Frequency of intradialytic hypotension in patients with chronic kidney disease.

Abstract

Objective: To find the frequency of intradialytic hypotension in chronic kidney disease. Study Design: Cross Sectional Descriptive study. Setting: Hemodialysis Unit of Ayub Teaching Hospital Abbottabad. Period: March 2019 to June 2019. Material & Methods: A total of 95 patients, fulfilling the inclusion criteria were enrolled in the study. After taking consent, relevant history was taken along with physical examination performed. The medical record including various investigations was reviewed. Blood pressure was recorded at regular intervals during the ongoing hemodialysis session of selected patients by the staff of hemodialysis unit, using bedside mercury manometer. Results: Out of 95, 47 patients (49%) developed intradialytic hypotension in the middle of their hemodialysis sessions. There was no significant difference in the frequencies of intradialytic hypotension with respect to gender and age. Conclusion: Hemodialysis is a life saving treatment modality. Despite advances in technology it carries a number of complications. Intradialytic hypotension is one of its frequent complications with a fact that it has no consensus definition. Its frequency in chronic kidney disease patients visiting hemodialysis unit of Ayub Teaching Hospital Abbottabad is high. The high frequency necessitates various interventions for its prevention and further research is required in this regard.