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PREVALENCE AND CAUSES OF EARLY TERMINATION OF HEMODIALYSIS SESSIONS | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 6, Issue 3, 2008, Pages 4-13 | ||
| Authors | ||
| Arif Sami Malik; Moayed Abd AL-Jabbar Kadhim | ||
| Abstract | ||
| Background: Hemodialysis patients often do not complete their full length of time on dialysis. However, neither the magnitude nor the potential reasons for this problem are known. Objective: The prevalence and causes of early termination of hemodialysis sessions were prospectively studied at Al-Kadhimiya Teaching Hospital Hemodialysis Unit. Methods: This unit provided a total of 272 hemodialysis sessions in a three months period to an average of 39 patients. Results: There were a total of 42 early terminations (15.44%) during this three months period. The most common causes of early termination were chest pain (23.8%), followed by hypotension (16.66%), extracorporeal clotting (11.9%)and a late-start treatment (9.52%). Conclusion:In sum, approximately 83% of early termination due to medical and hemodialysis related problems, whereas most of the remainder occurred because of either started treatment late or noncompliance with the dialysis prescription. This information should be of value when designing programs intended to reduce the number of early terminations in hemodialysis patients. | ||
| Keywords | ||
| chronic renal failure; Haemodialysis; Hepatitis B; Hepatitis C; Blood pump speed; transmembrane pressure | ||
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