Prevalence and Characterization of Chronic Kidney Disease Associated Pruritus in Patients Undergoing Maintenance Hemodialysis
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Pruritus, a common complication of chronic kidney disease and end-stage renal disease (ESRD), is a uncomfortable, unpleasant symptom and apart from physical discomfort, affects social and psychological aspects of the life significantly. ESRD patients with CKD-aP have higher mortality rates, which have been reported to be as higher as 13% in DOPPS as compared to patients without pruritus. Aim of the study: The aim of this study was to provide a comprehensive description of the prevalence and clinical characteristics of pruritus affecting patients with end-stage renal disease on hemodialysis.Material And Methods:The study included 60 patients coming to the hemodialysis unit of Acharya Shri Chander College of Medical Sciences, for a period 18 months. Patients with active infection, recent hospitalization within three months, psychotic illness or other communication problems, primary skin disorders,cholestatic liver disease or acute hepatitis, and active malignancy were excluded from the study. Results: The 26 ( 43.3%) patients out of the sixty enrolled in study, were diagnosed with chronic kidney disease associated pruritus,18(69.2%) of the patients being male and females comprising remaining 8 patients (30.76%) .Conclusions: The problem of pruritus in uremic dialysed patients remains unsolved. Our study underscores that uraemic pruritus is an important health problem among haemodialysis patients and its proper diagnosis and characterization is important to improve overall outcome of these patients.
Authors and Affiliations
Puneeta Gupta
Traumatic Cardiac Tamponade – Relearning Old Lesions to Avoid Delay in Diagnosis and Management of a Life-Threatening Thoracic Injury
Cardiac tamponade is a lifethreatening condition due to abnormal collection of fluid in the pericardial sac causing hemodynamic instability. In trauma it is blood that gets collected in the sac, most commonly due to pene...
Reperfusion: for Better or for Worse
Introduction:Cerebral hyperperfusion, or reperfusion syndrome,is a rare, but serious, complication following revascularization. Hyperperfusion is defined as a major increase in ipsilateral cerebral blood flow (CBF) that...
Metronidazole Induced Encephalopathy
Introduction: Metronidazole is a nitroimidazole antimicrobial drug prescribed to treat infections caused by anaerobic bacteria and protozoa. Metronidazoleinduced encephalopathy ( MIE ) is a rare toxic encephalopathy caus...
Hyponatraemia in ED:Risk Factor Conundrum
Aims of the Study: Profound hyponatraemia (<125 mmol/l) is frequent in the emergency department. Its incidence appears to increase with age and in patient’s on antihypertensive medication particularly diuretics.Our objec...
Outcome of Acute Ischemic Stroke: Clinical Study Carried at Tertiary Care Hospital
About 80% of all first ever lifetime strokes are ischemic, 10% are due to primary intracerebral haemorrhage, about 5% are due to subarachanoid haemorrhage and in the remainder there is an uncertainty. After coronary hear...