Title: Development and effectiveness of scoring index mobile application for hemodialysis in renal failure

Authors: Roshan Mandloi, Sarika Rawat, Ishan Verma

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.48

Abstract

Aim and Objectives: 1. To develop a mobile application with the help of renal failure severity scoring system which is already develop in NSCB medical college Jabalpur for deciding on need for urgent dialysis.

  1. To propose nomenclature of this mobile application.

Material and Methods: This study was conducted in 387 patients admitted in medicine wards N. S. C. B. MCH Jabalpur with diagnosis of altered renal function due to various causes (acute and chronic), over a period of one year (October 2013 to September 2014). A self structured mobile application develop with the help of renal failure severity scoring system develop in which included Variables like Age, Sex, Etiology, Acute kidney injury, Chronic kidney disease, Physical signs (Pulmonary edema, Acidotic breathing, Urine output, Signs of uremic encephalopathy), Biochemical parameters (Blood urea, Serum creatinine, Serum potassium, Serum bicarbonate) and by this mobile application asses the patients who need for urgent dialysis.  The data of the present study was recorded into computer and after proper validation, error checking, the data was compiled and analysed using the SPSS Window.

Result and Conclusion: It was observed that, during the period of study out of 387 Cases of renal failure, 230 ultimately required dialysis (59.4%). 99 patients expired that included both dialysis and none dialysis. Net mortality was 25.58%.

Keywords:  Acute Kidney injury (AKI), Chronic kidney disease (CKD), End stage renal disease (ESRD), Glomerular filtration rate (GFR), Renal replacement therapy (RRT). Hemodialysis (HD).

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