TỶ LỆ TRIỆU CHỨNG ĐƯỜNG TIÊU HÓA THEO ĐIỂM GSRS VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN THẬN NHÂN TẠO CHU KÌ

Abstract

Backgroud and aim: Complex mechanisms in chronic kidney disease could predipose to gastrointestinal (GI) symptoms. Our study aimed to evaluate the prevalence of GI symptoms based on GSRS score and associated factors in hemodialysis patients (HD). Methods: a cross-sectional study was conducted among patients receiving hemodialysis ≥3 months at the Nephrology – Urology and Dialysis Center – Bach Mai Hospital between 10/2023 and 5/2024. GSRS score, physical component score (PCS), mental component score (MCS) and laboratory results were collected. Resuts: 151 patients were eligible with the mean age of 55.06 ± 14.01. 80.1% of HD patients had at least one GI symptoms. The prevalence of regurgitation, chest pain, dyspepsia, diarrhea, and constipation were 36.4%, 47.7%, 52.3%, 39.7%, and 41.1%, respectively. None of laboratory findings, except for serum total calcium was significantly different between those having or not GI symptoms. MCS was an independent factor with negative correlation with GSRS score (B = -0,32, p=0,005). Conclusion: 80,1% of HD patients were presented with GI symptoms. Mental health was negatively associated with GSRS score in this subject.