Article:
Serum aminotransferases in chronic kidney disease patients: a hospital based comparative study

creativeworkseries.issnOnline ISSN: 2676-1424; Print ISSN: 2676-1319
dc.contributor.authorPokhrel, Asmita
dc.contributor.authorPokhrel, Buddhi Raj
dc.contributor.authorPandey, Rachana
dc.contributor.authorMalla, Pragya
dc.contributor.authorSah, Bishesh
dc.contributor.authorShrestha, Jharana
dc.contributor.authorKhanal, Madhav Prasad
dc.creator.affiliationDepartment of Biochemistry, Nepal Medical College Teaching Hospital Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Biochemistry, Universal College of Medical Sciences, Bhairahawa, Rupandehi
dc.creator.affiliationDepartment of Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre
dc.creator.affiliationDepartment of Biochemistry, Nepal Medical College Teaching Hospital Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Biochemistry, Nepal Medical College Teaching Hospital Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Biochemistry, Universal College of Medical Sciences, Bhairahawa, Rupandehi
dc.creator.affiliationDepartment of Biochemistry, Nepal Medical College Teaching Hospital Attarkhel, Gokarneshwor-8, Kathmandu
dc.date.accessioned2026-11-05T08:41:32Z
dc.date.available2026-11-05T08:41:32Z
dc.date.issued2023
dc.description.abstractAbstract: Estimation of serum aminotransferase levels play important role in the diagnosis and monitoring of hepatic diseases. Studies suggest that in patients with chronic kidney disease, especially in those under hemodialysis, the reference ranges of the serum aminotransferases might not be reflective of hepatic function. Due to this, diagnosis and management of liver diseases in such patients becomes quite challenging. This study aims to estimate and compare serum aminotransferases levels of hemodialysis patients and healthy controls. Seventy-five patients undergoing hemodialysis in Nepal Medical College Teaching Hospital for at least three months were included in the study as cases and apparently healthy individuals with no active illness and regular medication use for the past three months and were recruited as controls. Predialysis blood samples were drawn and were analyzed for serum aminotransferases and other blood parameters. The median serum AST and ALT values for hemodialysis patients were 15 U/L and 21 U/L, while for the healthy controls, it was 30 U/L and 36 U/L and the differences were statistically significant (p < 0.001). Among the hemodialysis patients, serum AST was positively correlated with eGFR (ρ = 0.247, p = 0.033) and negatively correlated with serum creatinine levels (ρ = -0.307, p = 0.007). Hence, serum aminotransferases levels were found to be low in patients with impaired kidney function compared to those with normal kidney function.
dc.identifier.doihttps://doi.org/10.3126/nmcj.v25i2.56054
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8342
dc.language.isoen_US
dc.publisherNepal Medical College Pvt. Ltd.
dc.subjectAminotransferase
dc.subjectChronic kidney disease
dc.subjectHemodialysis
dc.subjectLiver disease
dc.titleSerum aminotransferases in chronic kidney disease patients: a hospital based comparative study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage159
oaire.citation.startPage154
relation.isJournalIssueOfPublicationaa5beb78-c9bf-4ea3-91c4-6b7e122bed9b
relation.isJournalIssueOfPublication.latestForDiscoveryaa5beb78-c9bf-4ea3-91c4-6b7e122bed9b
relation.isJournalOfPublication865934c8-5e95-468c-8ca6-7bb2529e4064

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