Jha et al in their study found diabetic nephropathy (31.2%) and hypertensive nephropathy (12.8%) to be the most common aetiologies of CKD. 16,17 This highlights that there is considerable variation in the causes of ESRD within and across the country.…”

Section: Discussionmentioning

confidence: 99%

Clinicodemographic Profile and Outcome of Maintenance Hemodialysis Patients in a Tertiary Hospital of Central Nepal, Chitwan

Ghimire

Vaidya

Upadhyay

2020

Kathmandu Univ. Med. J.

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Background Maintenance hemodialysis is a popular treatment modality of renal replacement therapy for end stage renal disease patients; however their mortality seemed to be rising in our centre. There were no previous studies regarding the clinicodemographic profile and outcome of maintenance hemodialysis patients from this region. Objective This study was carried out with an objective to know the clinicodemographic profile and outcome of maintenance hemodialysis patients in our centre. Method This study was a hospital based prospective observational study carried out over a period of three year, from May 2016 to April 2019, in the hemodialysis unit of the department of nephrology. All the consecutive end stage renal disease patients on maintenance hemodialysis were included in the study. The patient’s demographic profile and outcome were studied and analysed using appropriate statistical tools. Result A total of 156 patients were enrolled in the study. Males were 96(61.5%) and females were 60(38.5%). The mean age of the patient was 52.2±15.6 years. The commonest causes of end stage renal disease and reasons for admission were Type 2 diabetes mellitus 68(43.6%) and volume overload with heart failure 101(64.7%) respectively. At the end of three years, 39(25%) were expired, 14(8.9%) were transferred to other centre and four (2.6%) underwent kidney transplantation. The average duration of hemodialysis was 20.3± 17.5 months. Majority of the patients 154(98.7%) had repeat admission ranging from 1 time 21(13.5%) to 10 times two (1.3%). There was a significant association between age ≥ 40 years and diabetes with mortality (p value < 0.003 and < 0.028 respectively). Conclusion The commonest cause of end stage renal disease and the reason of admission were Type 2 diabetes mellitus 68 (43.6%) and volume overload with heart failure 101 (64.7%) respectively. The overall mortality was 39 (25%) and the commonest cause of mortality was sepsis/health care associated pneumonia 30 (76.9%). There was significant association between age ≥ 40 years and diabetes with mortality (p value < 0.003 and < 0.028 respectively).

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“…The sex-specific differences in HD prevalence may be interpreted in terms of physiological differentiation, and social pros and cons about HD facility. Similarly, fair correspondence in age variable ( M = 47, range 24-75) years and an Indian study15 advocates the commonalities in life style especially health care issues and aptitude towards regular checkup. The catheters remained intact for 40 days (on the average) i.e.…”

Section: Discussionmentioning

confidence: 96%

Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness

Shafique¹,

Akhtar²,

Mahnoor³

et al. 2019

Pak J Med Sci

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Objective: To compare hemodialysis (HD) internal jugular vein (IJV) versus subclavian vein (SCV) catheters in terms of procedural complications, patients’ comfort, tolerance and cost effectiveness. Methods: Sixty six consecutive eligible adult patients planned for hemodialysis @ 3 sessions/ week for maximum 42 days in a private hospital at Sialkot, Pakistan were documented between March 2017 and April 2018. A group, IJV or SCV catheter was allotted to alternate subjects. The catheters were inserted as per practice guidelines. Record of catheter-related complications (CRCs) was computerized. Similarly, patients’ uncomfortability and expenditures on management of CRCs were recorded. Results: Of 66 cases, 62 (93.9%, 31/group) successfully completed the study. Baseline information showed male predominance (n = 47, 75.8%), age (M = 47, range 24-75 years) or catheter stay time (M = 40 days). The rate of vein damage or artery puncture was found higher in IJV than SCV group [(13.9 vs. 6.5%) or (9.7 vs. 3.2%), respectively] during catheterization. The difference also existed in late CRCs such as bacterial infection (32.3 vs. 16.1%), or device dysfunctioning (9.7 vs. 3.2%) with an exception of mechanical kinking. All the patients of IJV or SCV group with missed (19.4 vs. 6.5%) or shortened HD sessions (22.6 vs. 12.9%) reported CRCs-based discomfort as a cause of the regularity. Moreover, the participants of IJV group consumed 69% of the total expenditures on CRCs management. Conclusion: SCV is a better site for HD catheterization as it has comparatively lesser likelihood of complications, patients’ feel comfortable and it is also cost-effective.than IJV. How to cite this:Shafique MN, Akhtar SH, Mahnoor M, Hussain M. Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.249 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinical Profile of End Stage Renal Disease in Patients Undergoing Hemodialysis

Cited by 12 publications

References 7 publications

Clinical profile of end stage renal disease in patients on maintenance haemodialysis in a tertiary hospital

Clinical profile of end stage renal disease in patients on maintenance haemodialysis in a tertiary hospital

Clinicodemographic Profile and Outcome of Maintenance Hemodialysis Patients in a Tertiary Hospital of Central Nepal, Chitwan

Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients’ comfort, tolerance and cost-effectiveness

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