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Volume 7, Issue 4 (Suppl) J Nephrol Ther 2017
ISSN: 2161-0959 JNT, an open access journal Nephrology & Urology 2017
July 06-07, 2017
JULY 06-07, 2017 KUALA LUMPUR, MALAYSIA
12TH ANNUAL CONFERENCE ON
Nephrology & Urology
Clinical profile of patients with chronic kidney disease under hemodialysis in BPKIHS
Bijay Bartaula, Mishra K M, Shrestha M and Bichha N
BPKIHS, Nepal
Background: Study was conducted to see the clinical profile of patients with chronic kidney disease under hemodialysis.
The number of patients with chronic kidney disease is increasing in developing countries as well because of the increased
prevalence of diabetes and other risk factors. Likewise the number of hemodialysis cases will increase in Nepal because of the
government policy to make hemodialysis free for chronic kidney disease.
Objectives: The objective is to study the clinical profile of patients with chronic kidney disease under hemodialysis and to
know common complications in hemodialysis and its associated factors.
Materials & Methods: Hospital based prospective cross-sectional study performed in dialysis of BPKIHS over 4 weeks. Sixty
two patients with chronic kidney disease undergoing maintenance hemodialysis were enrolled.
Results: Median age of patient was 50 years with male (61.3%) and female (38.7%). 41.9% had hypertension and 38.7% diabetes
in the past. Diabetic nephropathy (37.1%) followed by hypertensive nephropathy (30.6%) and chronic glomerulonephritis
(20.6%) were the predominant causes of chronic kidney disease. Maximum patients were getting twice weekly (37.1%)
dialysis followed by weekly (30.6%) and every 2 weeks (21%). Commonest complications during dialysis were chills and rigor,
backache, hypotension and chest pain respectively. The study showed increasing age was associated with more complications
during dialysis with maximum complications (59.3%) in 41-60 years with p value of 0.013. Similarly complications were more
in female than male (p-0.574). Complications increased with decrease frequency of dialysis maximum with irregular dialysis
(P-0.30).
Conclusions: Complications during hemodialysis is common and mostly manageable if intervened timely and is associated
with age, gender and frequency of dialysis.
Biography
Bijay Bartaula is an Assistant Professor at the Department of Internal Medicine, BPKIHS, Dharan, Nepal.
Bijay Bartaula et al., J Nephrol Ther 2017, 7:4 (Suppl)
DOI: 10.4172/2161-0959-C1-043