This Article is About
chronic kidney disease
mortality and morbidity
The Outcome Of Patients Of Dialysis Center IN Elbasan Albania
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The Aim Chronic renal disease is the progressive decline of GFR and the failure of kidney to eliminate metabolic products and others. The diseases which lead to CKD can be both renal as Glomerulonephritis, Nephritis and extra renal like Diabetes Mellitus that has an important role, or HTA too. The outcome of CKD to end-stage is accompanied with complication of other systems and organs that overload the clinical situation of the patient. The number of renal patients is grown up through the years and also the number of dialitic patients is grown up too. There are many problems and complications which appears during dialysis where these and those of CKD has both a great role in the of chronic kidney disease decurse, and in the mortality and morbidity. The purpose of this study is to make present evidently the problems or complications which appear among the patients who received renal replacement therapy as HD at Dialysis Center in Elbasan Hospital Center. Make present these complications will help us during our time work on patient outcome, and in the introduction to the new schemes of medication for every one of the evident problems decreasing the mortality.

Methodology: The study is prospective, observative and its lies on a year. The patients are divided into age group and time durations of dialysis group. The problems are presented and specified as they appear during HD time, the underling diseases are qualified and also with the number of patients which have every specific disease that due to CKD. The specific cases are introduced. The main interest of this study is to show the concrete and real problems of dialitic patient in this Hospital Center dispersed into age group and to focus the middle age of patients who receive HD.

Objectives: The presentation of clinic problems during HD and the number of patients with every one of these problems. To monitorate the patients.

Conclusions During the depistation we take into consideration the underline diagnosis, disease duration since the beginning of it until to the depistation. Concomitant diseases and their outcomes, the complications during the HD time, before and after it .We consider too the vascular access, its function or not (fistulae), the problems which link with it, or at catheter cases their outcomes too, their complications such as (coagulation, pressure, infection).We take in consideration the HB levels, the erythropoietin treatment, the follow up of secondary anemia, the level of under nutrition, the BMI influence in the outcome of these patients. If they were alcoholic or not, smokers or not.


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