Investigation of Hemodialysis Adequacy in Patients Undergoing Hemodialysis in the Shohada Hospital in Bushehr

In daily clinical practice two useful tools for calculation of hemodialysis adequacy are Urea Kinetic Modeling and Urea Reduction Ratio (URR). The amount of dialysis that a patient receives can impact morbidity and mortality. The main goal of this research is investigating of dialysis adequacy in patients undergoing dialysis in hemodialysis ward. This descriptive study was performed on 93 patients admitted in hemodialysis ward.Pre- and post-dialysis blood samples for measurement of BUN levels were obtained according to 2006 National Kidney Foundation guidelines.kt/v Daugirdas formula and URR were used to assess the adequacy of hemodialysis. Data was analyzed by parametric and non parametric tests using the spss version 19 software. The results of the study show that 59.1 % patients were kt/v &rsaquo1.2 and 53.8% of them were URR&rsaquo 65%. The mean of kt/v and URR were 1.35±0.53 and 66.15%±12.48 respectively. The minimum and maximum kt/v indices were 0.20 and 4.02 and The minimum and maximum URR were 11.50% and 95.10% respectively. according to the dialysis adequacy indices (kt/v and URR) more than 40% of patients admitted to this Hemodialysis ward received inadequate hemodialysis services that need more supervision and follow up.