Family history in patients with end-stage renal disease on hemodialysis in Tripoli, Libya

Abstract

Background: End-Stage Renal Disease (ESRD) is a global health problem due to increasing its burden worldwide. High-risk groups include family members of patients with ESRD. Objectives: To determine the prevalence of ESRD among dialysis patients' families. At Al-Shat kidney dialysis Center, Tripoli, Libya. So can conclude that the ESRD patient is an index case for a high- risk population. Methods: All patients' data were collected through direct interview with the patients for 15- 20 minutes and by reviewing patients' charts. Patients who decline consent to participate and those with mental or speech disability were excluded, and patients on peritoneal dialysis. The study carried at Al-Shat kidney dialysis centre, Tripoli, Libya. In January 2019. Results: 261 patients were interviewed, mean age 51.8 years (±15), nearly half (48.7%) of them, between 45 to 65 years and 31.8% younger than 45 years. 56.3% were men, and 43.7% were women. The leading causes of ESRD in these patients were DM, HTN, congenital abnormalities (APCKD/VUR) and GN (35.2%, 22.2%, 10%, 8%). Positive family history of ESRD was reportedby 26.8% of these patients. From them, 47% (33/70) were between 45 to 65 years ofage. 58.6% were male (41/70). 34.3% have diabetic, 20% have HTN, 13%have congenital abnormalities, and 7% GN. Conclusions: Positive familyhistory of ESRD was high in dialysis patients. These patients can be used as anindex case to identify high- risk population.

Associated risk factors of renal failure among patients attending Hemodialysis center at Al-Thwara Authority Hospital in IBB city, Yemen: A cross sectional study

“…The present study reported that 16% of hemodialysis patients were diabetics which is higher than study conducted in Sana'a (35), Hudaidha cities, Yemen (14). Diabetes mellitus is the leading cause of CRF and accounts for 50% of ESRD causes in both developed and developing countries (26,32). Although, CRF as a complication of medications intake as analgesics represents 29% of sample compared to 5% in Tabuk, Saudi Arabia (20( but the result of this study revealed that there was no correlation between NSAID using and gender of CRF patients which is identical to studies conducted in Saudi Arabia and Yemen (4,20,39).…”

“…The WHO contends that chronic Khat-chewing can cause hypertension in young adults, with a spontaneous regression once consumption is stopped (30). From this study, nearly more than half of patients were smokers, however 49% were nonsmokers, previous studies revealed that there was no significant relationship between smoking and the incidence of CRF (32,33,22). Whereas other studies reported that there is a correlation between smoking and the incidence of CRF (21,34).…”