Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study
Background and objectives Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was...
Gespeichert in:
Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2021-08, Vol.13 (8), p.e17559-e17559 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | e17559 |
---|---|
container_issue | 8 |
container_start_page | e17559 |
container_title | Curēus (Palo Alto, CA) |
container_volume | 13 |
creator | Asghar, Muhammad Sohaib Avinash, FNU Singh, Manjeet Siddiqui, Muhammad Ali Hassan, Syed Adeel Iqbal, Shahid Irshad, Syeda Ghazala Zehra, Mahrukh Siddiqui, Kainat Rasheed, Uzma |
description | Background and objectives
Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus.
Materials and methods
A cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives.
Results
Study participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m
2
, 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p4.5 mg/dL (aOR: 3.889 [1.118-15.532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin 5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus.
Conclusion
Many factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently. |
doi_str_mv | 10.7759/cureus.17559 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8481143</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2582109398</sourcerecordid><originalsourceid>FETCH-LOGICAL-c248t-83d6c9a01a43ec00e7074df7ac7561747f550d561bdbac05f2fc198ab6cc97a33</originalsourceid><addsrcrecordid>eNpVUcFKxDAUDKK4onvzA3L0YDVp0yb1ICxFXWFhBV08hjRNdyNto3mJsH9v1xXR05v3Zph5MAidU3LFeV5e6-hNhCvK87w8QCcpLUQiqGCHf_AETQHeCCGU8JRwcowmGStYUdDiBPUzAKetCqbB90oH5wG_2rDBK296q_GTj96GCNgOuNp4N4y3ueldY1W3BQv4SQVrhgA3eIaf7bDuTFKNu_F4WYPxnyPtBtXh5xCb7Rk6alUHZvozT9Hq_u6lmieL5cNjNVskOmUiJCJrCl0qQhXLjCbEcMJZ03KleV5Qznib56QZYd3USpO8TVtNS6HqQuuSqyw7Rbd73_dY96bR40NedfLd2175rXTKyv_MYDdy7T6lYIJStjO4-DHw7iMaCLK3oE3XqcG4CDLNRUpJmZVilF7updo7AG_a3xhK5K4kuS9JfpeUfQHx1Idn</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2582109398</pqid></control><display><type>article</type><title>Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study</title><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Asghar, Muhammad Sohaib ; Avinash, FNU ; Singh, Manjeet ; Siddiqui, Muhammad Ali ; Hassan, Syed Adeel ; Iqbal, Shahid ; Irshad, Syeda Ghazala ; Zehra, Mahrukh ; Siddiqui, Kainat ; Rasheed, Uzma</creator><creatorcontrib>Asghar, Muhammad Sohaib ; Avinash, FNU ; Singh, Manjeet ; Siddiqui, Muhammad Ali ; Hassan, Syed Adeel ; Iqbal, Shahid ; Irshad, Syeda Ghazala ; Zehra, Mahrukh ; Siddiqui, Kainat ; Rasheed, Uzma</creatorcontrib><description>Background and objectives
Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus.
Materials and methods
A cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives.
Results
Study participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m
2
, 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p<0.001), phosphate >4.5 mg/dL (aOR: 3.889 [1.118-15.532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin <3.5 g/dL (aOR: 2.987 [1.156-7.716], p=0.024) and potassium >5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus.
Conclusion
Many factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.17559</identifier><identifier>PMID: 34646616</identifier><language>eng</language><publisher>Palo Alto (CA): Cureus</publisher><subject>Allergy/Immunology ; Internal Medicine ; Nephrology</subject><ispartof>Curēus (Palo Alto, CA), 2021-08, Vol.13 (8), p.e17559-e17559</ispartof><rights>Copyright © 2021, Asghar et al. 2021 Asghar et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c248t-83d6c9a01a43ec00e7074df7ac7561747f550d561bdbac05f2fc198ab6cc97a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481143/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481143/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Asghar, Muhammad Sohaib</creatorcontrib><creatorcontrib>Avinash, FNU</creatorcontrib><creatorcontrib>Singh, Manjeet</creatorcontrib><creatorcontrib>Siddiqui, Muhammad Ali</creatorcontrib><creatorcontrib>Hassan, Syed Adeel</creatorcontrib><creatorcontrib>Iqbal, Shahid</creatorcontrib><creatorcontrib>Irshad, Syeda Ghazala</creatorcontrib><creatorcontrib>Zehra, Mahrukh</creatorcontrib><creatorcontrib>Siddiqui, Kainat</creatorcontrib><creatorcontrib>Rasheed, Uzma</creatorcontrib><title>Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study</title><title>Curēus (Palo Alto, CA)</title><description>Background and objectives
Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus.
Materials and methods
A cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives.
Results
Study participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m
2
, 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p<0.001), phosphate >4.5 mg/dL (aOR: 3.889 [1.118-15.532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin <3.5 g/dL (aOR: 2.987 [1.156-7.716], p=0.024) and potassium >5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus.
Conclusion
Many factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently.</description><subject>Allergy/Immunology</subject><subject>Internal Medicine</subject><subject>Nephrology</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVUcFKxDAUDKK4onvzA3L0YDVp0yb1ICxFXWFhBV08hjRNdyNto3mJsH9v1xXR05v3Zph5MAidU3LFeV5e6-hNhCvK87w8QCcpLUQiqGCHf_AETQHeCCGU8JRwcowmGStYUdDiBPUzAKetCqbB90oH5wG_2rDBK296q_GTj96GCNgOuNp4N4y3ueldY1W3BQv4SQVrhgA3eIaf7bDuTFKNu_F4WYPxnyPtBtXh5xCb7Rk6alUHZvozT9Hq_u6lmieL5cNjNVskOmUiJCJrCl0qQhXLjCbEcMJZ03KleV5Qznib56QZYd3USpO8TVtNS6HqQuuSqyw7Rbd73_dY96bR40NedfLd2175rXTKyv_MYDdy7T6lYIJStjO4-DHw7iMaCLK3oE3XqcG4CDLNRUpJmZVilF7updo7AG_a3xhK5K4kuS9JfpeUfQHx1Idn</recordid><startdate>20210830</startdate><enddate>20210830</enddate><creator>Asghar, Muhammad Sohaib</creator><creator>Avinash, FNU</creator><creator>Singh, Manjeet</creator><creator>Siddiqui, Muhammad Ali</creator><creator>Hassan, Syed Adeel</creator><creator>Iqbal, Shahid</creator><creator>Irshad, Syeda Ghazala</creator><creator>Zehra, Mahrukh</creator><creator>Siddiqui, Kainat</creator><creator>Rasheed, Uzma</creator><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210830</creationdate><title>Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study</title><author>Asghar, Muhammad Sohaib ; Avinash, FNU ; Singh, Manjeet ; Siddiqui, Muhammad Ali ; Hassan, Syed Adeel ; Iqbal, Shahid ; Irshad, Syeda Ghazala ; Zehra, Mahrukh ; Siddiqui, Kainat ; Rasheed, Uzma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c248t-83d6c9a01a43ec00e7074df7ac7561747f550d561bdbac05f2fc198ab6cc97a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Allergy/Immunology</topic><topic>Internal Medicine</topic><topic>Nephrology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asghar, Muhammad Sohaib</creatorcontrib><creatorcontrib>Avinash, FNU</creatorcontrib><creatorcontrib>Singh, Manjeet</creatorcontrib><creatorcontrib>Siddiqui, Muhammad Ali</creatorcontrib><creatorcontrib>Hassan, Syed Adeel</creatorcontrib><creatorcontrib>Iqbal, Shahid</creatorcontrib><creatorcontrib>Irshad, Syeda Ghazala</creatorcontrib><creatorcontrib>Zehra, Mahrukh</creatorcontrib><creatorcontrib>Siddiqui, Kainat</creatorcontrib><creatorcontrib>Rasheed, Uzma</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asghar, Muhammad Sohaib</au><au>Avinash, FNU</au><au>Singh, Manjeet</au><au>Siddiqui, Muhammad Ali</au><au>Hassan, Syed Adeel</au><au>Iqbal, Shahid</au><au>Irshad, Syeda Ghazala</au><au>Zehra, Mahrukh</au><au>Siddiqui, Kainat</au><au>Rasheed, Uzma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2021-08-30</date><risdate>2021</risdate><volume>13</volume><issue>8</issue><spage>e17559</spage><epage>e17559</epage><pages>e17559-e17559</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Background and objectives
Uremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus.
Materials and methods
A cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives.
Results
Study participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m
2
, 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p<0.001), phosphate >4.5 mg/dL (aOR: 3.889 [1.118-15.532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin <3.5 g/dL (aOR: 2.987 [1.156-7.716], p=0.024) and potassium >5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus.
Conclusion
Many factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently.</abstract><cop>Palo Alto (CA)</cop><pub>Cureus</pub><pmid>34646616</pmid><doi>10.7759/cureus.17559</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2168-8184 |
ispartof | Curēus (Palo Alto, CA), 2021-08, Vol.13 (8), p.e17559-e17559 |
issn | 2168-8184 2168-8184 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8481143 |
source | PubMed Central Open Access; PubMed Central |
subjects | Allergy/Immunology Internal Medicine Nephrology |
title | Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T08%3A30%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Associated%20Factors%20With%20Uremic%20Pruritus%20in%20Chronic%20Hemodialysis%20Patients:%20A%20Single-Center%20Observational%20Study&rft.jtitle=Cur%C4%93us%20(Palo%20Alto,%20CA)&rft.au=Asghar,%20Muhammad%20Sohaib&rft.date=2021-08-30&rft.volume=13&rft.issue=8&rft.spage=e17559&rft.epage=e17559&rft.pages=e17559-e17559&rft.issn=2168-8184&rft.eissn=2168-8184&rft_id=info:doi/10.7759/cureus.17559&rft_dat=%3Cproquest_pubme%3E2582109398%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2582109398&rft_id=info:pmid/34646616&rfr_iscdi=true |