Frequency of complications during hemodialysis in patients of chronic renal failure

ABSTRACT

To determine the frequency of various complications occurring during hemodialysis in patients of chronic renal failure undergoing maintenance hernodialysis. A descriptive prospective study. The study was conducted at Department of Nephrology, Military hospital Rawalpindi Pakistan, from 21st July 2005 to 21st Jan 2006 One hundred subjects fulfilling inclusion criteria [Patients suffering from chronic renal failure [CRF] who were on maintenance hemodialysis for at least 03 months] during the above-mentioned period were enrolled in this study with non-probability sampling technique after taking informed consent. One hundred patients of end stage renal disease of maintenance hemodialysis were studied The major causes of renal disease were diabetes mellitus [24.0%] and hypertension [22.0%] The most frequent complication was hypotension seen in 12% of dialectic treatment followed by muscular cramps [10%], chest pain [09%], vomiting [08%] and headache 06% of patients. Other complications like membrane hypersensitivity reactions, pruritis and complications of access route disequilibrium syndrome were uncommon. In the patients with chronic renal failure on maintenance hemodialysis, hypotension was the most frequent complication. So assessment of patient for hernodynamic status and general condition is important to reduce the incidence of complications