University of Khartoum

Risk Factors and Economic Cost of Hemodialysis among Adult Patients

Risk Factors and Economic Cost of Hemodialysis among Adult Patients

Show full item record

Title: Risk Factors and Economic Cost of Hemodialysis among Adult Patients
Author: Ahamed ,Mohammed Ali Alzain Mohammed
Abstract: Chronic renal failure (CRF) is a major public health problem. Early diagnosis of kidney diseases and proper management has important roles in prevention of (CRF) progression to end-stage renal disease (ESRD). For this purpose, determining the etiology of (CRF) may be helpful. Hospital – based cross- sectional descriptive study was conducted to describe the basic characteristics of the patient’s diagnosed with (ESRD) according to socio-demographic, medical characteristics and behavior. This study was conducted in Khartoum state during the period from October 2008 to May 2009, to identify the associated factors of (CRF) in adult patients, and estimate the direct and indirect cost of treatment by haemodialysis. A total of 341 patients with a diagnosis of (ESRD) were involved in the study. To determine individual units included in sample size a proportional multistage cluster sampling was followed. Relevant data were collected using a reliable questionnaire. All data were analyzed by the computer using (SPSS) / PC version 13 software. The study showed that 68.6% of patients were males and 31.4% were females. The most affected age groups were over 47 years (44%) and the mean age of the study patients was 45.32 ± 6.34 years. The associated risk factors of (CRF) in this study included: hypertension in 47%, diabetes mellitus in 13.2%, renal diseases in 21.2% VI (Atrophy in 22.7%, kidney stone12%, cystic kidney 6.7%, urinary tract infections in 13.3%, obstructive nephropathy (ON) 32%, vasculitis in 4% and nephrotoxic drugs 9.3%), infectious diseases in 7%, and unknown causes in 21.6% of the patients. The high frequency of (CRF) of unknown in this study may be attributed to diagnostic limitations prevailing in our country. The study showed that the health-care sector costs associated with hemodialysis expenditure exceed 2,800,000 SDG per year. The total average direct cost per patient insured were 1428 SDG per year and non insured were 3931.32 SDG per patients year. The study revealed that the average indirect cost associated with (ESRD) was estimated at 3085.2 SDG per patient per year.
Description: 103 Pages
URI: http://hdl.handle.net/123456789/7536
Date: 2015-03-26


Files in this item

Files Size Format View

This item appears in the following Collection(s)

Show full item record

Share

Search DSpace


Browse

My Account