In-center hemodialysis for end stage kidney disease at Nepal Medical College and Teaching Hospital.

End stage kidney disease (ESKD) is defined by glomerular filtration rate (GFR) less than 5ml/min. These patients need renal replacement therapy (RRT). Hemodialysis is an established form of RRT. Studies on incenter hemodialysis are very few. Here we would like to present our experience on in-center hemodialysis in Nepal Medical College and Teaching Hospital. Study period was one year (1 Baisakh 2065 to 31 Chaitra 2065). Total 33 patients (23 male, 10 female) were enrolled in the study. Average age was 42.33±15 years. Hypertension (55.0%), diabetes mellitus (24.0%), chronic glomerulonephritis (15.0%), rapidly progressive glomerulonephritis (3.0%) and others (3.0%) were the causes of ESKD requiring dialysis. Hypotension, hypertension, muscle cramps, chest pain were the common complications observed during dialysis. Average haemoglobin level was 9.44±1.88 g%. Majority of patients were physically inactive. Blood transfusion was the main modality for correction of anaemia. Approximate cost for one session of hemodialysis was Rs. 2000 (US$.25) and average monthly income of study population was Rs.16312.5 (US$.204) US$1=NRs.80, (4 May 2009).