Hemodialysis duration and underweight as a risk factors of renal osteodystrophy (chronic kidney disease - mineral bone disorder) on regular hemodialysis patient

Andika, Gde Dedy; Kawiyana, I Ketut Siki; Wiratnaya, I Gede Eka; Kandarini, Yenny

doi:10.18203/2320-6012.ijrms20211339

Cited by 2 publications

(2 citation statements)

References 12 publications

(13 reference statements)

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“…[ 5 , 9 ] Obese patients had better T-score at FN compared with normal weight individuals, which was consistent with previous findings. [ 13 , 14 ] A third of the study participants with a history of fracture took steroids. The profound effects of glucocorticoids on bone health are well-known and manifest as increased resorption due to osteoclastogenesis, increased RANK ligand expression, and decreased osteoprotegerin receptor expression.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of osteoporosis in Saudi end-stage renal disease patients on hemodialysis

Mahzari¹,

Alibrahim²,

Alghamdi³

et al. 2022

Saudi J Med Med Sci

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Background: Osteoporosis is characterized by a decrease in bone mineral density, thereby increasing the risk of pathological fractures. It is a common complication of chronic kidney disease. However, there is limited local data on the prevalence of osteoporosis in end-stage renal disease. Objective: The current study evaluated the epidemiology of osteoporosis in end-stage rental disease patients at a Saudi Arabian tertiary care center. Methods: This cross-sectional retrospective study was conducted using data obtained between 1 January 2016 and 31 December 2019 at the Dialysis Center at King Abdulaziz Medical City, Riyadh, Saudi Arabia. End-stage rental disease patients who were aged ≥50 years and underwent hemodialysis for at least 1 year were included, while those with documented metabolic bone disease and absence of bone mineral density data were excluded. Results: Sixty-four end-stage rental disease patients undergoing hemodialysis met the inclusion criteria. The patients underwent bone mineral density measurement at the discretion of the treating physician. The mean patients' age was 73 ± 11.5 years and 76% were women. The overall prevalence of osteoporosis was 37.5%, and it was similarly distributed among women and men (38.8% and 33.3%, respectively). Nine of the 15 male patients (60%) and 24 of the 49 female patients (49%) had fractures. Twenty-five (39%) patients used glucocorticoids. Osteoporosis was most commonly identified in the femoral neck (26.2%), followed by proximal femur (19.4%), and lumbar spine (18.8%). A high rate of osteoporosis was significantly associated with older age and being underweight. Conclusion: A high rate of low bone mineral density was demonstrated in end-stage renal disease patients. The femoral neck was the most common osteoporosis site in this patient population, and advanced age and underweight were possible risk factors for low bone mass.

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of osteoporosis in Saudi end-stage renal disease patients on hemodialysis

Mahzari¹,

Alibrahim²,

Alghamdi³

et al. 2022

Saudi J Med Med Sci

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show abstract

“…Kt/V yang tinggi biasanya berada pada >1,4. 24,25 Terapi hemodialisis yang lama dan rasio Kt/V yang lebih tinggi dikaitkan dengan terjadinya peningkatan risiko osteoporosis. 24 Semakin lama seseorang melakukan terapi hemodialisis, maka semakin banyak pula mineral larut air seperti urea, kreatinin, fosfat, kalsium dan lainnya yang ikut terbuang.…”

Section: Hasilunclassified

Penatalaksanaan Keperawatan Osteoporosis pada Pasien Hemodialisis: Studi Kasus

Putri

Haryani

Wahyuni

2023

JKKK

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Background: Treatment of osteoporosis in hemodialysis patients is important since it slows down the worsening effect of osteoporosis and prevents bone fractures. Objective: To know the description of osteoporosis nursing management in hemodialysis patients Case description: A 62 years old male complained about his difficulty in walking, as well as back and ankle ache during strenuous activities after hemodialysis. Nursing actions were given with the aim of alleviating client complaints. Results: This study found that the patient experienced back, knee, and ankle ache during strenuous activities. Pain management -as the nursing action- was given by administering paracetamol and CaCo3 as well as joint training education to strengthen muscles. The patient's pain level was decreased after the intervention from the severe category to the moderate category (pain range 7-8 to 4-5). Conclusion: The treatment for osteoporosis in hemodialysis which includes phosphate buffer supplements, analgesic drugs, adherence to hemodialysis therapy, and muscle strengthening exercises, has pain reduction effect from severe to the moderate pain category.ABSTRAKLatar belakang: Penanganan osteoporosis pada pasien hemodialisis merupakan hal penting, agar dapat memperlambat perburukan osteoporosis dan mencegah terjadinya patah tulang. Tujuan: Mengetahui gambaran penatalaksanaan keperawatan osteoporosis pada pasien hemodialisis.Deskripsi kasus: Seorang lelaki, 62 tahun, mengeluh kesulitan berjalan, nyeri punggung, dan nyeri pada kaki saat beraktivitas berat selama 3 tahun terakhir setelah hemodialisis. Tindakan keperawatan diberikan dengan tujuan untuk meringankan keluhan klien.Hasil: Hasil pengkajian didapatkan keluhan nyeri pada punggung, pergelangan kaki dan lutut saat beraktivitas berat. Tindakan keperawatan yang diberikan berupa penanganan nyeri akut dengan pemberian obat parasetamol dan CaCo3 serta edukasi latihan persendian untuk memperkuat otot. Setelah pemberian intervensi, tingkat nyeri pasien berkurang, dari kategori berat (rentang nyeri 7-8) menjadi kategori sedang (rentang nyeri 4-5).Simpulan: Penanganan osteoporosis pada pasien hemodialisis mencakup suplemen penyangga fosfat, obat analgesik, kepatuhan terapi hemodialisis, dan penanganan non-farmakologis berupa latihan penguatan otot yang dapat memberi efek pengurangan nyeri, dari kategori nyeri berat menjadi nyeri sedang.

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Hemodialysis duration and underweight as a risk factors of renal osteodystrophy (chronic kidney disease - mineral bone disorder) on regular hemodialysis patient

Cited by 2 publications

References 12 publications

Prevalence and risk factors of osteoporosis in Saudi end-stage renal disease patients on hemodialysis

Prevalence and risk factors of osteoporosis in Saudi end-stage renal disease patients on hemodialysis

Penatalaksanaan Keperawatan Osteoporosis pada Pasien Hemodialisis: Studi Kasus

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