Serum Calcium Concentrations in Chronic Hemodialysis Patients in Sanjiwani Gianyar Hospital, Bali Sri Wardani N.W, Budiyasa D.G.A, Sri Masyeni, D.A.P
Faculty of Medicine and Health Sciences, University of Warmadewa, Bali, Indonesia
Abstract
Abstract. Chronic Kidney disease-mineral bone disorder (CKD-MBD) are complication of patients on chronic hemodialysis therapy. This study is a cross-sectional descriptive analytic study aims to examine concentration of serum calcium as a marker of CKD-MBD. Calcium serum concentration were examined with spectrophotometer method than we computed into low, normal, and high serum calcium concentrations. This study recruited 100 chronic hemodialysis patients at Sanjiwani Gianyar Hospital and AriCanti Hospital, composed of 67 male and 33 female, mean of age is 52.52 ±12.81, duration of HD were 44,6 month. Most of the patients undergone hemodialysis 2 times a week (96 %) and performed HD 4.5 hour per session and 66% patients used AV fistula access. This study was found most of chronic hemodialysis patients (60%) has low serum calcium concentration <8.5 mg/dl. On Spearman correlation test, serum calcium concentrations in this study were significant influenced by serum creatinine concentration r = -0.461 and phosphate serum concentration r= -0.0273 on p < 0.001, respectively. Conclusions: most of the chronic hemodialysis patients in this study has low serum calcium concentration as a marker of CKD-MBD.
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