Current Status of the Implication of the Clinical Practice Pattern in Hemodialysis Prescription in Regular Hemodialysis Patients in Egypt El Minia( Sector B )

Abstract

Although hemodialysis is often used for treatment of ESRD, no practice guidelines are available in Egypt. Healthcare facilities are seeking nowadays to develop practice guidelines for the sake of improving healthcare services. In the healthcare sector in Egypt, trials for establishing guidelines have been lead by the MOH. This work is a part of project aiming at Statement of the current status of dialysis patient in Egypt using a questionnaire. This project is modulated by Nephrology department, Ain Shams university.this study was done in April & May 2014. Our study sample consisted of 339 clinically stable chronic patients on regular HD. Patients were collected from Maghagha ,Beni-mazar ,Eledwa &Matay hospital. In all patients we recorded full history and clinical examination stressing on etiology of renal disease and associated complications, Full review of all medical records over the last 6 months, and details of HD prescription (Doctors, nurses, administration orders). In our study we found that 261 of the patients (77%) were kept on 3 HD sessions per week, while 75 patients (22.1%) were kept on 2 HD sessions per week & 3 patients(0.9%) were kept on only one HD session per week, which doesnot correlates with KDOQI guidelines recommendations for HD adequacy. This study showed that the commonest known cause of ESRD among the study population is hypertension (38.1%), which agrees with Data from several renal databases that identifies systemic hypertension as the most common causes for ESRD. Different comorbidities in the study population were HTN (29.2%), DM (2.1%), Ishemic heart disease (12.1%), Chronic arthropathy (10.3%). Work status in the study population showed that 298 of them were not working (87.9 %), while the other 41 patients were working (12.1 %).