Investigation of the frequency of uremic stomatitis in dialysis patients of Imam Ali Hospital in Karaj and its related factors in 1400

Introduction and goal: 

One of the problems of kidney failure patients, especially patients who are in the final stages of this disease, is uremic stomatitis, which can be caused by hemodialysis, the disease process, or both. Considering that dialysis as a metabolic disorder has many effects on people, including oral complications and mucosal lesions, knowing the prevalence of uremic stomatitis in patients with kidney failure and undergoing dialysis is necessary for planning interventions. Similar in this field has not been done in the city of Karaj or even in the country of Iran, so the present study was conducted with the aim of investigating the prevalence of uremic stomatitis in dialysis patients of Imam Ali Hospital in Karaj and its related factors in the year 1400.

This cross-sectional analytical study was conducted in the year 1400 in Imam Ali (AS) hospital in Karaj city. After the necessary coordination and obtaining the relevant permits, 384 dialysis patients who had files in Imam Ali Hospital (A.S.) in Karaj city were included in the study. The selection of people was simple random and based on the list of patients. The patients were diagnosed with stomatitis. Uremic were examined Also, the duration of dialysis, family history of kidney failure, diabetes, duration of diabetes and hemoglobin a1c level were asked and the relevant information was recorded.

According to the results of this study, the prevalence of uremic stomatitis in patients was 3.38%. This problem was more in men than women (84.61% compared to 13.59%). Also, the average age of male patients with this disease was higher compared to women (67.45± (5.12) years compared to 48.50±(4.95) years) and had been dialyzed for a longer period of time (5.64±(0.5) years compared to 1.5±(0.7)). Also, the family history of dialysis was more in men (81%. 8 compared to 0). The prevalence of diabetes in male patients was higher compared to female patients (100% compared to 50%) and the duration of diabetes was longer in men compared to women ((2.64±0.5) years in comparison with (0±1) years) and on the other hand, diabetes control was better in women compared to men, so that 50% of female patients had a blood hemoglobin level of 8-5.9, while the level of hemoglobin a1c in all male patients was higher than 8.

The results of this study showed that suffering from kidney failure, especially in the final stages of the disease when patients need dialysis, can lead to an increase in the risk of uremic stomatitis.