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ORIGINAL ARTICLE
Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 1-5

Current clinical situation of hemodialysis patients in nephrology center, Benghazi-Libya


1 Department of Internal Medicine, Jumhoriya Hospital, Benghazi, Libya
2 Head of Nephro-unit and CRRT in Benghazi Cardiac Center, University of Benghazi, Benghazi, Libya
3 Department of Internal Medicine, Faculty of Medicine, University of Benghazi, Benghazi, Libya
4 Hawary Nephrology Center-Benghazi, Benghazi, Libya
5 Faculty of medicine, Gheryan University, Libya

Correspondence Address:
Dr. Khaled D Alsaeiti
Faculty of Medicine, Benghazi University, Benghazi
Libya
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jina.jina_4_19

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Introduction: Dialysis adequacy is an important and effective factor on decrease of mortality and morbidity among patients with end-stage renal disease (ESRD). This study aimed to assess the current clinical situation of hemodialysis patients, monitoring of established quality-of-care indicators, and to identify the indicators that were not achieved. Patients and Methods: An observational study in which all patients underwent chronic hemodialysis program (more than 1 year) at the nephrology centers (center of nephrology services - Hawary and Allethy dialysis center), it was conducted between January and June 2018. Mean levels were collected for the following indicators: anemia, dialysis dose, serum calcium and phosphorus, parathyroid hormone (PTH), systolic and diastolic blood pressure, intradialytic hypotension and vascular access. Results: 292 dialysis patients were reviewed and followed over 6 months period, 170 (58.2%) were male and 122 (41.2%) were females. Age average was 51.1 ± 14 Hypertension (HTN) was the most common cause of ESRD in 76 patients (26.0%) followed by diabetes mellitus in 32 patients (11.0%), Our patients failed to achieve adequate H. D. as laboratory values results show Hb. Level <10 g/dl. In 61% of patients, S. Ca + 2 was <8.4 mg/dl in 48.6%, S. PhO4 was more than 5.5 mg/dl in 50%, and S. PTH was more than 300 ng/dl in 60.3%. Conclusion: With regard to the dialysis insufficiency in significant percent of patients in this study, more extensive researches for finding the causes of low dialysis quality is suggested.


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