Investigation of the risk factors for fractures among hemodialysis patients

VernacularTitle:维持性血液透析患者发生骨折的影响因素
Author: Jian-Ying LI ¹ ; Jian-Xiong LIN ; Xiao-Qing YE ; Bi-Ning LIANG
Author Information

1. 中山医科大学附属第一医院
Keywords: Hemodialysis; Fractures; Risk Factors
From: Chinese Journal of Modern Nursing 2009;15(12):1112-1114
CountryChina
Language:Chinese
Abstract: Objective To study the risk factors for fractures among hemedialysis patients. Methods 160 patients who received maintenance hemodialysis in our center had been followed from January of 2003 to December of 2007. Fractures were identified and the schedule of dialysis, laboratory values and medications were recorded. Results A total of 32 bone fratures occurred in 160 patients. Associated risk factors included age, sex, yeats on hemodialysis, cumulative time on hemofihration per week, prior renal transplant, history of medications, needs assistance to walk, serum calcium, phosphorus, Hb, PTH and B2-microglobulin. Conclusions Two main mechanisms may account for the increased fracture risk in HD patients: either a lower resistance of bone after relatively minor traumas or an increased propensity to falls. We should pay much attention to the patients with older age, female gender, longer cumulative time on HD, needs assistance to walk, a history of falls and higher PTH level.