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Scientific paper - Original scientific paper
Clinical course of uremic neuropathy in long-term hemodialysis
Collegium Antropologicum, 32 (2008), 3; 771-775. urn:nbn:hr:105:544856
Jurčić, Dragan; Bilić, Ante; Schwarz, Dragan; Oršanić, Dubravka; Gabrić, Maruška; Špoljarić, Ljubica; Mihanović, Mate

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Jurčić, D., Bilić, A., Schwarz, D., Oršanić, D., Gabrić, M., Špoljarić, Lj. & Mihanović, M. (2008). Clinical course of uremic neuropathy in long-term hemodialysis. Collegium Antropologicum, 32. (3), 771-775. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:544856

Jurčić, Dragan, et al. "Clinical course of uremic neuropathy in long-term hemodialysis." Collegium Antropologicum, vol. 32, no. 3, 2008, pp. 771-775. https://urn.nsk.hr/urn:nbn:hr:105:544856

Jurčić, Dragan, Ante Bilić, Dragan Schwarz, Dubravka Oršanić, Maruška Gabrić, Ljubica Špoljarić and Mate Mihanović. "Clinical course of uremic neuropathy in long-term hemodialysis." Collegium Antropologicum 32, no. 3 (2008): 771-775. https://urn.nsk.hr/urn:nbn:hr:105:544856

Jurčić, D., et al. (2008) 'Clinical course of uremic neuropathy in long-term hemodialysis', Collegium Antropologicum, 32(3), pp. 771-775. Available at: https://urn.nsk.hr/urn:nbn:hr:105:544856 (Accessed 30 November 2024)

Jurčić D, Bilić A, Schwarz D, Oršanić D, Gabrić M, Špoljarić Lj, and sur.. Clinical course of uremic neuropathy in long-term hemodialysis. Collegium Antropologicum [Internet]. 2008 September [cited 2024 November 30];32(3):771-775. Available at: https://urn.nsk.hr/urn:nbn:hr:105:544856

D. Jurčić, et al., "Clinical course of uremic neuropathy in long-term hemodialysis", Collegium Antropologicum, vol. 32, no. 3, pp. 771-775, September 2008. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:544856. [Accessed: 30 November 2024]

Metadata
Title (english)Clinical course of uremic neuropathy in long-term hemodialysis
AuthorDragan Jurčić
AuthorAnte Bilić
AuthorDragan Schwarz
AuthorDubravka Oršanić
AuthorMaruška Gabrić
AuthorLjubica Špoljarić
AuthorMate Mihanović
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
One hundred and thirty-one patients on long-term hemodialysis were examined for the presence of clinical symptoms and signs, and for the effects of dialytic age, age and sex on uremic neuropathy. According to dialysis age, the patients were divided into three subgroups: low dialysis age, < 5 years of dialysis (n = 58); intermediate dialysis age, 5-10 years of hemodialysis (n = 39); and high dialysis age, > 10 years of dialysis (n = 34). Two patient subgroups were differentiated according to mean age of 53.2 years: younger (n = 57) and older (n = 74). Clinical grading of uremic neuropathy was based on Nielsen's criteria. The most common symptoms were restless legs syndrome (47%) and cramps (51%). Sensory symptoms were less common in patients on long-term hemodialysis, most common of them being paresthesia (29%) and burning feet syndrome (28%). Abnormal Achilles reflex (53%) and impaired vibration sense (59%) were the most common clinical signs. Clinically manifested uremic neuropathy was present in more than 80% of all study patients, i.e. mild in 41%, and moderate to severe forms of uremic neuropathy according to Nielsen's criteria in 39%. There was no evident effect of dialytic age and sex on the clinical course of uremic neuropathy, however, there was a clear impact of age. It is concluded that long-term hemodialysis does not influence the clinical course of uremic neuropathy unlike evident deterioration of electroneurophysiologic findings.
Abstract (croatian)
U 131 bolesnika na dugotrajnoj hemodijalizi ispitivana je prisutnost kliničkih simptoma i znakova uremijske neuropatije kao i utjecaj dijalizne i životne dobi te spola na istu. Prema dužini dijalize bolesnici su podijeljeni u 3 podskupine: kratka dijalizna dob, <5 godina dijalize (n=58); srednja dijalizna dob, 5–10 godina dijalize (n=39); visoka dijalizna dob, >10 godina dijalize (n=34). U odnosu na srednju životnu dob ispitanika koja je iznosila 53,2 godine, bolesnici su podijeljeni u dvije dobne skupine: mlađe (n=57) i starije (n=74). Kliničko stupnjevanje uremijske neuropatije izvršeno je na temelju Nielsenovih kriterija. Najučestaliji simptomi u bolesnika bili su sindrom nemirnih nogu (47%) i grčevi (51%). Senzorički poremećaji imali su nižu prevalenciju, a najčešće su bile prisutne parestezije (29%) i sindrom užarenih stopala (28%). Promijenjen refleks Ahilove tetive (53%) i poremećaj osjeta vibracije (59%) bili su najčešći klinički znaci neuropatije. Klinički manifestna uremijska neuropatija zabilježena je u 80% ispitanika: blaga forma u 41%, umjerena do teška, prema Nielsenovim kriterijima, u 39% bolesnika. Nije zabilježen jasan utjecaj dijalizne dobi i spola na klinički tijek uremijske neuropatije, a evidentan je utjecaj životne dobi. Možemo zaključiti da dugotrajna hemodijaliza ne utječe na klinički tijek uremijske neuropatije, dok je taj utjecaj jasan kod ispitivanja elektrofizioloških parametara.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 32, no. 3, pp. 771-775
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:544856
Publication2008-09
Document URLhttps://hrcak.srce.hr/27061
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:06:02