Title: Epedemiological and Clinical Profile of Hemodialysis Patients in a Tertiary Care Centre

Authors: Dr Padmakumar C, Dr Arun Varghese T

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.69

Abstract

Data regarding epidemiolocal and clinical profile of patients in a haemodialysis unit in South India is scarce.  This study was conducted to describe the epidemiological and clinical profiles of End Stage Renal Disease (ESRD) patients undergoing haemodialysis in Kanyakumari Government Medical College Hospital. This was a cross-sectional study in which all ESRD patients on haemodialysis were evaluated. Of the 76 patients (82.9%) were males. Diabetes was the most common cause of ESRD in34 (77.4%) patients. Seventy-four (97.4%) patients had emergency dialysis initiation through central venous cannulation. Interdialytic weight gain was lower [1.76 kilograms (SD-0.76)] and dialysis vintage was longer [29.24 months (SD- 15.93)] in patients receiving thrice weekly haemodialysis.

Keywords: epidemiological profile; clinical profile; haemodialysis.

References

  1. Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS, et al. Global prevalence of chronic kidney disease - a systematic review and meta-analysis. PLOS ONE. 2016;11:e0158765.
  2. Lijie M, Sumei Z. Risk factors for mortality in patients undergoing hemodialysis: a systematic review and meta-analysis. Int J Cardiol. 2017;238:151-8.
  3. Vijayalaksmi UB, Rayidi M. Laboratory Profiles of Patients on hemodialysis – a retrospective one year study in a rural tertiaty care hospital. J Clin Diagn Res. 2015;9:12-5.
  4. Mani MK: Chronic renal failure in India. Nephrol Dial Transplant 1993,8(8):684-689.
  5. Mittal S, Kher V, Gulati S, Agarwal LK, Arora P: Chronic renal failure in India. Ren Fail 1997, 19(6):763-770.
  6. Agarwal SK, Dash SC: Spectrum of renal diseases in Indian adults. J Asso Physicians India 2000, 48(6):594-600.
  7. Sakhuja V, Jha V, Ghosh AK, Ahmed S, Saha TK: Chronic renal failure in India. Nephrol Dial Transplant 1994, 9(7):871-872
  8. National Center for Chronic Disease Prevention and Health Promotion. National chronic kidney disease fact sheet, 2017. http://www.cdc.gov/kidneydisease/ pdf/kidney_factsheet.pdf (2017).
  9. Parameswaran S, Geda SB, Rathi M, Kohli HS, Gupta KL, Sakhuja V, Jha V: Referral pattern of end-stage renal disease patients and its impact on outcome at a public sector hospital. Natl Med J India 2011, 24(4):208-213.
  10. Rajapurkar et al. What do we know about chronic kidney disease in India: first report of the Indian CKD registry BMC Nephrology 2012, 13:10
  11. Daugirdas JT, Bernardo AA. Hemodialysis effect on platelet count and function and hemodialysis-associated thrombocyt-openia. Kidney Int. 2012;82:147-57
  12. Fan F, Jia J, Li J, Huo Y, Zhang Y. White blood cell count predicts the odds of kidney function decline in a Chinese community-based population. BMC Nephrol. 2017;18:190]
  13. Hou YC, Liu WC, Liao MT, Lu KC, Lo L, Pan HC, et al. Long-term and short-term effects of hemodialysis on liver function evaluated using the galactose single-point test. Scientific World Journal. 2014;2014:260939.
  14. Korgaonkar S, Tilea A, Gillespie BW, Kiser M, Eisele G, Finkelstein F et al. Serum potassium and outcomes in CKD: insights from the RRI-CKD cohort study. Clin J Am Soc Nephrol. 2010;5:762-9
  15. Fernández-Lucas M, Teruel-Briones JL, Gomis-Couto A, Villacorta-Pérez J, Quereda-RodríguezNavarro C. Maintaining residual renal function in patients on haemodialysis: 5-year experience using a progressively increasing dialysis regimen. Nefrologia. 2012; 32:767–776.
  16. Hanson JA, Hulbert-Shearon TE, Ojo AO, Port FK, Wolfe RA, Agodoa LY, Daugirdas JT. Prescription of twice-weekly hemodialysis in the USA. Am J Nephrol. 1999; 19:625–633.

Corresponding Author

Dr Arun Varghese T

Asst professor of Nephrology, Kanyakumari Government Medical College, Kanyakumari District 629201