Abstract
Objective: To study the different signs and
symptoms of chronic kidney disease (CKD) in
patients who are on dialysis and to study
adequacy of dialysis.
Methodology: This prospective cross sectional
study was conducted in Department of Medicine,
Ayub Teaching Hospital, Abbottabad from
December 2016 to April 2018. A sample of 100
patients of CKD on dialysis was selected by using
non probability convenient sampling technique.
Data were collected by using pre designed
questionnaire and was analyzed by SPSS 16.
Results: Out of 100 patients, 59 were male and 41
females. Mean age was 42.3±12.2 years (range
19-7). CKD was more prevalent in males with
male to female ratio of 1.75:1. Weight loss was
seen in 39%, vomiting in 24%, fatigue in 62%,
sleep disturbance in 28% and breathing problems
in 26% patients. More than half of the patients had
their hemoglobin levels between 8-10mg/dl and
only 9% had hemoglobin more than 12mg/dl. Only
8% patients had blood urea levels less than
60mg/dl, 39% had their blood urea levels in range
of 80-100mg/dl while 25% had urea more than
101mg/dl. Only 6% patients had their creatinine
levels less than 3.3mg/dl and more than 75% have
creatinine level above 5.4mg/dl. Conclusion: CKD patients who were on regular
and adequate dialysis had less uremic symptoms,
mortality rates and good quality of life. (Rawal Med
J 202;45:13-16).