INTRADIALYTIC COMPLICATIONS IN PATIENTS OF END-STAGE RENAL DISEASE ON MAINTENANCE HEMODIALYSIS

Objective: End-stage renal disease (ESRD) patients on maintenance hemodialysis are at high risk for intradialytic complications, which can significantly impact morbidity and mortality. Understanding the prevalence and predictors of these complications is essential for improving patient care and outcomes. Methods: This observational study included 104 ESRD patients undergoing maintenance hemodialysis at a tertiary care center. Data were collected on demographics, comorbidities, dialysis parameters, and vascular access type. Statistical analyses were conducted using SPSS to evaluate associations between patient characteristics and the occurrence of intradialytic complications. Results: Our study analyzed 104 hemodialysis patients, revealing a high incidence of hypotensive episodes (59.0%) and associated symptoms like tiredness and muscle cramps. Vascular access was predominantly through arteriovenous fistulae (87.0%). Compliance with Kidney Disease Outcomes Quality Initiative (KDOQI) and European Best Practice Guidelines (EBPG) was low, at 11.1% and 6.8%, respectively, underscoring the need for improved management strategies to mitigate intradialytic complications. Conclusion: Intradialytic complications are prevalent among ESRD patients on maintenance hemodialysis, with cardiovascular comorbidities contributing significantly to their risk. Effective management requires careful fluid and medication management to mitigate these risks and improve patient outcomes.