W SYAMSURI1, M RUDIANSYAH2, R ROESLI1, A MARTAKUSUMAH1, R SUPRIYADI1, R BANDIARA1
1Division of Nephrology & Hypertension, Departement of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital , Bandung, Indonesia, 2Division of Nephrology & Hypertension, Departement of Internal Medicine, Faculty of Medicine, University of Lambung Mangkurat/Ulin General Hospital, Banjarmasin, Indonesia
Aim: The aim of this study is to assess the correlation between serum albumin levels and ionized calcium levels in patients undergoing routine hemodialysis.
Background: In patients with chronic kidney disease who undergo hemodialysis (CKD-5D), serum ionized calcium levels may associate with severity and duration of proteinuria.
Method: This is a cross-sectional study carried out in Hemodialysis Unit at Hasan Sadikin General Hospital Bandung. There were 181 patients with CKD-5D who undergoing routine hemodialysis, 74 patients were analyzed. Serum albumin levels and serum ionized calcium levels were measured and Spearman Rank test was done to determine correlation between these two variables.
Results: Among 74 CKD-5D patients, 39 (52.7%) were males and 35 (47.3%) were females, aged 46±12 years and median duration of hemodialysis was 43 (12-168) months. Serum albumin levels 4.0 ± 0.3 g/dl and serum ionized calcium levels 4.3 ± 0.6 mmol/L. Spearman Rank correlation test between serum albumin levels and serum ionized calcium levels was significant (r=0.279; R2= 0.078; p=0.008).
Conclusion: There is significant correlation between serum albumin levels and serum ionized calcium levels in CKD-5D
Wizhar Syamsuri, MD
Karawang, March 26th, 2018
Graduate from Medical Faculty Udayana University Bali Indonesia
Internal Medicine Specialist from Andalas University Padang Indonesia
Trainee in Division of Nephrology and Hypertension University of Padjadjaran Bandung Indonesia