Correlation Between Blood Glucose and Hemodialysis Adequacy in Routine Hemodialysis Patients at West Nusa Tenggara General Hospital

Authors

  • Carolina Janicca Winda Manafe Program Studi Pendidikan Dokter, Fakultas Kedokteran dan Ilmu Kesehatan Universitas Mataram, Mataram, Indonesia
  • I Gede Yasa Asmara Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Mataram, Kota Mataram, Indonesia
  • I Gede Supartha Departemen Ilmu Penyakit Mata, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Mataram, Kota Mataram, Indonesia

DOI:

https://doi.org/10.29303/jk.v14i2.6368

Keywords:

Blood Glucose, CKD, Hemodialysis, Hemodialysis Adequacy

Abstract

Progressive kidney function decline to a GFR < 15 mL/min/1.73 m² is defined as
stage 5 chronic kidney disease (end stage) or end-stage renal failure. In this condition,
patients require renal replacement therapy, such as hemodialysis. Effective dialysis
indicates a longer life expectancy and lower mortality rates. The effectiveness of the
hemodialysis process or hemodialysis adequacy is measured by the Kt/V value, which
reflects the urea clearance during each hemodialysis session. Blood sugar levels before
hemodialysis are one of the predictors of hemodialysis adequacy. This study used an
analytic observational method on 34 samples that met the inclusion and exclusion criteria to
find correlation between blood glucose and hemodialysis adequacy in routine hemodialysis
patients at West Nusa Tenggara General Hospital. Data collection was carried out at the HD
Unit 2 of the Provincial General Hospital of West Nusa Tenggara. In this study, the average
age of the respondents was 50 years, consisting of 64.7% male and 35.3% female. The results
of the correlation analysis using the Pearson test showed no significant relationship between
blood glucose levels and hemodialysis adequacy, with p=0,478 and r=-0,126. However, the
Fisher exact test revealed a statistically significant relationship between gender and
hemodialysis adequacy, with p<0,001. In conclusion, blood glucose levels were not
associated with hemodialysis adequacy, while gender showed a statistically significant
association with hemodialysis adequacy.

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Published

2025-06-30

Issue

Vol. 14 No. 2 (2025): Jurnal Kedokteran

Section

Articles

License

Copyright (c) 2025 Carolina Janicca Winda Manafe, I Gede Yasa Asmara, I Gede Supartha

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