Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study.

Autor:	Asghar MS; Internal Medicine, Dow University Hospital, Karachi, PAK., Avinash F; Medicine and Surgery, Liaquat National Hospital and Medical College, Karachi, PAK., Singh M; Internal Medicine, Liaquat National Hospital and Medical College, Karachi, PAK., Siddiqui MA; Internal Medicine, Liaquat National Hospital and Medical College, Karachi, PAK., Hassan SA; Internal Medicine, University of Louisville, Louisville, USA., Iqbal S; Forensic Medicine, Bacha Khan Medical College, Mardan, PAK., Irshad SG; Internal Medicine, Dow University of Health Sciences, Dow International Medical College, Karachi, PAK., Zehra M; Internal Medicine, Dow University of Health Sciences, Dow International Medical College, Karachi, PAK., Siddiqui K; Internal Medicine, Dow University of Health Sciences, Dow International Medical College, Karachi, PAK., Rasheed U; Internal Medicine, Liaquat National Hospital and Medical College, Karachi, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Aug 30; Vol. 13 (8), pp. e17559. Date of Electronic Publication: 2021 Aug 30 (Print Publication: 2021).
DOI:	10.7759/cureus.17559
Abstrakt:	Background and objectives Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus. Materials and methods A cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives. Results Study participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m 2 , 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p<0.001), phosphate >4.5 mg/dL (aOR: 3.889 [1.118-15.532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin <3.5 g/dL (aOR: 2.987 [1.156-7.716], p=0.024) and potassium >5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus. Conclusion Many factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Asghar et al.)
Databáze:	MEDLINE
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