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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 4  |  Page : 276-280

Assessment of hemodialysis efficacy in patients with end-stage renal failure in the erbil hemodialysis center


1 Department of Internal Medicine, Halwer Teaching Hospital, Erbil Directorate of Health, Erbil, Iraq
2 Department of Internal Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq

Correspondence Address:
Hussein Yousif Sinjari
Department of Internal Medicine, College of Medicine, Hawler Medical University, 60 Meter Street, Erbil
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJBL.MJBL_62_18

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Background: Adequate and effective hemodialysis(HD) improves health-related quality of life and reduces morbidity and mortality in patients with end-stage renal disease(ESRD). The efficacy of dialysis procedure applied on patients diagnosed with ESRD was evaluated in the current investigation. Materials and Methods: In the present pre-and post-test cohort study, out of 375patients, 120patients(46males and 74females) on thrice-weekly chronic HD program were followed up over6months for evaluation of dialysis efficacy and possible outcomes. The efficacy of HD was measured through the Kt/V method and urea reduction ratio(URR). Results: The current study showed that the studied population(thrice-weekly HD patients) represents a minority of patients, i.e.,35.2%(132 of 375), and all other receiving insufficient HD treatment usually on twice weekly around 3h for each session(64.8%). The study showed that the dialysis adequacy of the patients reached an adequate level by Kt/v and URR, 73.3% and 68.3%, respectively; the dialysis adequacy was increased with an increase in blood flow rate(P=0.042), dialysis session time(P=0.005), and dialysis sessions(P=0.008). Patients with lower body mass index and without comorbidities were more likely to have adequate dialysis(P=0.004 and P =0.02, respectively). Conclusions: HD treatment is suboptimal in Erbil Dialysis Center. Intensive follow-up and application of corrective measures may improve dialysis efficacy. Energetic efforts are required to examine and correct the reasons behind the dialysis inadequacy.


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