Optimization of Registry Records (Registration of Patients) of Hemodialysis Patients It in the Country



Amini M¹ ; Mohammad Bane A² ; Heshmat R³ Show Affiliations
Source: Scientific Journal of Kurdistan University of Medical Sciences Published:2016

Abstract

Background and Aim: Establishment of registry system is an important criterion for health care management system. In this study we extended registry system which included only a few items of personal information. Data concerning epidemiologic issues and important criteria influencing the status of these patients were collected. Materials and methods: In a cross-sectional study, in cooperation with the specific diseases and organ transplantation management of Ministry of Health and Medical Education, we collected and studied data of the hemodialysis patients in our country. This study included 18, 160 patients from 428 dialysis departments. We collected demographic, clinical and laboratory data including demographic characteristics, disease duration, cause of renal disease and recorded serum levels of hemoglobin, calcium, PTH, ferritin and …., during a period of 2 months. Using SPSSv.18 software data were analyzed by t-test. Results: The mean age of the patients was 67.86 ± 16.7 years. The most common causes of ESRD were diabetes (37.35%) and hypertension (23.9%) respectively. 2.2 percent and 3.06 percent of the patients were positive for HBSAg and HCVAb respectively. Most patients (75.7%) had been on dialysis 3 times a week. Hemoglobin levels were less than 10 mg/dl in 42.3% of the patients. 20.3% of the patients had calcium levels of less than 8 mg/dl. PTH level was more than 300 mg/dl in 22.6% of the patients. Conclusion: Poor control of hemoglobin, albumin, ferritin, etc., as predictors of survival in hemodialysis patients can lead to higher mortality and development of cardiovascular disease in these patients. Control of diabetes and high blood pressure can be effective in reducing the incidence of ESRD. © 2016, Kurdistan University of Medical Sciences. All rights reserved.