Merita Alimadhi, Nestor Thereska
Abstract: Hypertension is a major risk factor for cardiovascular and renal disease.: This is a cross-sectional study involving 145 patients with chronic hemodialysis treated at the regional hospital in Fier during 2015. The prevalence of hypertension was determined by monitoring blood pressure at the beginning, mid and end of the dialysis based on systolic pressure ≥ 140 mmHg and/or PB diastolic (DBP) ≥ 90 mmHg in at least two measurements. The mean age of patients was 60.2 (13.3) years old, ranging 16 to 84 years. 65 (44.8 %) of the patients were male and 80 (55.2 %) of the female, (p=0.2). The median time of patients undergoing hemodialysis is 9.8 (6.4) years, range of 1-28 years. 114 or 78.6 % of total patients were diagnosed with hypertension (95 % CI 71.0 % - 84.97 %). significant and independent predictive factors of hypertension resulted: gender-males (OR = 1.41 p = 0.01), diabetes (OR = 2.52 p = 0.02), uricemia (OR = 1.95 p <0.01). Hypertension control, particularly systolic pressure, is crucial in patients with chronic hemodialysis.
Keywords: hypertension, chronic kidney disease, dialysis