Samarasekara SDBPP 1#, Nandasena HMRKG1, Pathirathne ML1, Basnayake BMDB2, Erandika HGN2 , Nayanamali MAA2, Kumari UGDA 2, Nanayakkara N2
1 Department of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka
2 Nephrology and Transplant Unit, National Hospital Kandy, Sri Lanka
# <[email protected] >
Asia Pacific Consortium for Public Health
Introduction and objectives -Anaemia is almost universal in advanced Chronic Kidney Disease (CKD) leading to poor quality of life, higher morbidity and mortality. Hence, multifaceted interdisciplinary care is required to prevent anaemia in Maintenance Haemodialysis (MHD). This study was conducted to identify the prevalence and risk factors of anaemia in MHD patients.
Methods– A descriptive cross-sectional study was conducted in 300 randomly selected participants on MHD at Nephrology Unit, National Hospital Kandy. Data was collected by an interviewer administered questionnaire and patient’s medical records. Malnutrition Inflammation Score (MIS) was applied to assess the nutritional status. Binary logistic regression analysis was used to identify the factors associated with anaemia among MHD patients.
Results– Median age of the respondent was 51.71(39.43- 63.99) years and 68.9% (n=208) were male. Mean Haemoglobin concentration was 9.7 g/dl (SD = 1.95).Total anaemia prevalence was 66% (n= 198) while, severe (<7.4g/dl) and mild (7.4-10.5 g/dl) anaemia was reported as 19% (n=36) and 81% (n=162) respectively .Out of all anaemic patients 56.4% (n=110) were with less than one year of dialysis vintage. None of the socio demographic factors were associated with anaemia but low serum albumin level (OR: 2.51, CI; 1.49- 4.21), low Dialysis vintage (OR: 1.826, CI 1.38-2.42) and high MIS (OR: 0.911, CI 0.85-0.97) were significantly associated with anaemia.
Conclusions – More than half of the MHD patients were anaemic while low serum albumin and lower dialysis vintage were associations. A systematic approach is required to improve the haemoglobin status of this important group of patients.
Key words – Anaemia, Associated factors, Maintenance haemodialysis patients (MHD)