Jsmc-10320

ADEQUACY OF HEMODIALYSIS IN PATIENTS WITH END-STAGE RENAL FAILURE IN SULAIMANI GOVERNORATE

Dana Ahmad Sharif a, and Nahida Mohammad Marif b 

a Department of Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 

b Shar Hospital, Ministry of Health, Kurdistan Region, Iraq.

Submitted: 20/10/2020; Accepted: 25/8/2021; Published: 21/9/2021

DOI Link: https://doi.org/10.17656/jsmc.10320 

ABSTRACT 

Background 

Hemodialysis is one form of renal replacement therapy in patients with end-stage renal failure. The adequacy of dialysis is an essential factor in reducing the various complications experienced by these patients.

Objectives 

To evaluate hemodialysis adequacy in seven dialysis centres of Sulaimani governorate investigate whether changing the dialysis shift to the morning session with nutritional support can improve the dialysis adequacy or not.

Patients and Methods

A prospective case-control interventional study on 135 patients on Hemodialysis during their regular schedules in seven centres in Sulaimani governorate from November 2018 to May 2019. 

We divided into groups A and B. Group A consisted of 109 patients named the control group. Group B consisted of 26 patients called the intervention group, where we changed their time of the dialysis session from the evening to the morning shift along with particular diet advice.

Results

The age of the patients ranged from 12 to 71 years. Sixty-one participants were males, and 74 were females. The mean clearance of urea per time over the volume of distribution KT/V in group A was 1.20 compared to 1.54 in group B. Similarly, in group A, the mean urea reduction ratio URR was 59.96, compared to 71.21 in group B. These were all statistically significant. 

Conclusion

Dialysis adequacy is sufficient in all dialysis centres in Sulaimani centres. The study showed that shifting the dialysis session to the morning with diet advice may further improve dialysis adequacy.

KEYWORDS

Chronic kidney disease, Hemodialysis, Adequacy of dialysis.

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