48. Correlation of Hypertension and Hemoglobin Level in Hemodialysis Patients

Abstract

Background: The Indonesian Kidney Registry in 2016 reported that 50% of Chronic Kidney Disease (CKD) patients had hypertension. Controlled blood pressure in CKD patient can minimize the risk of further complications, including anemia. Objective: To determine the relationship between hypertension and hemoglobin levels in CKD patients undergoing routine hemodialysis. Method: This research is retrospective cohort study with purposive sampling method. The subject of this study is CKD patient who underwent routine hemodialysis and met the inclusion and exclusion criteria. The subjects were categorised into two groups, which is subject with controlled hypertension and uncontrolled hypertension. The subjects in this study were still given erythropoietin-stimulating agents. After one month of therapy, hemoglobin level of both groups was classified into three subgroups: increased hemoglobin level, constant hemoglobin level, and decreased hemoglobin level. The data obtained was analyzed with Somers’d test. Result: Of the 129 patients underwent hemodialysis, we got 87 subjects which met all the study criteria. Of the 87 patients, 19 (22%) subjects have controlled hypertension with 5(26%) decrease of hamoglobin and 14 (74%) increase of hemoglobin 68 (78%) subjects uncontrolled hypertension with 33 (48%) decrase of hemoglobin, 3 (4%) no changes of hemoglobin, and 32 (47%) with increase hemoglobin. From the analysis, the p value = 0.044. Conclusion: There is significant relationship between hypertension and hemoglobin level in CKD patients undergoing routine hemodialysis.