CURRENT STATUS OF THE IMPLICATION OF THE CLINICAL PRACTICE PATTERN IN HEMODIALYSIS PRESCRIPTION IN REGULAR HEMODIALYSIS PATIENTS IN EGYPT (QALYUBIA-SECTOR C)

Hisham Mohamed Abd El_Fattah;

Abstract


SUMMARY
E
nd stage renal disease (ESRD) is one of the main health problems in Egypt. Currently, hemodialysis represents the main mode for treatment of chronic kidney disease stage 5 (CKD5), previously called ESRD or chronic renal failure.
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.
This work is a part of project aiming at assessmentof 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 2015.
Our study sample consisted of 296 clinically stable chronic patients on regular HD. Patients were collected from Al-Khanka central hospital, Alhayat private hospital, Kalila private hospital, Almostafa private hospital and Alrahma private 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.
Results of this study demonstrated that there were many causes for ESRD in the study population, where HTN 32.4%, DM 23.0%, these results agrees with most of the studies where HTN & DM were the main causes of renal failure.
Different co morbidities in the study population were HTN in (51.4%), DM in (38.5%), chronic arthropathy in (11.1%) and IHD in (20.9%).
In our study we found that most of the patients81.1% recieve 3 HD sessions per week and most of them 62.2% receive 4 hours per session.
The mean value of HD period is 3.4 (± 2.5) years. The mean value of patients dry weight was 64.4 (± 15.7) Kg.
In our study population (75.0%) were not working, while (25.0%) were working.
Dependency status in the study population showed that (47.0%) of the patients were dependant, (53.0%) were not dependant.
As regard Sponsoring status in the study population (52.4%) of them were sponsored by Governorate, (42.2%) of them were sponsored by health insurance, while (12.0%) were sponsored by army and 1.4%private.
In our study we found that86.6% of patients were using AVF while 13.2 % were using venous cathte


Other data

Title CURRENT STATUS OF THE IMPLICATION OF THE CLINICAL PRACTICE PATTERN IN HEMODIALYSIS PRESCRIPTION IN REGULAR HEMODIALYSIS PATIENTS IN EGYPT (QALYUBIA-SECTOR C)
Other Titles الوضع الحالى لأشكال الممارسه الاكلينكيه المتبعه لوصفات الاستصفاء الدموى لدى مرضى الاستصفاء الدموى فى مصر (القليوبية- قطاع c)
Authors Hisham Mohamed Abd El_Fattah
Issue Date 2016

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