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. 2022 Nov 18;101(46):e31397.
doi: 10.1097/MD.0000000000031397.

Increased hemoglobin concentration and related factors in maintenance hemodialysis patients in Anhui, China

Guangrong Qian  1 , Yuyu Zhu  2 , Shuman Tao  2 , Xiuyong Li  3 , Zhi Liu  4 , Youwei Bai  5 , Deguang Wang  2
Affiliations

Increased hemoglobin concentration and related factors in maintenance hemodialysis patients in Anhui, China

Guangrong Qian et al. Medicine (Baltimore). .

Abstract

To investigate the hemoglobin (Hb) concentration and related factors among maintenance hemodialysis (MHD) patients in Anhui province in 2020, so as to compare with the results in 2014. The cases of 3025 MHD patients were investigated in 27 hemodialysis centers of Anhui province from January 2020 to December 2020. The data of age, sex, primary disease, dialysis age, dialysis mode, drug use and laboratory tests were collected and analyzed. Compared with the survey in 2014, the average Hb level of MHD patients in Anhui province was increased (107.41 ± 20.40 g/L vs 100.2 ± 28.1 g/L), the anemia prevalence was decreased (65.9% vs 82.4%), and the percentage of patients with standard Hb level was increased significantly (47.1% vs 32.9%). Compared with low-Hb patients (Hb < 110 g/L), patients with Hb ≥ 110 g/L had lower age, higher proportion of males, longer dialysis age, higher levels of serum Alb, creatinine, total cholesterol, triglyceride, low density lipoprotein, calcium, phosphorus, magnesium, and lower high-density lipoprotein (P < .05). The multivariate logistic regression analysis results showed that male, longer duration of dialysis therapy, treatment with iron, higher triglyceride and albumin were protective factors of anemia, but older age was independent risk factors. The anemia treatment in MHD patients in Anhui province was significantly improved. Male, long dialysis age, use of iron, high serum albumin and triglyceride levels may be protective factors for Hb reaching standard level, and old age may be an independent risk factor.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Comparison of anemia in MHD patients in Anhui Province in 2014 and 2020. Compared with the research results in 2014, the normal Hb concentration rate and high-flux dialysis have increased significantly, and the prevalence of anemia and the application of iron have decreased significantly, but the use of ESAs and autologous arteriovenous fistula have decreased slightly. Hb = hemoglobin, MHD = maintenance hemodialysis.
See this image and copyright information in PMC

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