Factors Predicting Hospitalization among end Stage Renal Disease Patients Undergoing Hemodialysis in Sudan
Anemia is a common complication of End Stage Renal Disease (ESRD). The factors affecting hospitalization among patients undergoing Hemodialysis (HD) in Sudan were not extensively explored. This study was carried out to determine factors predicting hospitalization among patients undergoing HD. Twelve HD centers in Khartoum State were stratified and a total of (1015) adult ESRD HD patient were recruited. A prospective observational study was conducted from 1st August 2012 to 31st July 2013. A standardized data collection form was used and the factors affecting hospitalization were evaluated. A total of 481 patients were excluded from the analysis, which comprised of 194 (19.1%) patients were transferred to other centers, 165 (16.3%) were deceased, 84 (8.3%) lost to follow-up and 38 (3.7%) underwent renal transplantation. Five hundred and thirty-four (52.6%) patients were included in the analysis, with a hemoglobin level of <12 g/dL. Three hundred and seven (57.5%) were males and the mean age was 48.7 ± 16.1 years. From logistic regression analysis factors significantly predicting hospitalization were; patients age '≥ 65' years, (OR=5.01, (3.09–8.13)), hypertension, (OR=1.55, (1.03–2.32)), obstructive uropathy, (OR=2.19, (1.29–3.71)) and pyelonephritis, (OR = 2.24, (1.10–4.56)). Thus, elderly ESRD HD patients with hypertension, obstructive uropathy and pyelonephritis were at higher risk for hospitalization during dialysis period. These findings provide an important insight for Sudanese ESRD HD patients that need further consideration to decrease hospitalization risk.
Omalhassan Amir*, Mohammed Babikir Abdelraheem,Usman Abubakar
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