Monfared A, Khosravi M, Orang poor R, Moosavian Roshan zamir S, Aghajani Nargesi D. Reasons of Chronic Renal Failure in Hemodialysis Patients in Guilan Province. JGUMS 2003; 12 (46) :76-83
URL:
http://journal.gums.ac.ir/article-1-744-en.html
Abstract: (17344 Views)
Introduction: Chronic Renal Failure (CRF) is characterized by impaired renal function, which is progressive & irreversible. Most of these patients will need hemodialysis (HD) in future.
Treatment of CRF with HD has many echonomical & psychiatric problem for patients & society.
Objective: The present study was carried out to investigate the reasons of chronic renal failure in hemodialysis patients in Guilan Province.
Materials and Methods: In this cross-sectional study, 414 Patients under HD were evaluated in 10 center in Guilan.
Required data were obtained from doctor’s note, sonography, ECG, renal biopsy & history taking include: age, sex, how long form 1st dialysis & causes of CRF
Results: In this study 414 cases including 213 (51.4 %) male & 201 (48.6 %) female were studied. Mean age of patients was 48.9±15.9 in initiation of HD. Results showed that the most common causes of ESRD in this region were hypertension (26.1%), glomerulonephritis (10.9%), diabetes mellitus (10.1%) renal stone (8.7%) and polycystic kidney (6.8%).
Other cases such as congenital disease, lupus, Alport syndrome, trauma, bleeding during labor hemorrhagia and drugs were 10.1% and 23.4% were unknown.
Conclusion: The most common causes of End Stage Renal Disease (ESRD) in this region was hypertension (26.1%) and also In this study, glomerulonephritis and diabetes mellitus were second and third causes of ESRD. Also nephrolithiasis, as a cause of CRF was more common in this region. This can be related to probable high-risk prevalence of nephrolithiasis in this region.
Causes of CRF between two sexes or age >40 and <40 were different significantly. (p<0.05)
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Special Received: 2014/09/20 | Accepted: 2014/09/20 | Published: 2014/09/20