Anticoagulation-related complications and their outcomes in hemodialysis patients with acute kidney injury at selected hospitals in Ethiopia
2024

Anticoagulation Complications in Hemodialysis Patients with Acute Kidney Injury in Ethiopia

Sample size: 175 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kedir Hanan Muzeyin, Yabeyu Abdella Birhan, Ejigu Addisu Melkie, Tadesse Tamrat Assefa, Sisay Eskinder Ayalew

Primary Institution: Addis Ababa University

Hypothesis

This study aimed to evaluate anticoagulation outcomes and related factors in hemodialysis patients with acute kidney injury at selected hospitals in Ethiopia.

Conclusion

Clotting affected 19.4% of participants, while bleeding occurred in 15.4%, highlighting the need for close monitoring.

Supporting Evidence

  • Extracorporeal circuit clotting was detected in 34 patients during 39 dialysis sessions.
  • Bleeding incidents occurred in 27 patients across 29 sessions.
  • A statistically significant association was found between the total number of HD treatments and blood flow rate with incidents of clotting.

Takeaway

This study looked at patients on dialysis and found that some had problems with blood clots and bleeding, which means doctors need to watch them closely.

Methodology

A prospective, multicenter observational study was conducted, analyzing data from hemodialysis sessions and patient outcomes.

Potential Biases

Potential biases may arise from the observational nature of the study and the specific settings in which it was conducted.

Limitations

The study did not exclude patients with comorbidities that could impact anticoagulation outcomes.

Participant Demographics

The study included 175 patients, with a mean age of 40 years, and a nearly equal distribution of males (50.9%) and females (49.1%).

Statistical Information

P-Value

0.004

Confidence Interval

95% CI, 1.227–3.043

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0300301

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