A prospective observational study on the effect of Erythropoiesis stimulating agents in chronic kidney disease Anemia patients

M. Jose, S. Singh, Vinson Achankunju, Punitha Sundaraswamy, S. Sherief, Sivakumar Thangaval
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Abstract

Background and Objectives: Anemia is a frequent complication, and significant morbidity and mortality in patient with chronic kidney disease (CKD). Erythropoiesis Stimulating Agents (ESAs) have become the standard care for  anemia   t erapy and reduces need for blood transfusions. The bjective of the study was to evaluate the safety  and  effect  of  ESAs  and  to  create  the  awareness  among patients    regarding     the     Erythropoiesis     stimulating    agents     through    patient i formation leaflets. Methods: The prospective observational study of  6-month duration was conducted in a tertiary care hospital. A total of 162 patients on ESAs  were enrolled in the study. Patients were followed for continuously and the mean difference is assessed by monitoring the primary and secondary hematological parameters before and after ESAs administration. Patient information leaflet was given t the patients for education and awareness about ESAs. Results: Out of 162 patients, after the administration of ESAs mean value increase in hemoglobin level was found from base line 6.9g/dL to 11.6g/dL. Significant improvement was noted in CKD anemia patient indicating impact of patient counseli g. Conclusion: It can be  concluded that Erythropoiesis Stimulating Agents in treatment of anemia along with effective counseling from clinical pharmacist benefits CKD patients and improves the health outcomes.
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促红细胞生成素对慢性肾病贫血患者影响的前瞻性观察研究
背景与目的:贫血是慢性肾脏疾病(CKD)患者常见的并发症,且具有显著的发病率和死亡率。促红细胞生成剂(ESAs)已成为贫血治疗的标准治疗方法,减少了输血需求。该研究的目的是评估ESAs的安全性和效果,并通过患者信息页提高患者对促红细胞生成药物的认识。方法:在某三级医院进行为期6个月的前瞻性观察研究。共有162名接受esa治疗的患者参加了这项研究。对患者进行连续随访,通过监测ESAs给药前后的主要和次要血液学参数来评估平均差异。向患者发放患者信息单张,提高患者对ESAs的认识和教育。结果:162例患者中,给予esa后血红蛋白水平平均值从基线6.9g/dL增加到11.6g/dL。结论:在临床药师的有效指导下,使用促红细胞生成剂治疗贫血对CKD患者有益,改善了CKD患者的健康结局。
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