Author Login

Correspondence to Author: Aesha Fetaiha^1,2,DDS, MPH 

1-Dentist, Dr.Aesha Fetaiha Dental Clinic, Gaza, Palestine
2- Medical Activity Supervisor, Midcal Aids for Palestinians, Gaza, Palestine, Nasser Medical Complex, [Hemodialysis Unit]

Abstract:

Background: Haemodialysis is a therapeutic modality addressed to patients with end stage renal disease and is still unsatisfactory worldwide.
Objectives: To assess the adequacy of hemodialysis provided at Nasser Medical Complex and to identify factors affecting adequacy of treatment.
Methods: We conducted a cross-sectional study of regular adult hemodialysis patients. The data including demographic data, BMI, laboratory parameters, dialysis data and nutritional status were collected. Kt/V and URR were used in the measurement of adequacy of dialysis.
Results: here was significant reduction in post hemodialysis weight (P=0.000) and urea (P=0.000), only 6% patients had Kt/V ≥ 1.2 and 10 % had URR ≥65%. Body mass index (P=0.004) and serum albumin level (P=0.018) emerged as predictive factors for adequacy. Session frequency was not optimal, with 54% of the patients dialyzed twice weekly. Malnutrition was frequent (70%) and linked to poorer survival.
Conclusion: Dialysis adequacy is quite low at the level of the center. Adjusting prescriptions, progressing sessions, and intervening nutritionally may be used to improve patient outcomes.

Citation:

Aesha Fetaiha, Utility of Hemodialysis at Nasser Medical Complex: Shortcomings, Causes, and Recommence Findings to Enhance the Utility of Hemodialysis. The American Journal of Kidney Diseases 2025.