Prevalence and Factors Affecting Inadequate Hemodialysis in End-Stage Chronic Kidney Disease Patients at Makarak Hospital, Kanchanaburi Province

Abstract

Objective: The purpose was to investigate the incidence and factors influencing inadequate hemodialysis in end-stage renal disease (ESRD) patients at Makarak Hospital, Kanchanaburi.

Methods: This is a retrospective analytic study. The data were collected from the medical records of ESRD patients who received hemodialysis at Makarak Hospital, from January 1, 2020, to May 31, 2024, a period of 4 years. The research tool used data collection form medical records of ESRD patients and treatment data from the HOSxP program. The data were presented as percentages, averages, and standard deviations. The factors affecting inadequate hemodialysis were analyzed using independent t tests, chi-square tests, and binary logistic regression analysis.

Results: A total of 129 patients was included in the study. The prevalance of inadequate hemodialysis was found to be 20.9%. The results showed that males had a 5.3-fold higher chance of inadequate hemodialysis compared to females (p = .004). The frequency of dialysis performed twice weekly was associated with 22.2-fold higher chance of inadequate hemodialysis compared to dialysis 3 times a week (p < .001). Additionally, the type of dialysis access, if it was a DLC, had a 2.8-fold significantly higher inadequate dialysis than other dialysis accesses (p = .029). Other factors did not show a significant effect.

Conclusion: The frequency of dialysis, gender, and type of vascular access are key factors influencing the adequacy of hemodialysis.