DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20214604

Clinical profile of hemodialysis patients attending a tertiary care hospital in Delhi, India

Mithilesh Kumar, Shipra Saini, Lokesh Parashar, Rajesh Chetiwal, Tanisha Kalra, Nikhita Kalra

Abstract


Background: CKD (chronic kidney disease) is one of the major complications of diabetes and hypertension. With increase in prevalence of non-communicable diseases, the patients presenting with the symptoms of CKD are also rising. Most of the patients suffering from CKD eventually land up on renal replacement therapy, putting extra burden economically as well as psychologically to the self and their family. The aim of the study is to find out the socio demographic and clinical profile of the patients suffering from CKD attending a tertiary care hospital in Delhi.

Methods: It was a record based descriptive analysis, conducted between January 2019 and June 2019 in one of the ESIC (Employee State Insurance Corporation) hospital of Delhi. Medical Records of the only those patients were considered whose complete data were present in the record file. Data about Socio demographic profiles , clinical data, duration of CKD, duration of haemodialysis, viral markers, number of blood transfusions, vascular access, number of failed AV fistula etc. were entered in MS Excel and analysed through SPSS 11.

Results: Hospital records of 473 CKD patients undergoing hemodialysis were analyzed. It was found that 315 (67%) were males and 158 (33%) were females. Majority of the patients i.e. 245 were in the age group of 41-60 years followed by 166 who were in the age group of 21 to 40. Out of total patients, 195 (41.2%) participants were undergoing hemodialysis twice a week, 276 (58.4%) thrice a week, 2 (0.4) patients were undergoing hemodialysis session four times a week. Majority of the participants i.e. 414 (88%) were Hindu. Out of total 473 participants, 439 (93%) participants had sero negative for viral marker (i.e. HbsAg, HCV, HIV I and II) and 33 (7%) participants were sero positive for viral marker. Most common etiology of CKD was found to be hypertension in our study followed by diabetes.

Conclusions: Patients suffering from chronic kidney diseases are increasing day by day with increasing prevalence of hypertension. Most of the patients of CKD patients were middle aged males. Most of the patients have to visit 3 times a week to any health care institution for hemodialysis.  Many of the patients are getting infected with viral hepatitis during course of the illness.


Keywords


AV fistula, Chronic kidney disease, ESRD, Hemodialysis, Renal failure

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References


Alam A, Anissuzzaman S, Jahan N, Hossain S. Clinical and etiological profile of chronic kidney disease patients on hemodialysis in a tertiary care hospital in northern part of Bangladesh. IOSR J Dent Med Sci. 2018;17(8):42-5.

Chronic Kidney Disease in the United States, 2019. CDC. 2019. Available from: https://www.cdc.gov/ kidneydisease/pdf/2019_National-Chronic-Kidney-Disease-Fact-Sheet.pdf. Accessed on 2 February 2020.

Hill NR, Fatoba ST, Oke JL, Hirst JA, Callaghan AO, Lasserson DS, et al. Global prevalence of chronic kidney disease- a systematic review and meta-analysis. PloS One. 2016;1-18.

Cockwell P, Fisher LA. The global burden of chronic kidney disease. Lancet. 2020;395(10225):662-4.

Agarwal SK, Srivastava RK. Chronic kidney disease in India: Challenges and solutions. Nephron Clin Pract. 2009;111(3):197-203.

Halle MP, Takongue C, Kengne AP, Kaze FF, Ngu KB. Epidemiological profile of patients with end stage renal disease in a referral hospital in Cameroon. BMC Nephrol. 2015;16(1):1-8.

Rajapurkar MM, John GT, Kirpalani AL, Abraham G, Agarwal SK, Almeida AF, et al. What do we know about chronic kidney disease in India: First report of the Indian CKD registry. BMC Nephrol. 2012;13(1).

Sathyan S, George S, Vijayan P. Clinical and epidemiological profile of chronic kidney disease patients in a tertiary care referral centre in South India. Int J Community Med Public Health. 2016;3(12):3487-92.

Ahmed M, Wani IA, Wani MM, Banday KA. Profile of chronic kidney disease (CKD) patients presenting in a tertiary care center in north India. Int Arch Integr Med. 2018;5(8):72-80.

Modi GK, Jha V. The incidence of end-stage renal disease in India: a population-based study. Kidney Int. 2006;70(12):2131-3.

Rajapurkar M, Dabhi M. Burden of disease- prevalence and incidence of renal disease in India. Clin Nephrol. 2010;74(1):9-12.

Jha V. Current status of end-stage renal disease care in India and Pakistan. Kidney Int Suppl. 2013;3(2):157-60.

Ruggenenti P, Schieppati A, Remuzzi G. Progression, remission, regression of chronic renal diseases. Lancet. 2001;357(9268):1601-8.

Pathak A, Jain L, Jaiswal P. To study the clinical profile of chronic kidney disease and associated comorbidities in geriatric patients. Int J Res Med Sci. 2016;4(7):3002-8.

Dharan KS, John GT, Neelakantan N, Korula A, Balakrishnan N, Kirubakaran MG, et al. Spectrum of severe chronic kidney disease in India: a clinicopathological study; Natl Med J India. 2006;19:250-2.

Bhaumik P, Sil SK, Debnath K, Bhattacharjee S. Prevalence of hepatitis B in Tripura: a community based study. J Evidence Based Med Healthcare. 2014;1(17):2156-61.