Vol.6, No 1, 1999 pp. 107 - 111
UC 616.38
ADEQUACY OF HEMODIALYSIS
IN A LARGE UNIVERSITY - AFFILIATED DIALYSIS
CENTRE IN SERBIA
Vidojko Đorđević, Miomir Stojanović, Vladisav Stefanović
Institute of Nephrology and Hemodialysis, University School of Medicine,
Niš, Yugoslavia
e-mail: vidza@cent.co.yu
Summary. Adequacy of hemodialysis was analyzed in an outpatient
university-affiliated dialysis facility in South Serbia. In 1998 181 patient
was on maintenance hemodialysis (average age, 54.5 years; 47.5 women, 52.5
men; interstitial nephritis 28%, glomerulonephritis 27%). A Kt/V delivered
<0,8 was recorded in 6.7% of patients (group I), 0.8-1.2 in 43% (group
II), and >1.2 in 50.3% of patients (group III). Patients of group III had
a lower body weight and, since a dialysis session of 4h was offered to
all patients, this could account for a significantly higher Kt/V and URR.
A better rehabilitation in groups III and II than in group I was demonstrated.
Thirty-two patients were hospitalized in 1998, but the only difference
between these and 149 patients without hospitalizations was a significantly
higher number of erythrocytes and hemoglobin.
This analysis has revealed an insufficient dialysis time given to patients
with the large body weight. Severe anemia was associated with increased
hospitalizations. The degree of rehabilitation was extremely low in patients
with Kt/V <0.8.
Key words. Hemodialysis, adequacy, Kt/V, urea reduction rate,
hospitalization, rehabilitation
ADEKVATNOST HEMODIJALIZE
U JEDNOM VELIKOM UNIVERZITETSKOM DIJALIZNOM
CENTRU U SRBIJI
Kratak sadržaj: Analizirana je adekvatnost hemodijalize ambulantnih
bolesnika u jednom velikom dijaliznom centru univerzitetske bolnice u Južnoj
Srbiji. Na programu hronične hemodijalize u 1998. godini lečen je 181 bolesnik
(prosečna starost 54,5 godina; žene 47,5%, muškarci 52,5%; osnovna bolest
intersticijski nefritis 28%, glomerulonefritis 27%). Dozu dijalize, merenu
sa Kt/V, manju od 0,8 primilo je 6,7% bolesnika (I grupa), 0,8-1,2 43%
bolesnika (II grupa), a više od 1,2 50,3% bolesnika (III grupa). U gotovo
svih bolesnika trajanje jedne dijalize bilo je 4 h. Bolesnici III grupe
imali su manju telesnu težinu i to je, verovatno, bio razlog što su imali
značajno viši Kt/V i URR. Pokazano je da su bolesnici II i III grupe bolje
rehabilitovani nego bolesnici I grupe. U 1998. godini hospitalizovana su
32 bolesnika, a 149 bolesnika nije bolnički lečeno. Bolesnici bez hospitalizacija
imali su statistički značajno veći broj eritrocita i sadržaj hemoglobina
nego bolesnici sa hospitalizacijama.
Ovim ispitivanjem je ustanovljeno da je bolesnicima sa većom telesnom
masom potrebna duža hemodijaliza. Teška anemija povezana je sa češćim hospitalizacijama.
U bolesnika sa niskim Kt/V (<0.8) mali je stepen rehabilitacije.
Ključne reči: Hemodijaliza, adekvatnost, Kt/V, stepen redukcije
ureje, hospitalizacija, rehabilitacija
