FACTORS RELATED TO HEMODIALYSIS PRACTICE- PATTERNS IN PATIENTS WITH MAINTENANCE HEMODIALYSIS

Md. Mamunur Rashid*, Pradip Kumar Dutta, Md. Nurul Huda, Biplob Kumar Barua and
Dr. Mohammad Abdul Kader

ABSTRACT

Introduction: Chronic kidney disease (CKD) refers to an irreversible and usually a progressive, deterioration of kidney function caused by a wide variety of disease. A large proportion of patients with CKD develop end stage renal disease (ESRD) with the need for dialysis or kidney transplantation. Mortality rates are high among dialysis patients and dialysis outcomes vary across facilities and countries. Objectives: The aim of this study was to assess factors related to hemodialysis practice-patterns in patients with MHD. Methods: A prospective observational study was designed in 160 patients who were on maintenance hemodialysis twice and thrice weekly in different dialysis centers, Chittagong. At baseline information were collected & patients were followed up until their death or upto 1 year. Results: Of 160 patients studied mean age was 50.11±13.21 years, 66.25% were male, 35.00% were diabetic. Temporary dialysis catheters were the most common initial vascular access. The prevalence of positive hepatitis B virus surface antigen & anti hepatitis C virus surface antibody were 15.625% & 15.00% respectively. 38 patients died & mortality rate was 23.75%. Sepsis & IHD were the most common causes of death. Conclusion: Despite the continuous improvement of dialysis technology and pharmacological treatment, mortality rates for dialysis patients are still high. Most common causes of CKD were diabetic nephropathy and chronic glomerulonephritis.

Keywords: ESRD, twice weekly hemodialysis, thrice weekly hemodialysis, mortality.