EVALUATION OF FACTORS AFFECTING THE DEVELOPMENT OF HOSPITAL-ACQUIRED ANEMIA IN CHRONIC KIDNEY DISEASE

Burcu Caner; Ömer Toprak

Article Details

EVALUATION OF FACTORS AFFECTING THE DEVELOPMENT OF HOSPITAL-ACQUIRED ANEMIA IN CHRONIC KIDNEY DISEASE

Authors:

Burcu Caner | Ömer Toprak

Publisher:

Erciyes University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Sağlık Bilimleri Dergisi Vol.32 Issue 3, pp.394-398

Document Type:

Article

Publication Date:

4/2023

Document Language:

Turkish

Document ID (Org No.):

2001303656

pISSN:

1018-3655

Keywords:

Abstract:

 Chronic kidney disease CKD is a functional or structural disorder in the kidneys andor a decrease in the glomerular filtration rate GFR lasting longer than 3 months. The development of anemia in patients following hospitalization that has no identifiable etiological reason is known as hospital-acquired anemia HAA. It is thought to be iatro-genic. In our study, we aimed to determine the prevalence of HAA and the factors affecting its development in CKD patients. Patients aged 18 years and older who were hospitalized for CKD between March and September 2014 were included in the study. Patients with hypervolemia, hemorrhage, hemolysis, sepsis, hematological malignancies, anticoagulant use, or who were planned for fluid replacement or renal replacement therapy were excluded. HAA was defined as a hemoglobin level fall of at least 0.5 gdl following hospitalization. In our study, the frequency of HAA in CKD patients was found to be 70. The development of HAA was significantly associated with the CKD stage and the presence of hypothyroidism CKD p  0.021, hypothyroidism p  0.002. Phlebotomy volume per day p  0.203 and length of hospital stay p  0.180 were not related to HAA development. We believe that identifying HAA risk factors and taking preventative measures will benefit patients health.

 Chronic kidney disease CKD is a functional or structural disorder in the kidneys andor a decrease in the glomerular filtration rate GFR lasting longer than 3 months. The development of anemia in patients following hospitalization that has no identifiable etiological reason is known as hospital-acquired anemia HAA. It is thought to be iatro-genic. In our study, we aimed to determine the prevalence of HAA and the factors affecting its development in CKD patients. Patients aged 18 years and older who were hospitalized for CKD between March and September 2014 were included in the study. Patients with hypervolemia, hemorrhage, hemolysis, sepsis, hematological malignancies, anticoagulant use, or who were planned for fluid replacement or renal replacement therapy were excluded. HAA was defined as a hemoglobin level fall of at least 0.5 gdl following hospitalization. In our study, the frequency of HAA in CKD patients was found to be 70. The development of HAA was significantly associated with the CKD stage and the presence of hypothyroidism CKD p  0.021, hypothyroidism p  0.002. Phlebotomy volume per day p  0.203 and length of hospital stay p  0.180 were not related to HAA development. We believe that identifying HAA risk factors and taking preventative measures will benefit patients health.

 Chronic kidney disease CKD is a functional or structural disorder in the kidneys andor a decrease in the glomerular filtration rate GFR lasting longer than 3 months. The development of anemia in patients following hospitalization that has no identifiable etiological reason is known as hospital-acquired anemia HAA. It is thought to be iatro-genic. In our study, we aimed to determine the prevalence of HAA and the factors affecting its development in CKD patients. Patients aged 18 years and older who were hospitalized for CKD between March and September 2014 were included in the study. Patients with hypervolemia, hemorrhage, hemolysis, sepsis, hematological malignancies, anticoagulant use, or who were planned for fluid replacement or renal replacement therapy were excluded. HAA was defined as a hemoglobin level fall of at least 0.5 gdl following hospitalization. In our study, the frequency of HAA in CKD patients was found to be 70. The development of HAA was significantly associated with the CKD stage and the presence of hypothyroidism CKD p  0.021, hypothyroidism p  0.002. Phlebotomy volume per day p  0.203 and length of hospital stay p  0.180 were not related to HAA development. We believe that identifying HAA risk factors and taking preventative measures will benefit patients health.

 Kronik böbrek hastalığı KBH 3 aydan uzun süren, böbrekte işlevsel ya da yapısal bozukluk veveya glomerüler filtrasyon hızında azalma olmasıdır. Hastanede edinilmiş anemi HEA, hastaneye yatış sonrası hastalarda etyolojik bir neden olmaksızın anemi gelişmesidir. İyatrojenik geliştiği düşünülmektedir. Çalışmamızda KBH tanısıyla hasta-neye yatırılan hastalarda HEA prevalansını ve etki eden faktörleri saptamayı amaçladık. Mart- Eylül 2014 arasında, 18 yaş ve üzerine, KBH tanılı, nefroloji servisine yatışı yapılan hastalar çalışmaya alındı. Hipervolemi, kanama, hemoliz, sepsis, hematolojik malignite varlığı, antikoagülan kullanımı olan hastalar, sıvı replasmanı planlanan ve renal replasman tedavisi alan hastalar çalışmaya dahil edilmedi. Hastaneye yatış sonrasında hemoglobin düzeyinde 0,5 gdl ve üzerinde düşme olması HEA olarak tanımlandı. Çalışmamızda KBH hastalarında HEA sıklığı 70 saptanmıştır. HEA gelişimi, KBH evresi ve hipotiroidi varlığı ile istatiksel anlamlı olarak ilişkili saptanmıştır KBH p0.021, hipotiroidi p0.002. Günlük flebotomi miktarınin p0,203 ve hastanede yatış süresinin p0,180 HEA gelişimi ile ilişkisi saptanmamıştır. HEAnın tanınması ve gelişimi açısından risk faktörlerinin saptanarak, önlenmesinin hastaların sağlık durumuna olumlu etki edeceği düşüncesindeyiz.

Article Details

EVALUATION OF FACTORS AFFECTING THE DEVELOPMENT OF HOSPITAL-ACQUIRED ANEMIA IN CHRONIC KIDNEY DISEASE

Authors:

Burcu Caner | Ömer Toprak

Publisher:

Erciyes University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Sağlık Bilimleri Dergisi Vol.32 Issue 3, pp.394-398

Document Type:

Article

Publication Date:

4/2023

Document Language:

Turkish

Document ID (Org No.):

2001303656

pISSN:

1018-3655

Anemia

Renal insufficiency

Chronic

PhlebotomyAnemi

Böbrek yetmezliği

Kronik

Flebotomi

Issues

Article Details

Authors: Burcu Caner | Ömer Toprak

Publisher: Erciyes University

Main Topics: Klinik Tıp Bilimleri

Journal: Sağlık Bilimleri Dergisi Vol.32 Issue 3, pp.394-398

Document Type: Article

Publication Date: 4/2023

Document Language: Turkish

Document ID (Org No.): 2001303656

pISSN: 1018-3655

Issues

Authors:

Burcu Caner | Ömer Toprak

Publisher:

Erciyes University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Sağlık Bilimleri Dergisi Vol.32 Issue 3, pp.394-398

Document Type:

Article

Publication Date:

4/2023

Document Language:

Turkish

Document ID (Org No.):

2001303656

pISSN:

1018-3655