The Prevalence of Peripheral Neuropathy in Hemodialysis Patients at Al-Azhar University Hospital in New Damietta City

Alshazly, Sherief M; Hassan, Mohammad Ali Saeed; Hamed, Elsayed Fathi Ali; Mohammad, Mohammad Mahmoud Abd El-Aziz

doi:10.21608/amj.2020.82580

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…This aligns with the findings of research by D. B. Jasti et al (2018) and M. Al-Shazly et al (2020), where the CMAP amplitude of the peroneal nerve decreased by more than 50%, specifically 69.6% and 68.0%, respectively. However, unlike the study by Jasti et al (2018), which identified the longest distal latency in the ulnar nerve, our study found the longest distal latency in the peroneal nerve.…”

Section: Overview Of Motor and Sensory Nerve Conduction Examination I...supporting

confidence: 91%

“…For instance, in a study by D. Jasti et al (2017), the prevalence of peripheral neuropathy in CKD patients was found to be 89% based on electrophysiological examination (NCS). This aligns with the findings of M. Al-Shazly et al (2020), who reported 76% of polyneuropathy cases based on NCS results.…”

Section: Introductionsupporting

confidence: 92%

“…D. Jasti et al (2017) reported 18% experiencing axonal type sensory neuropathy. In the study by M. Al-Shazly et al (2020), it was equally distributed, with 39.5% of patients having axonal and mixed neuropathy, respectively.…”

Section: Lesion Type Of Ckd Patients With Peripheral Neuropathy (Urem...mentioning

confidence: 92%

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Overview of Peripheral Neuropathy in Chronic Kidney Disease Patients Undergoing Hemodialysis at Dr. Mohammad Hoesin Hospital Palembang

Christin,

Ali,

Legiran

et al. 2023

COMORBID

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Neurological complications occur in almost 60% of patients with advanced CKD and affect the nervous system at all levels, both central and peripheral. Peripheral neuropathy in CKD is usually asymptomatic until renal function is below 15%, and glomerular filtration is less than 10-12 ml/min. This study seeks to identify and characterize peripheral neuropathy in patients with chronic kidney disease undergoing hemodialysis at Dr. Mohammad Hoesin Hospital Palembang. This is a descriptive cross-sectional study with the research sample comprising chronic kidney disease patients undergoing hemodialysis at Dr. Mohommad Hoesin Palembang Hospital. The distribution of research subjects based on the Neuropathy Symptom Score (NSS) revealed that 65.7% fell into the mild neuropathy category, based on an NSS of 3-4. According to the electrophysiology results, 82.9% of patients exhibited peripheral neuropathy, while 17.1% showed normal NCS results. Sensory motor neuropathy accounted for 51.4%, including 71.5% with axonal neuropathy, 11.4% with axonal-demyelinating lesions, and no demyelinating lesions. The high prevalence of peripheral neuropathy in CKD patients identified through electrophysiological examination (ENMG) emphasizes the importance of nerve conduction examination as a diagnostic tool for peripheral neuropathy in CKD patients. This can aid in determining the progression of peripheral neuropathy in CKD patients, allowing for appropriate management and prevention of disability complications to enhance the quality of life for these individuals.

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Section: Overview Of Motor and Sensory Nerve Conduction Examination I...supporting

confidence: 91%

Section: Introductionsupporting

confidence: 92%

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Overview of Peripheral Neuropathy in Chronic Kidney Disease Patients Undergoing Hemodialysis at Dr. Mohammad Hoesin Hospital Palembang

Christin,

Ali,

Legiran

et al. 2023

COMORBID

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Dialysis Treatment is an Independent Risk Factor for Foot Morbidity

Schembri

Formosa

2022

The International Journal of Lower Extremity Wounds

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Aim: To determine the prevalence of foot morbidity among patients with ESRD on dialysis. Methods: A prospective, non-experimental, quantitative time series design was employed. Forty-seven participants were recruited in the study. Medical records were reviewed followed by non-invasive foot assessments which included: Neurological, Arterial, Biomechanical, and Dermatological Assessment. Participants were assessed twice during the study. Results: Foot morbidity was found to be high among participants with ESRD on dialysis. 95.74% of participants presented with foot deformities, 76.60% had skin and nail conditions. 15% of participants had a history of ulceration and amputation. Moreover, active ulceration and history of revascularisation were also observed. Findings demonstrated overall poor foot health and footcare behavior within this population with 40.43% of participants having inappropriate footwear. The majority of participants did not check feet regularly, did not attend to podiatry appointments, and were unable to reach their feet for self-care. The Toe Brachial Pressure Index (TBPI), Spectral Doppler Waveform Analysis, and the Quantitative Sensory Testing (QST) were re-measured at each visit. Monophasic continuous doppler waveforms increased while triphasic waveforms decreased during the study period. Protective sensation did not decrease during the study period. The mean TBPI decreased during the study period. The relationship between the TBPI and duration of dialysis was found to be significant. Both DM and dialysis duration were identified as significant predictors of reduction in TBPI. Conclusion: This study demonstrates a high prevalence of foot morbidity among patients with ESRD on dialysis. This study highlighted the importance of expanding practice by introducing a podiatry service within the renal unit to provide foot screening, foot assessments, and foot care education, with the aim to reduce severe foot complications.

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The Prevalence of Peripheral Neuropathy in Hemodialysis Patients at Al-Azhar University Hospital in New Damietta City

Cited by 2 publications

References 2 publications

Overview of Peripheral Neuropathy in Chronic Kidney Disease Patients Undergoing Hemodialysis at Dr. Mohammad Hoesin Hospital Palembang

Overview of Peripheral Neuropathy in Chronic Kidney Disease Patients Undergoing Hemodialysis at Dr. Mohammad Hoesin Hospital Palembang

Dialysis Treatment is an Independent Risk Factor for Foot Morbidity

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