Assessment of Dialysis Treatment Outcome and Associated Factors among Chronic Kidney Disease Patients Attending Selected Governmental Hospitals Dialysis Treatment Center Addis Ababa, Ethiopia.
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Date
2023-01
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Addis Ababa University
Abstract
Background: Chronic kidney disease is an advanced loss in kidney function over a period oftime. It is identified by higher amount of creatinine and lower glomerular filtration rate. Chronickidney disease is a growing problem worldwide leading to increasing incidence of life-threatening complications and mortalities. Dialysis treatment is an indication of end stage renaldisease in the chronic kidney disease patients. Effective dialysis procedure is reducing renaldamage and disease complication.
Objective: the aim of this study was to assess the effective dialysis treatment and associatedfactors among chronic kidney disease patients at selected hospital Addis Ababa Ethiopia fromApril to June 2022.
Methods: A Hospital based Cross sectional study was conducted at the three selected hospitalsfrom April to June 2022. Proportion to population size was applied to determine the proportionof participants from the study areas based on the number of chronic kidney disease dialysispatients that attended the hospitals during the study period. During the study, besides tocollecting socio-demographic information, history of comorbidity and treatment questionnairesrelated to risk factor assessment for poor dialysis outcomes were administered. Blood samplewere collected and serum creatinine and urea were analyzed and calculated using CockcroftGault equation for eGFR. The effectiveness of dialysis was evaluated with URR, Kt/v and eGFR.The collected data was encoded, checked, cleaned and entered in to Microsoft excel software,and then imported to SPSS version 26 software for further statistical analysis.
Result: The total study subjects were 102. Of them 65(63.7%) were males and the mean ±SDage of the subject was 38.67 ± 13.06 years with 18-86 years range. The mean ±SD of URR,KT/V and eGFR values were 68.74% ± 20.61, 1.46 ± 0.24 and 25.63± 12.38ml/min/1.73m2 respectively. Assessment of hemodialysis results 64(62.75%) and 75(73.5%) were very good inURR and KT/V respectively. 71(69.6%) were good in eGFR value.
Conclusion: The present study indicated that overall evaluation of dialysis treatmentconducted at the selected hospitals were very good.
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Keywords
Chronic kidney disease dialysisHypertensionDiabetesURREffectivenessAddis AbabaHospitalEthiopia