Publication: End Stage Renal Disease among Patients Undergoing Haemodialysis at a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Chronic kidney disease is defined as structural or functional damage of the kidney persisting for three or more months. Studies have shown hypertension and diabetes as the leading causes of chronic kidney disease. The aim of this study is to find out the prevalence of end-stage renal disease patients undergoing haemodialysis in a tertiary care hospital.
Methods: This was a descriptive cross-sectional study conducted among 96 patients undergoing haemodialysis from February 13, 2021 to April 4, 2021 in the hemodialysis unit of a tertiary care centre after receiving ethical clearance from the Institutional Review Committee (Reference number: 354). Convenience sampling was done and all patients older than 18 years who were on maintenance haemodialysis on an outpatient basis were included in the study. Data were collected using a self-administered questionnaire. Data were analysed using the Statistical Package for the Social Science version 22.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentages for binary data and mean with standard deviation for continuous data.
Results: Among 96 patients undergoing haemodialysis, the prevalence of end-stage renal disease was 83 (86.45%) (79.60-93.30 at 95% Confidence Interval). The most common underlying condition was hypertensive nephropathy in 34 (40.96%) patients, followed by both hypertensive and diabetic nephropathy in 26 (31.33%) patients.
Conclusions: The prevalence of end-stage renal disease in our study was higher when compared to similar studies conducted in similar settings. Early diagnosis and adequate treatment of hypertension and diabetes could be crucial to reducing the prevalence of the end-stage renal disease.
Description
Ajay Rajbhandari
Department of Internal Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Ujwal Bhusal
Nepalese Army Institute of Health Sciences, Syanobharyang, Kathmandu, Nepal
https://orcid.org/0000-0003-4741-0528
Dhan Bahadur Shrestha
Department of Internal Medicine, Mount Sinai Hospital, Chicago, Illinois, United States of America
Jyoti Yadav
Department of Emergency Medicine, Bir Hospital, Kanti Path, Kathmandu Nepal
Sonam Singh
Department of Nephrology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Chiranjibi Pant
Department of Internal Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Arun Sharma
Department of Internal Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Keywords
Chronic kidney failure, Chronic renal insufficiency, End stage renal disease, Hemodialysis, Nepal