Arun Khumar, L (2023) A Study on Outcomes of Hospitalization in Patients on Maintenance Hemodialysis in a Tertiary Care Centre in Chennai. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: CKD is defined by the presence of kidney damage or decreased kidney function for three or more months, irrespective of the cause. These changes manifest in different ways depending on the underlying causes and the severity of the disease Hospitalizations is common for hemodialysis (HD) patients in view of the various comorbidities suffered by HD patients. By assessing the various etiology of hospitalisation in patients on maintenance hemodialysis and preventing or correcting those cause would result in greater reduction in hospitalisation, which has a greater impact on improving the quality of life of the patients. AIM AND OBJECTIVES: 1. To study on the Etiology, Frequency, and outcome of Hospital admissions in patients on maintenance hemodialysis in End stage Renal Disease. 2. To analyse the various factors contributing to Hospitalisation and their correlation with outcomes of Hospitalisation in patients on Maintenance hemodialysis. MATERIAL AND METHODS: In our study, 130 patients will be selected after obtaining informed consent as per the inclusion and exclusion criteria already mentioned. A detailed clinical history will be recorded and the patients will analysed on the basis of their demographic details, duration of illness frequency and duration of maintenance hemodialysis, presence of comorbidities, and their etiology, frequency, duration of hospital stay and their outcome of hospitalization. RESULTS: Age and Cardiac abnormalities are the two major factors which increases the rate of hospitalisation among Chronic Kidney Disease patients on Maintenance Hemodialysis Hypoalbuminemia and Anaemia are the two majority factors which increases the duration of hospitalisation among CKD patients. Major etiologies for hospitalisation among patients on Maintenance Hemodialysis are Acute Pulmonary Edema and Anasarca. Mortality during the study period of 6 months is 6.15%, with causes being 1. Acute pulmonary edema 2. Acute Hemorrhagic stroke 3. Uremic encephalopathy 4. Sepsis. CONCLUSION: From our study, we conclude that regular cardiac evaluation and adequate correction of anaemia and Hypoalbuminemia in the patients of chronic kidney disease on maintenance hemodialysis, the frequency of hospitalisation and duration of stay can be very much reduced, which can very well improve the quality of life among these patients.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 200120100506 |
| Uncontrolled Keywords: | Outcomes, Hospitalization, Patients, Maintenance Hemodialysis, Tertiary Care Centre, Chennai. |
| Subjects: | MEDICAL > General Medicine > MEDICAL > General Medicine |
| Depositing User: | Thavamani K |
| Date Deposited: | 24 May 2022 00:44 |
| Last Modified: | 16 Mar 2024 06:59 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/20149 |
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