2013Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Māzandarān/Journal of Mazandaran University of Medical SciencesOpen access

Assesment Dialysis Adequacy in Hemodialysis Patients of Qaemshar Razi Hospital in 2012

Mohammad Abedi Samakoosh, Nayereh Aghaie, Farhad Gholami, Mahbobeh Shirzad, Elham Yosefi, Mozhgan Teymoorzadeh Baboli

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Abstract

Background and purpose: Hemodialysis is the most common treatment that is used in end- stage renal disease. Since there is not a clear picture of how the adequacy of hemodialysis treatment at this center, this study aimed to determine the adequacy of dialysis in hemodialysis patients at Qaemshar Razi Hospital in 2012. Material and methods: This was a cross-sectional study. The samples were selected from 60 hemodialysis patients of Razi Hospital, Ghaemshahr, three months after their last dialysis. The data were collected through a questionnaire by the researchers. The adequacy of dialysis as measured by Kt/v and URR overall nutrition was calculated by standard PCR. Data analysis was conducted using descriptive and analytical statistical tests in SPSS (Version 18) software. Results: Dialysis adequacy indices mean Kt/v, 1.15 ± 0.31, the mean URR 60.81±10.73, and the average amount of PCR-21.63 ± 9.57 was. According to the criteria Kt/v, 41.7 the percentage of patients were good dialysis adequacy. The Kt/v greater than 1.2, 43.3 the percentage Close to the optimal rate. The fraction ratio of urea 20 percent of patients with URR of 65% (with optimal dialysis adequacy), close to the optimal level of URR of 15% of patients had between 64-55 gain. Conclusion: The standard Kt/v and URR high percentage Patients of the center had inadequate dialysis. It is therefore necessary to investigate and eliminate its causes.

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What this paper is about

Background and purpose: Hemodialysis is the most common treatment that is used in end- stage renal disease. Since there is not a clear picture of how the adequacy of hemodialysis treatment at this center, this study aimed to determine the adequacy of dialysis in hemodialysis patients at Qaemshar Razi Hospital in 2012. Material and methods: This was a cross-sectional study. The samples were selected from 60 hemodialysis patients of Razi Hospital, Ghaemshahr, three months after their last dialysis. The data were collected through a questionnaire by the researchers. The adequacy of dialysis as measured by Kt/v and URR overall nutrition was calculated by standard PCR. Data analysis was conducted using descriptive and analytical statistical tests in SPSS (Version 18) software. Results: Dialysis adequacy indices mean Kt/v, 1.15 ± 0.31, the mean URR 60.81±10.73, and the average amount of PCR-21.63 ± 9.57 was. According to the criteria Kt/v, 41.7 the percentage of patients were good dialysis adequacy. The Kt/v greater than 1.2, 43.3 the percentage Close to the optimal rate. The fraction ratio of urea 20 percent of patients with URR of 65% (with optimal dialysis adequacy), close to the optimal level of URR of 15% of patients had between 64-55 gain. Conclusion: The standard Kt/v and URR high percentage Patients of the center had inadequate dialysis. It is therefore necessary to investigate and eliminate its causes.

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Available abstract

Background and purpose: Hemodialysis is the most common treatment that is used in end- stage renal disease. Since there is not a clear picture of how the adequacy of hemodialysis treatment at this center, this study aimed to determine the adequacy of dialysis in hemodialysis patients at Qaemshar Razi Hospital in 2012. Material and methods: This was a cross-sectional study. The samples were selected from 60 hemodialysis patients of Razi Hospital, Ghaemshahr, three months after their last dialysis. The data were collected through a questionnaire by the researchers. The adequacy of dialysis as measured by Kt/v and URR overall nutrition was calculated by standard PCR. Data analysis was conducted using descriptive and analytical statistical tests in SPSS (Version 18) software. Results: Dialysis adequacy indices mean Kt/v, 1.15 ± 0.31, the mean URR 60.81±10.73, and the average amount of PCR-21.63 ± 9.57 was. According to the criteria Kt/v, 41.7 the percentage of patients were good dialysis adequacy. The Kt/v greater than 1.2, 43.3 the percentage Close to the optimal rate. The fraction ratio of urea 20 percent of patients with URR of 65% (with optimal dialysis adequacy), close to the optimal level of URR of 15% of patients had between 64-55 gain. Conclusion: The standard Kt/v and URR high percentage Patients of the center had inadequate dialysis. It is therefore necessary to investigate and eliminate its causes.

Key concepts: Medicine, Hemodialysis, Dialysis adequacy, Dialysis, Kt/V, End stage renal disease, Internal medicine, Emergency medicine

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