Medicinski vjesnik, Vol. 30 No. (3-4), 1998.
Original scientific paper
Erythrocyte sedimentation rate in patients undergoing hemodialysis or peritoneal dialysis
Marko Jakić
Marijana Jakić
Vatroslav Šerić
Abstract
Elevated erythrocyte sedimentation rate (ESR) is almost a regular finding in patients suffering from chronic renal failure and undergoing maintenance hemodialysis or peritoneal dialysis. Therefore, the benefit of its determination remains questionable. The etiology of this finding is unclear as wel as its different levels in the two groups of dialysis patients. The mean ESR in hemodialysis patients, determined by a modified Westergren's method were compared to those in patients treated with peritoneal dialysis in order to determine causal relation skip of the obtained difference with the sequence of examined laboratory features. Patients treated with maintenance hemodialysis (n = 49) had significantly lower ESR (55,51±32,21 mm/3,6 ks) compared to those treated with peritoneal dialysis (n = 24) (91,75±31,94 mm/3,6 ks) (t = 4,54 p < 0,01). However, the difference could not be completely explained by the difference found in the values of leucocytes number, haematocrit, erythrocyte mean corpuscular volume, fibrinogen, C-reactive protein, single plasma protein compounds, cholesterol and triglycerids, respectively. In conclusion, elevated ESR was found almost as the rule in chronic dialysis patients and was significantly higher in patients treated with peritoneal than in those undergoing hemodialysis. Its determination in these patients has little clinical utility.
Keywords
eryhrocyte sedimentation rate; hemodialysis; peritoneal dialysis
Hrčak ID:
192334
URI
Publication date:
1.12.1998.
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