Incidence Of Hypotension During Hemodialysis; A Cross-Sectional Study

Objective: This study is to estimate the incidence of hypotension and its risk factors in hemodialysis patients in Shifa International Hospital. Study design: It was a cross-sectional study. Place and duration of study: The study was conducted in the dialysis unit of Shifa International Hospital(Islamabad, Pakistan) from Auguest 2022 to December 2022. Material and Methods: Data of 350 dialysis patients was collected. Causes, clinical manifestations and etiology of incidence of hypotension during dialysis was studied. Hypotension is a common complication of hemodialysis. During dialysis hypotension is associated with symptoms such as muscle cramps, abdominal and chest pain, nausea, vomiting, weakness, vertigo, anxiety, etc. Hypotension during dialysis is a risk factor for mortality in dialysis patients. Results: Hypotension was found in hemodialysis patients however there was no statistical significance in male and female groups with p value >0.05. The average systolic blood pressure of male and female patients was 116.31±21.39 and 115.01±24.69 respectively. The diastolic blood pressure of males and female patients was 66.73±15.35 and 66.1±15.91 respectively. As far as the cause of kidney failure is concerned 212(60.5%) patients had hypertension as the cause of kidney failure out of which male and female population was 111(56.9%) and 101(43.07%). The other major cause of kidney failure was found to be diabetes mellitus with 138(39.4%) patients with male and female population 84(60.08%) and 54(39.13%). Conclusion: Hypotension was found in hemodialysis patients with no statistical significance in male and female groups.