{'fraction_non_alphanumeric': 0.03511705685618729, 'fraction_numerical': 0.015050167224080268, 'mean_word_length': 5.267015706806283, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Effects of haemodialysis on Hemoglobin and red cell indices in chronic kidney disease patients at a tertiary health care institute

Background: Chronic kidney disease (CKD) is a global health problem, with very high cost of care and greater burden particularly in developing countries like India. Material and Method: This prospective observational study of effects on hemoglobin and red cell indices in CKD before and after hemodialysis conducted on 150 CKD patients in SRM Medical College Hospital & Research Centre. Results: The most frequent morphologic features were normochromic-normocytic (78.7%), microcytic hypochromic (14.7%), macrocytic (3.3%) and dimorphic (3.3.%). Haemoglobin (Hb) levels and platelets counts are significantly reduced in post dialysis with a mean level of Hb 8.7 when compared to pre dialysis mean value of 7.78g/dL. There was a significant increase in MCV, with decrease in MCH and MCHC in the post dialysis values compared to pre dialysis. Conclusion: These hematological abnormalities expose CKD patients to higher risk of anemia-related complications. The present investigation might help clinicians to initiate precautions before and after dialysis procedures.