Evaluation of Dialysis Adequacy in Hemodialysis Patients in Shahid Ayatollah Ashrafi Esfahani Hospital in Tehran in 2016

The inadequacy of dialysis is one of the determinants of inability in hemodialysis patients. Due to the lack of clarity of the adequacy of dialysis in hemodialysis patients in Shahid Ayatollah Ashrafi Esfahani Hospital in Tehran, and since there has not been a similar study in this area, this study was the first study to evaluate the adequacy of dialysis in patients undergoing hemodialysis in the hospital. It was conducted in 2016. This is a descriptive cross-sectional study. In which all patients who were already hemodialysis at the center and who had been undergoing hemodialysis for more than three months were chosen using non-sampling method and entered the study. Data were collected through a checklist and researcher-made questionnaire. Dialysis adequacy was calculated through KT/V parameters and (URR) urea reduction ratio. The data were then analyzed using Stata software version 14. Approximately fifty percent of the patients in the study had incomplete hemodialysis. As only 48(22.75%) of patients with KT/V index were more than 1.2 and in 41 (19.43%) of patients with URR index more than 65%, indicating good hemodialysis adequacy. The mean KT/V index was 0/0±96/29  and the lowest and highest were respectively 0.07 and 1.69 respectively. The mean URR index in the samples was 0/53±0/13 and the lowest and the highest was 0.14 and 0.82. According to the dialysis index, a high percentage of patients in this hospital have inadequate hemodialysis, which needs to be reviewed and corrected.