Nephrolithiasis induced end stage renal disease in patients on hemodialysis in Baghdad (A Multicenter study)

Autor: Ali J. Hashim Al Saedi, Abdul Hakeem A. Karim, Mortadha Mohammad Hadi
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Al Ameen Journal of Medical Sciences, Vol 09, Iss 03, Pp 148-153 (2016)
ISSN: 0974-1143
Popis: Background: Kidney stones are the third most common disease of the urinary system. Nephrolithiasis still remains underappreciated cause of end stage renal disease. Clinical presentation varies from asymptomatic small stones to large obstructing staghorn calculi leading to chronic kidney disease. Objective: The study aims to evaluate prevalence of nephrolithiasis induced end stage renal disease among patients on maintenance Hemodialysis therapy. Patients and Methods: An analytic cross sectional multicenter study that involved 996 patients on maintenance Hemodialysis that was performed from August 2014 to February 2015 in the dialysis units in Baghdad. The patients were grouped into 49 patients who had nephrolithiasis and 947 as a control group, 29 were females and 20 were males. The age ranged between (38-71) years. All patients with nephrolithiasis were evaluated using abdominal ultrasonography and abdominal computed tomographyscan. Results: Total number of nephrolithiasis incident ESRD cases was 4.91 % (49 of 996 patients). The mean age of the patients with nephrolithiasis induced ESRD was 56.41 ± 8.26 years, 28 patients (57.14%) distributed between ages 40 to 59 years old, 19 patients (38.77%) within age 60 years old and more, while only 2 patients (4.08%) seen between ages 20 to 39 years old and no patients reported below age of 20 years. Conclusion: Nephrolithiasis remains the cause of potentially avoidable end stage renal disease in too many patients despite recent major advances in the diagnosis and management of patients forming stones.
Databáze: OpenAIRE