Title: Complications of Hemodialysis
Authors: Dr Kavita Krishna, Dr Nitin Gadkari, Dr Gagan Jain, Dr Arundhati Diwan, Dr Vivek Nikam, Dr Snehal Rahane, Dr Apoorva Saoji
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.15
This study is conducted to determine the frequency of complications related to Hemodialysis (HD) in case of Acute kidney injury(AKI) and Chronic kidney disease (CKD) and to compare the prevalence of different complications. To correlate the prevalence of various complications in Chronic Kidney Disease on maintenance Hemodialysis with relation to duration of CKD as well as associated comorbidities. Three thousand consecutive Hemodialysis performed at the Dialysis Unit were screened. The indications for the HD were noted. These were patients of AKI, CKD and poisoning of these who developed complications during or immediately after HD were taken up for the study .Out of the total number of patients undergoing HD, 87.8% had CKD and 12.1% had (AKI).Out of 3000 episode of HD, 99 (3.33%) had complications. Since few episodes had more than one complication, total complications were 168. Age group of 61-70 years had the maximum number of complications (30.3%).CKD patients had more number of complications than Acute kidney injury (AKI) and the most frequent complication occurring during HD was vascular access (18.18%) and hypotension(18.18%) and the least was hypertension(1.01%). Patients having both DM and HTN as comorbidities had more severe and fatal complications than patients having just any one co morbidity with maximum number of complications occurring in age group of 61-70 years. 1. Singh LKS, Devi PS, Singh Y I. Complications during Hemodialysis. The Indian Practitioner. 2007; 41:13-18. 2. Abrar Ahmad, Arif Khan. The frequency of complications of hemodialysis. Pakistan J Med. Res. 2002:41:695-699. 3. Jamesen. Weigmann TB. Uses and complications of hemodialysis. Med Clin Am 1990; 74(4): 945-60 4. Collins DM. Lamber MB. Tolerance of hemodialysis. J Am SocNephro 1993; 4(2): 148-2 5. Levy MB. The quality of life on maintenance hemodialysis. Lancet 1988; 6: 305-9. 6. Granord WA. The psychiatrist contribution to renal unit undertaking hemodialysis. Br J P sychiatry 1967; 113:1701. 7. Nguyen HoanPhu, M.D., Tran TinhHien, M.D., Nguyen Thi Hoang Mai, M.D., Tran Thi Hong Chau, M.D., Ly Van Chuong, M.D., Pham PhuLoc, M.D., Christopher Winearls, D.Phil., M.B., Jeremy Farrar, M.B., D.Phil., Nicholas White, M.D., D.Sc., and Nicholas Day, B.M., B.Ch.NEngl J Med 2002; 347:895-902. 8. Helmut Schiffl, M.D., Susanne M. Lang, M.D., and Rainald Fischer, M.D.N Engl J Med 2002; 346:305-310 9. Lazarus JM. Complications in hemodialysis: an overview. Kidney Int 1980;18:783 10. Balchey JD, Blankership DM, Menter A. Uremic Pruritis. Am Kidney Dis 1985;5:237-241 11. Cohle SD, Graham MA. Sudden death in hemodialysis. J. Forensic Sci 1985;30:16 12. Alan S. Go, M.D., Glenn M. Chertow, M.D., M.P.H., Dongjie Fan, M.S.P.H., Charles E. McCulloch, Ph.D., and Chi-yuan Hsu, M.D.N Engl J Med 2004; 351:1296-1305 13. A Meguid El Nahas, FRCPa, Aminu K Bello. Chronic kidney disease: the global challenge. The Lancet. Volume 365, Issue 944, 22 January 2005, Pages 331–340 14. Arif Khan. The frequency of complications of hemodialysis. Pakistan J Med. Res. 2002:41:695-699. 15. Daniel j. Ahearn, M.D.; John f. Maher, M.D.Ann Intern Med. 1972;77(2):201-204. doi:10.7326/0003-4819-77-2-201. 16. Zibari GB, Rohr MS, Landreneau MD, Bridges RM. Chronic kidney disease: the global challenge. The Lancet. Volume 365, Issue 944, 22 January 2005, Pages 331–340. 17. H Bregman, JT Daugridas. Complications during hemodialysis. Handbook of hemodialysis. 3rd edition: Lippinkott Williams.2001:4:1243-4. 18. Vandana S. Mathur, Jill Lindberg, Michael Germain, Geoffrey Block, James Tumlin,Mark Smith, MandeepGrewal, Dawn McGuire. A Longitudinal Study of Uremic Pruritus in Hemodialysis Patients. Clin J Am SocNephrol. 2010 August; 5(8): 1410–1419. 19. Chiao-Yin Sun, Chin-Chan Lee, and Mai-Szu Wu. Therapeutic Apheresis and Dialysis. Journal International Society for Apheresis. 2009.13(2):95–102.Abstract
References