Maintenance Hemodialysis among Patients Visiting Nephrology Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Agrawaal, Krishna Kumar

doi:10.31729/jnma.7899

Cited by 2 publications

(5 citation statements)

References 8 publications

(7 reference statements)

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“…Surprisingly, half of the aetiology of ESRD remained unexplained. A similar findings were reported from previous studies 3,[11][12][13][14][15][16] . In all those studies hypertension was the top non-communicable disease leading to ESRD.…”

Section: Discussionsupporting

confidence: 92%

“…Few of the aetiologies were focal segmental glomerulosclerosis, diffuse glumerulo sclerosis and C3 glumerulopathy as well. Our findings were similar to other studies conducted in the region [11][12][13][14][15] but the number of patients who underwent renal biopsy remained significantly low in our study as the procedure was only recently started in the hospital . In half of the study patients, the aetiologies of ESRD remained unexplained.…”

Section: Discussionsupporting

confidence: 92%

“…A small minority of ESRD patients were also found in younger age group. A similar findings were also reported from Nepal 13 , Bangladesh 14 and Iran 15 . The aetiologies of ESRD in younger age groups were mostly unexplained, which warrant further studies 6,8 .…”

Section: Discussionsupporting

confidence: 89%

“…These findings indicate that female population in Bhutan may be at increased risk of ESRD than her male counterpart. A similar findings were reported from many studies conducted in the region 13,15,16 whereas in Bangladesh 14 , the findings were opposite with male predominance. However, in one study no differences in sex was found 14 .…”

Section: Discussionsupporting

confidence: 89%

“…Regarding the age distribution of ESRD in the population, the mean age of the patients were found similar to that of previous studies conducted in the regions [12][13][14][15][16] . Prevalence of high ESRD in middle age population was linked to the fact that overall renal function deteriorates with advancing age 11 .…”

Section: Discussionsupporting

confidence: 87%

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Aetiology of end-stage renal disease at the National Referral Hospital of Bhutan

Dorji¹,

Penjore²,

Tshokey³

et al. 2023

Bhutan Health Journal

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Introduction: End stage renal disease (ESRD) is a late stage of chronic kidney disease (CKD) requiring chronic dialysis or renal transplant to survive. End stage renal disease is a growing problem worldwide. In Bhutan too, there are anecdotal evidence showing increasing number of ESRD patients every year, which has become a cause of serious concern for the country. Methods: This retrospective descriptive study was conducted at the National Referral Hospital of Bhutan, from 2019 to 2020 to find out the aetiology of ESRD in the country. The demographic information and aetiology of ESRD were collected from the past record of the patients. A total of 202 eligible ESRD patients were enrolled in this study. Results: The study showed that the mean age of patients was 47.3 ±13.20 years. The majority of the patients 139 (68.8%) were in the age group 24-60 years. Of the total patients, 107 (53.0%) were females. The common aetiologies of ESRD were hypertension (HTN), chronic glomerulonephritis (CGN) and Diabetes Mellitus (DM) constituting 20.8%, 12.9%, and 8.9% of the total patients respectively. In 50.0% of the patients, the aetiology of ESRD were unexplained. Conclusions: The most common aetiologies of ESRD were HTN (20.8%), CGN (12.9%) and DM (8.9%); in 50.0% of the patients, the aetiologies remained unexplained. The majority of ESRD patients (68.8%) in this study were from middle age group, with female predominance (53.0%).

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

See 3 more Smart Citations

Aetiology of end-stage renal disease at the National Referral Hospital of Bhutan

Dorji¹,

Penjore²,

Tshokey³

et al. 2023

Bhutan Health Journal

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Lower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis

Yoshikawa,

Kishi,

Takamori

et al. 2024

Ther Apher Dial

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IntroductionThe objective of the current study was to investigate the association between lower body bone fractures occurring during maintenance hemodialysis and prognosis.MethodsThis study included 151 hemodialysis patients at the dialysis center of our hospital as of December 2017, and data were systematically gathered from medical records over a period of 5 years, concluding in December 2022.ResultsFourteen patients, 3.0 per 100 person‐years, in 151 hemodialysis patients suffered from lower body bone fractures. The ratio of males was significantly lower, and age was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Duration of hemodialysis prior to entry into this study was significantly shorter in the lower body bone fracture group than in the no lower body bone fracture group. Serum albumin was significantly lower and alkaline phosphatase was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Mortality rate was significantly higher in the lower body bone fracture group (85.7%) compared to no lower body bone fracture group (28.5%) (p = 0.01). Kaplan–Meier survival curves for mortality showed that lower body bone fracture group had poor prognosis compared to no lower body bone fracture group. Multivariable‐adjusted odds ratio for mortality were significantly higher for cases with lower body bone fractures.ConclusionLower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis.

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Maintenance Hemodialysis among Patients Visiting Nephrology Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Cited by 2 publications

References 8 publications

Aetiology of end-stage renal disease at the National Referral Hospital of Bhutan

Aetiology of end-stage renal disease at the National Referral Hospital of Bhutan

Lower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis

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