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1.
Scientific Medical Journal. 2011; 23 (1): 39-71
in English | IMEMR | ID: emr-197119

ABSTRACT

Background: Cardiovascular disease [CVD] is not only deteriorating the quality of life of hemodialysis patients, but is also considered the main cause of death among them


Aim of the Work: This study was conducted to define the prevalence of symptomatic cardiovascular diseases and its risk factors among chronic kindey disease [CKD] patients on Hemodialysis [HD]


Patients and Methods: A total of 1000 CKD patients [stage 5] from10 HD centers in Cairo were enrolled in this study. Data was obtained in the form of a specially designed quetionnaire approaching 3 main categories; the patient data, HD data and laboratory results


Results: Data analysis revealed that the incidence of cardiovascular events is high and its prognosis is poor in patients undergoing maintenance HD. Reversible risk factors include hypertension [HTN] and possibly the amount of HD prescribed

2.
Scientific Medical Journal. 2011; 23 (1): 73-93
in English | IMEMR | ID: emr-197120

ABSTRACT

Background: To evaluate HD product as new index for adequacy of HD including nutritional status and performance of patients and to compare it to [kt/v] and urea reduction ratio [URR] as a parameters of dialysis adequacy


Aim of the Work: To evaluate HD product as new index for adequacy of HD including nutritional status and performance of patients and to compare it to [kt/v] and urea reduction ratio [URR] as a parametres of dialysis adequacy


Patients and Methods: The study was performed on 75 uremic patients on regular HD for at least one year. The patients were 45 males and 30 females. No attempts were made to match the patients by age or etiology


Results: This study showed that HDP is considered a valid test with high sensitivity and specifity and easy test for adjusting HD dose to achieve an adequate HD, however further studies needed to assess HDP as are new index for adequacy of HD


Conclusion: HDP may be used as a valid test with high sensitivity and specifity and easy test for adjusting HD dose to achieve an adequate HD, however further studies needed to assess HDP as are new index for adequacy of HD

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