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
Abstract
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.
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