بررسي كفايت همودياليز در بيماران همودياليزي دايمي مراجعه كننده به مركز آموزش درماني كامكار و حضرت ولي عصر (عج) استان قم در سال 1385

Assessment of Adequacy of Dialysis in Patients under Continuous Hemodialysis in Kamkar and Hazrat Vali Asr Hospitals State of Qom 2006

Background and objectives Hemodialysis is one of the therapeutic modalities of the end stage renal disease (ESRD). As inadequate dialysis is considered a risk factor leading to higher morbidity and mortality determination of adequacy of dialysis is necessary. This study was conducted to determine adequacy of dialysis in continuous hemodialysis patients in Kamkar and Hazrat Vali Asr Hospitals in the state of Qom Iran. Methods This cross sectional deh1ive-analytic study was conducted in 2006. The study variables were age gender height weight and duration of dialysis. Data were collected by a questionnaire and URR dKt/V eKt/V and pKt/V were calculated. For statistical analysis t-test Fisher s exact test and Pearson correlation were employed. Results Of 238 patients 51.7% and 48.3% were males and females respectively. The average age was 55.27 ± 16.79 years. Mean values of dKt/V eKt/V pKt/V and URR were 1.03 ± 0.232 0.89 ± 0.196 1.18 ± 0.254 and 57.46 ± 8.42 respectively. The percent of adequate dialysis in eKt/V pKt/V and URR were 26.5% 44.5% and 21% respectively. The mean age of insufficient eKt/V group was higher than adequate eKt/V group and t test showed a significant statistical correlation. Fisher s exact test showed a significant correlation between adequate eKt/V and female gender and also between eKt/V and URR. But chi-square test did not show a significant correlation between eKt/V and underling disease. Conclusion We found that hemodialysis is inadequate in a high number of patients. Further studies with larger sample numbers are recommended to determine the underlying cause of this inadequacy.