CLINICAL OUTCOMES OF END STAGE RENAL DISEASE AND ADEQUACY OF ADULT MAINTENANCE HEMODIALYSIS PATIENTS
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2014, Vol 3, Issue 3
Abstract
Background & Aim: End stage renal disease (ESRD) is an irreversible loss of kidney function caused by various risk factors and affected persons of lives mainly depending on the technology of renal replacement therapy (RRT) or renal transplantation (RT) to sustain the life. Aim of this study is to overview the clinical outcomes of ESRD and adequacy of maintenance hemodialysis among the patients. Materials & Methods: Currently, there are sixty two end stage renal disease patient’s clinical data’s were collected and included in the study. For all patients, pre and post hemodialysis samples were collected and processed through biochemical and hematology auto analyzer. The hemodialysis modalities 4008 H/S and high-flux & low flux ultra filter dialyzers had utilized to three dialysis sessions per week, 4 hrs per session for each individuals. Blood flow rates differed from 150 to 350ml min-1 depending on conditions and standard dialysate flow was 500ml/ min-1. Results: Of total sixty two patients, 51.62% females and 48.38% males with mean age of 47.76 (18-72) years; gradually increased at the ages of 55 to 72 years then adult age. Concerning overall risk factors in ESRD, 61.30% of hypertension as a leading risk factor followed by 21% NIDDM, 11.30% other kidney diseases and 6.40% cardiac related diseases. Although, there are others clinical signs such as hypothyroidisms; extra-pulmonary infection, retinitis pigmentosa and infertility have been diagnosed. In addition, nearly 33.87%% of HCV, 6.45% HBV and 3.22% of co-infection have been prevalence in ESRD hemodialysis population. Relating to hepatitis C, B and co-infection during dialysis exposure were 29.41%, 2.94% and 2.94% in that order. In relation to overall adequacy of maintenance hemodialysis in this study nearly 75.80% (≥ 1.3 to 2.5 Kt/V) and 24.20% (1.05 to 1.3 Kt/V) were been analyzed through Kt/V formula for wastage clearance. Conclusion: The present study highlighted that the co morbidity of ESRD, current adequacy of adult maintenance hemodialysis, and suggesting to boost better by 90% (≥1.2Kt/V) of adequacy in all dialysis patients. In addition to that, exposure of hepatitis B and C virus during dialysis and advocating to implement current medical strategic to prevent ongoing clinical phenomenon within the patients.
Authors and Affiliations
Ismail Mahmud Ali| Hospital Director, Head, Assistant Professor, Department of Surgery, Ibn Sina Teaching Hospital, Sirt University, Libya, Corresponding author email: amrithrgenes@yahoo.co.in, Amirthalingam R| Specialist, Department of Molecular biology, Ibn Sina Teaching Hospital, Sirt University, Libya. P.O. Box 705
Keywords
Related Articles
- EP ID EP11227
- DOI 10.5958/2319-5886.2014.00414.7
- Views 330
- Downloads 18
Effect of Brackets’ Types on the Amount of Movement and Rotation of Canine during Retraction: A Simulated In vitro Study
Background: This in vitro study aimed to evaluate the effect of brackets’ materials on the distance moved by canine and rotation during sliding. Materials and methods: Extracted human maxillary canine tooth was used a...
Relationship among Dimensions of Roy Adaptation Model, General Health and Satisfaction with Life in Patients with Parkinson Disease
Parkinson disease (PD) is a chronic, progressive and debilitating disease. This study aimed to determine the relationship between the dimensions of Roy Adaptation Model (RAM) and General Health (GH) and Satisfaction wi...
SERUM GAMMA-GLUTAMYL TRANSPEPTIDASE AND LIPIDS IN YOUNG ADULTS WITH UNCOMPLICATED ESSENTIAL HYPERTENSION
Introduction: Gamma-glutamyl transpeptidase initially used as an indicator of alcohol ingestion is now viewed as a sensitive marker of sub clinical inflammation. Recent clinical studies have shown its association with b...
GOLDENHAR SYNDROME: A CASE REPORT WITH FACIAL OCULAR AURICULAR VERTEBRAL MANIFESTATIONS
Goldenhar’s Syndrome (GS) is a rare condition described initially by Von Arlt. It is characterized by a combination of anomalies: epibulbar tumors, preauricular tags and malformation of the ears. In 1963, Gorlin sugg...
CARDIOVASCULAR RESPONSES DURING DEEP WATER RUNNING VERSUS SHALLOW WATER RUNNING IN SCHOOL CHILDREN
Overview: As the school going children especially the adolescents’ need workout routine; it is advisable that the routine is imbibed in the school’s class time table. In India as growing number of schools provide s...