CARDIOVASCULAR RISK ASSESSMENT IN PATIENTS ON HEMODIALYSIS IN SULAIMANI CITY
Mohammed O. Mohammed a, Kalthum M Gharib b, and Soran M. Gharib c
a Department of Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
b Department of Adult nursing, College of nursing, University of Sulaimani, Kurdistan Region,Iraq.
c Ministry of Health, Sulaimani, Kurdistan Region, Iraq.
Submitted: 15/2/2020; Accepted: 1/12/2020; Published: 21/12/2020
DOI Link: https://doi.org/10.17656/jsmc.10279
Cardiovascular disease is the major cause of morbidity and mortality in patients with end-stage renal disease on hemodialysis. Cardiovascular disease is a group of disorders of the heart and the blood vessels. The end-stage renal disease required dialysis. Currently, Sulaimani city, has approximately 400 patients on hemodialysis.
To determine the level of cardiovascular disease risk factors according to the World Health Organization / International Society of hypertension risk prediction charts to assess cardiovascular disease risk factors among patients with end-stage renal disease on hemodialysis.
Patients and Methods
This study is quantitative design (descriptive, cross-sectional) study, which was performed in two dialysis centers in Sulaimani City; those are the dialysis department-Shar teaching hospital and the dialysis center in Qrga. From September 2018 to March 2019, one hundred end-stages renal disease patients on hemodialysis were recruited. The socio-demographic, history and risks of cardiovascular disease, vital signs, anthropometric measurements, and laboratory investigations, were analyzed. Statistical Package for Social Sciences version (24) (SPSS) was used, the data analyzed was performed through; Descriptive statistics (frequency, percentage, mean, standard deviation, minimum, maximum and range). Inferential statistics (correlation test, chi-square, p-value, Fisher Exact Test).
The mean age of the participants was 55.6 ±14.4 years. (53%) female (47%) male. Total cardiovascular disease risk levels were; (75%) low risk, (10%) moderate risk, (6%) high risk (9%) very high risk. Risk factors of cardiovascular disease were; hypertension (89%), diabetes mellitus (38%), smoker (27%), alcoholic (8%). Laboratory parameters; cholesterol of (8%) was more than 200mg/dl, Triglyceride of (14%) was more than 150 mg/dl. There was significant association between different CVD risk levels and some variables; age (p=0.016), SBP (p=<0.001) and respiratory rate (p=0.039) with CVD risk levels.
Most of the participants were married, female, illiterate, urban residence, and were on hemodialysis less than 1-year duration. A significant association between cardiovascular disease risks and each of Age, occupation, diabetes mellitus, history of ischemic heart disease, Systolic blood pressure, Diastolic blood pressure, pulse rate, respiratory rate, and 2 hr. postprandial blood glucose.
Cardiovascular disease risk factors; End-stage renal disease; Hemodialysis; Sulaimani city.
Cardiovascular diseases (CVDs) [Internet]. World Health Organization. World Health Organization; [cited 2020Jul2]. Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Chronic kidney disease: Symptoms, causes, and treatment [Internet]. Medical News Today. MediLexicon International; [cited 2020Jul2]. Available from: https://www.medicalnewstoday.com/articles/172179
DiMaria C. End Stage Kidney Disease: Causes, Symptoms, and Prevention [Internet]. Healthline. Healthline Media; 1971 [cited 2020Jul2]. Available from: https://www.healthline.com/health/end-stage-kidney-disease
Cozzolino, M., Mangano, M., Stucchi, A., Ciceri, P., Conte, F. and Galassi, A., 2018. Cardiovascular disease in dialysis patients. Nephrology Dialysis Transplantation.2018; 33(suppl_3), pp.iii28-iii34.
Longenecker JC, Coresh J, Powe NR, Levey AS, Fink NE, Martin A., et al. Traditional cardiovascular disease risk factors in dialysis patients compared with the general population: the CHOICE Study. Journal of the American Society of Nephrology. 2002 Jul 1;13(7):1918-27.
Odum, E. P., and Udi, E. O. 'Evaluation of cardiovascular risk factors in patients with chronic kidney disease', 2017, 11(2). doi: 10.4103/phmj.phmj.
Harmankaya, O., Akalin, N., Akay, H., et al. Comparison of risk factors for cardiovascular disease in hemodialysis and peritoneal dialysis patients. Clinics. 2015; 70(9), pp.601-605.
Ford, E.S. and Jones, D.H. Cardiovascular health knowledge in the United States: findings from the National Health Interview Survey, 1985. Preventive Medicine, 20(6), pp.725-736.
WMA - The World Medical Association-WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects [Internet]. The World Medical Association. [cited 2020Jul2]. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/2018/
World Health Organization/International Society of Hypertension (WH0/ISH) risk prediction charts for 14 WHO epidemiological sub-regions (charts in color) [Internet] updated in 2014. [Accessed 29 Jan. 2020]. Available at: https://www.who.int/ncds/management/WHO_ISH_Risk_Prediction_Charts.pdf?ua=1
Edeen VN, Ramzi ZS. Cardiovascular Risk Assessment among Adults in Primary Health Care Settings in Sulaimani Using WHO Risk Prediction Charts. Kurdistan Journal of Applied Research. 2018 Jul 23:150-5.
Ama Moor, V.J., Nansseu, J.R.N., Azingni, D.B.T. and Kaze, F.F. Assessment of the 10-year risk of cardiovascular disease among a group of patients on maintenance hemodialysis: a cross-sectional study from Cameroon. JRSM cardiovascular disease. 2017; 6, p.2048004017705273.
Longenecker, J.C., Coresh, J., Powe, N.R., et al. Traditional cardiovascular disease risk factors in dialysis patients compared with the general population: the CHOICE Study. Journal of the American Society of Nephrology. 2002; 13(7), pp.1918-1927.
Ghorpade, A.G., Shrivastava, S.R., Kar, S.S., et al. Estimation of the cardiovascular risk using World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in a rural population of South India. International journal of health policy and management. 2015; 4(8), pp. 531–536.
Dhaidan, F. A. Prevalence of end-stage renal disease and associated conditions in hemodialysis Iraqi patients. International Journal of Research in Medical Sciences. 2018; 6(5), p.1515 –1518.
Burmeister, J.E., Mosmann, C.B., Costa, V.B, et al.. Prevalence of cardiovascular risk factors in hemodialysis patients-the CORDIAL study. Arquivos brasileiros de cardiologia. 2014; 102(5), pp.473-480. doi: 10.5935/abc.20140048.
Odum, E.P. and Udi, E.O. Evaluation of cardiovascular risk factors in patients with chronic kidney disease. Port Harcourt Medical Journal. 2017; 11(2), p.60. doi: 10.4103/phmj.phmj.
Dhaidan, F.A.. Prevalence of end-stage renal disease and associated conditions in hemodialysis Iraqi patients. International Journal of Research in Medical Sciences Dhaidan FA. Int J Res Med Sci. 2018; 6(5), pp.1515-1518.
Lim, C.T.S., Yap, X.H., Chung, K.J., Khalid, M.A., Yayha, N., Latiff, L.A. and Goh, B.L.(2015). Predictor of cardiovascular risks in end-stage renal failure patients on maintenance dialysis. Pakistan journal of medical sciences. 2015; 31(6), p.1300.
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