134th Anniversary International Medical Congress – 2021
PREVALENCE OF ANEMIA AMONG PATIENTS UNDERGOING CONTINUOUS AMBULATORY PERITONEAL DIALYSIS
Dasanayake DRTS1,2, Pathiranage AMSD1, Basnayake BMDB2, Samarasekara SDBPP1,2, Erandika HGN2, Nayanamali MAA2,3, Nanayakkara N2
1 Department of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka
2 Center for Research, National Hospital Kandy, Sri Lanka
3 Department of Fundamental Nursing, Faculty of Nursing, University of Colombo
Introduction and objectives– Anemia is a major consequence of chronic kidney disease. When severe, it is associated with many complications and even resulting in death. Anemia is common among peritoneal dialysis patients and underlies many of the symptoms associated with reduced kidney function. Therefore, the aim of this study was to investigate the prevalence of anemia and its associated factors in patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD).
Methods– This cross-sectional study was on randomly selected 102 CAPD patients at National Hospital Kandy. Laboratory data were collected by patient’s medical records and interviewer administrated food frequency questionnaire was used to collect dietary data.
Results– Mean age of the participants was 54.91 ± 12.57 years. Mean Hemoglobin concentration was 10.86 ± 1.83 g/dl. Anemia was present in 60 (58.8%) patients. It was more prevalent in males, as 60% (n=36) had hemoglobin values less than 11.0 g/dl. Significant mean difference in hemoglobin concentration was observed among patients those who had high C-reactive protein (CRP) and in patients with normal reference range (p=0.006, t=2.799). Furthermore, anemia was reported among 81.7% (n=49) those patients who had low dietary protein intake. Half of the participants whose dietary potassium intake was low, were also identified as anemic.
Conclusion– More than half of the participants in the study group were anemic. Anemia was more common among the patient whose dietary protein and potassium intake was lower and there was marked disparity in mean hemoglobin concentration in patients having high and low CRP levels.