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Hemodialysis patients are at high risk for foot ulceration. The aim of this prospective study was to describe the prevalence and risk factors for foot ulcers in hemodialysis dependent patients. From 2012 until 2015 all haemodialysis patients (n=66) above18 years of age, treated at the Alrijne Hospital (Leiderdorp, The Netherlands), were included. Demographics and medical history were collected and quality of life was measured. Data was collected on common risk factors for foot ulceration: peripheral arterial disease, peripheral neuropathy with or without foot deformities, diabetes mellitus (DM), hypertension, smoking, previous foot ulcer, edema, pedicure attendance and orthopaedic footwear. Sixty six haemodialysis patients were evaluated; the prevalence of foot ulcer was 21/66 (31.8%). Risk factors were: history of foot ulceration in 27/66 (40.9%), ankle-brachial index (ABI) <0.9, toe pressure <80 mmHg in 38/66 (57.6%). Percentage of DM in the group of foot-ulcers was higher 13/21 (61.9%) versus 20/45 (44.4%) in the non-ulcer group, this was not significant (p=0.183). No differences were found in ABI, toe pressure, peripheral neuropathy and foot deformity, between the DM and non DM group. The mortality between ulcer versus no ulcer was significant different: 13/21 (61.9%) versus 11/45 (24.4%) (p=0.003). Approximately one third of haemodialysis patient have a foot ulcer 21/66 (32%). Arterial insufficiency is associated with an increased risk of foot ulcers. In patients with a foot ulcer, survival is significantly lower than in patients without a foot ulcer; Interventions to reduce foot ulceration should be implemented for all haemodialysis patients and include frequent inspection, and prompt treatment. Further research should focus on the prevention of foot ulcers in dialysis dependent patients. This article is protected by copyright. All rights reserved.
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Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
Devices used to support or align the foot structure, or to prevent or correct foot deformities.
Distortion or disfigurement of the foot, or a part of the foot, acquired through disease or injury after birth.
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