Publication: Clinicodemographic Profile and Outcome of Maintenance Hemodialysis Patients in a Tertiary Hospital of Central Nepal, Chitwan
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Date
2020
Authors
Journal Title
Journal ISSN
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Publisher
Kathmandu University
Abstract
ABSTRACT
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).
KEY WORDS
Diabetes mellitus, End stage kidney disease, Maintenance hemodialysis
Description
Ghimire M,1 Vaidya S,1 Upadhyay HP2
1Department of Nephrology
2Department of Community Medicine
College of Medical Sciences Teaching Hospital,
Bharatpur, Nepal
Keywords
Diabetes mellitus, End stage kidney disease, Maintenance hemodialysis