CLINICAL PROFILE OF END STAGE RENAL DISEASE IN PATIENTS UNDERGOING HEMODIALYSIS

Sameer V. Vyahalkar, Amar Kulkarni, Shilpa Gadade, Smita Patil

Abstract


The aim of this paper is to study clinical prole of patients with end stage renal disease (ESRD)
undergoing hemodialysis. The objective of our study was to study the clinical prole and laboratory
parameters of end stage renal disease. In this paper, the main focus is on nding out possible etiology which may lead to end
stage renal disease.
Introduction: Chronic kidney disease (CKD) has emerged as a major public health problem world over. The incidence of ESRD
in India is approximately 150–200 pmp yearly. DM and hypertension are important causes of CKD. (1)
Criteria for CKD (either of the following present for >3 months) is as follows: Markers of kidney damage (one or more) -
Albuminuria (AER >or equal to30 mg/24 hours; ACR >or equal to30 mg/g >or equal to 3 mg/mmol); Urine sediment
abnormalities; Electrolyte and other abnormalities due to tubular disorders; Abnormalities detected by histology; Structural
abnormalities detected by imaging. (2)
Materials and Methods: This prospective observational study was conducted in Department of Nephrology, D.Y Patil Hospital,
Nerul, Navi Mumbai. The study was started after the approval of Institutional Ethics Committee. A written signed informed
consent was sought. A total of 140 patients presenting with symptoms of ESRD on maintenance hemodialysis thrice a week and
with stable A-V stula as vascular access were enrolled. Prescription of hemodialysis was optimized.


Keywords


End stage renal disease /Maintenance hemodialysis/Anemia/Malnutrition

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