TỶ LỆ XẢY RA CÁC TAI BIẾN, BIẾN CHỨNG TRONG LÚC LỌC MÁU TẠI BỆNH VIỆN THỐNG NHẤT: NGHIÊN CỨU ĐOÀN HỆ HỒI CỨU

Abstract

Objective: The objective of this study was to find out the rate of acute and chronic complications in hemodialysis patients at Thong Nhat hospital, Ho Chi Minh City. Patients and methods: Patients: 62,.880 emergency and hemodialysis cases at the Department of Nephrology - Hemodialysis, Thong Nhat Hospital with the mean age of 70.47±14.42 in the period of January 1, 2020 to December 31, 2022. Methods: Descriptive and retrospective cohort. Results: Prevalence of complications during hemodialysis for the 3 years, the year 2020, 2021, and 2022 is 0.619%, 0.756%, 0.627% and 0.502 respectively (p > 0.05). Characteristics of the patients occurred complications are old age (70.47±14.42), 84.32% of the patients were chronic hemodialysis, using catheters (40.36%), occurred in the 4th hours (36.50%). Hypotension and dialyser clotting in dialysis patients non-heparin were 0.256% and 0.148%, respectively. Among the cases that the complications occurred, 63.50% of patients were still on hemodialysis, 10.03% had to stop hemodialysis due to severe condition. The rate of cardiac arrest, and death on hemodialysis was 1.54% and 0.77% respectively. Conclusion: Prevalence of complications occurred during hemodialysis at the Thong Nhat Hospital for 3 years (2020-2022) was 0.619%. The most common omplications were hypotension and dialyser clotting in non-heparin dialysis patients. The complications were occured in the 4th hour of section; 63.50% of patients were managed well and continued on hemodialysis. Further research is needed on the causes, risk factors for incidents in oder to control the complications.