The Relation of Residual Kidney Function to Post-Dialysis Fatigue.

Autor: Abdelaziz, Haitham Ezzat, Abdelmobdy, Ashraf Hassan, Metwally Mohammed, Hend Mahmoud
Zdroj: QJM: An International Journal of Medicine; 2024 Supplement, Vol. 117, pii172-ii172, 1p
Abstrakt: Background: End-stage kidney disease (ESKD) poses intricate challenges in its management, often requiring long-term dialysis or kidney transplantation to sustain metabolic balance and fluid-electrolyte equilibrium. Despite these treatments, ESKD patients frequently experience debilitating symptoms, such as fatigue. Fatigue's prevalence is substantial in both dialysis and non-dialysis ESKD patients, impacting their daily lives and overall well-being. Residual kidney function (RKF) after dialysis initiation plays a pivotal role in influencing various health outcomes. Aim of the Work: To estimate post-dialysis fatigue in chronic haemodialysis patients and its relation to residual kidney function and other associated variables. Patients and Methods: The study included 70 Patients with ESKD who underwent regular HD and they were divided into 2 groups; group A (Included 35 patients who had residual kidney function) and group B (Included 35 patients who did not have residual kidney function). Results: Fatigue was widespread, as indicated by FAS scores ranging from 16 to 37. Most patients experienced fatigue, with 67.1% reporting fatigue and 15.7% extreme fatigue. Although there was no significant correlation between FAS scores and RKF, RKF's role was evident in parameters like urea post-hemodialysis, influencing patient outcomes. Conclusion: In conclusion, the complex interaction involving RKF and the exhaustion experienced after dialysis calls for a more profound exploration. This research brings into focus the elaborate correlation between RKF and fatigue, underscoring the diverse aspects of symptomatology in ESKD. Additional inquiries are merited to gain a more comprehensive comprehension of the variables influencing fatigue and to formulate precise interventions aimed at enhancing the quality of life for individuals with ESKD. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index