Outcome of Hemodialysis Services in Nopparat Rajathanee General Hospital

Abstract

The purposes of this research were to study the outcomes of hemodialysis (HD) services and patients’ outcomes of a 5 year in hospital-based service. The data were retrospectively collected for a descriptive study. The reviewed data and outcomes of the patient documents between January 2012 and December 2016 which have been recorded in the computer program were included. These were called Universal Data Characterization and Hierarchical Analytics (UCHA). These data were presented as frequency, percentages and mean with standard deviation or median with inter-quartile range. From the study, a number of all patients (1,553) can be classified as the patients with acute HD (98.8%) and chronic HD (1.2%). The number of male patients were equal to the female patients with mean age of 62.3±15.0 years. The increasing number of patients who need acute HD were shown by years as follows: 59.7%, 58.7%, 63.5%, 60.0% and 65.7%, respectively. The infection was the highest cause of the hospitalization (34.4%). The most clinical outcome of acute HD patients who were complicated chronic HD patients had improved (79.7%). The most deaths occurred in acute kidney injury (AKI) patients (60.3%). The outcome of chronic HD patients were achieved the key performance indicator (KPI) target of The Nephrology Society of Thailand criteria. Meanwhile, comparing work productivity as a ratio of workloads and staff availability had higher than the standard criteria of Bureau of nursing. In conclusion, HD patients frequently require acute HD in hospital-based services because of their trendiness to a variety of acute problems. Although almost of them had been recovered, the mortality rate remains high in AKI. Early detection of acute renal problems and available support staff’s workload will improve patient outcomes. Therefore, hemodialysis in hospital-based service should be availability of acute and chronic HD facilities