Volume 7, Issue 2 (11-2010)                   J Res Dev Nurs Midw 2010, 7(2): 1-7 | Back to browse issues page

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shariati A, mojerloo M, molaei E, hesam M, asayesh H, nasiri H et al . The Prevalence of Iron Deficiency Anemia in Hemodialysis Patients, Referred to Hemodialysis Ward of Panje Azar Hospital in Gorgan, 2009. J Res Dev Nurs Midw. 2010; 7 (2) :1-7
URL: http://nmj.goums.ac.ir/article-1-46-en.html
1- , shariati1382@yahoo.com
Abstract:   (27245 Views)

  Background and Objective : Anemia is one of the most common complications of end stage renal diseases. Inadequate production of erythropoietin is the main cause of anemia in these patients, and iron deficiency is the other important factor. We designed this study to survey the prevalence of iron deficiency anemia in hemodialysis patients referred to hemodialysis ward of Panje Azar hospital in Gorgan, Iran.

  Material and Methods: The subjects of this descriptive and cross-sectional study were all 97 patients undergone permanent hemodialysis. Hemoglobin, Serum Iron, Ferritin, Transferrin saturation and Hemoglobin index were measured to assess iron deficiency anemia. We did data analysis by using chi square, fisher exact test and independent T test in spss 13 environment.

  Results: The prevalence of anemia and iron deficiency anemia were 57.6 and 31.1 percent, respectively. Tranferrin saturation in 29.16 percent of the patients is less than 20%. There was no significant correlation between signs of anemia and variables such as, duration of dialysis, causes of the disease and iron- deficiency anemia (p=0.06). But signs of anemia were significantly correlated (p<0.0001) with erythropoietin. In comparison with patients consumed iron orally, those who used injectable iron had higher serum iron, Hemoglobin and Transferrin saturation (p<0.001).

  Conclusion: Because of high frequency of iron- deficiency that may results in resistance to erythropoietin therapy and leads to inappropriate treatment of iron deficiency. We recommend first treating of ID to prevent from useless administering of erythropoietin.

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