Chronic hepatitis ameliorates anaemia in haemodialysis patients

Nephrology (Carlton). 2008 Jun;13(4):289-93. doi: 10.1111/j.1440-1797.2008.00937.x. Epub 2008 Mar 5.

Abstract

Background: Study for influence of chronic hepatitis (CH) on anaemia in haemodialysis (HD) patients remains inconclusive. We aim to characterize the red cell status between CH and hepatitis-free groups among the HD population.

Methods: We retrospectively analysed 80 chronic HD patients from Taipei Medical University Hospital with monthly sampled biochemical study between December 2004 and December 2005. Data classified according to the hepatitis-free, chronic hepatitis B and C groups were expressed as mean +/- standard deviation. Student's t-test and anova were used to determine the mean difference for continuous variables.

Results: Age, Kt/V, systolic or diastolic blood pressure, body mass index, total cholesterol and triglyceride were not different between CH and hepatitis-free groups. HD duration (P = 0.0002), aspartate (P < 0.0001), alanine aminotransferase (P < 0.0001), alkaline phosphatase (P = 0.04), haemoglobin (P = 0.0066) and haematocrit (P = 0.002) were significantly more elevated in the CH group demanding less erythropoietin dose than in the hepatitis-free group.

Conclusion: Our study demonstrated that lessened anaemia was observed in CH, which demanded less erythropoietin dose.

MeSH terms

  • Aged
  • Alanine Transaminase / blood
  • Anemia / blood
  • Anemia / drug therapy*
  • Anemia / etiology
  • Anemia / virology
  • Aspartate Aminotransferases / blood
  • Erythropoietin / administration & dosage*
  • Female
  • Hematinics / administration & dosage*
  • Hematocrit
  • Hemoglobins / metabolism
  • Hepatitis B, Chronic / blood
  • Hepatitis B, Chronic / complications*
  • Hepatitis C, Chronic / blood
  • Hepatitis C, Chronic / complications*
  • Humans
  • Injections, Intravenous
  • Kidney Diseases / blood
  • Kidney Diseases / complications
  • Kidney Diseases / therapy*
  • Male
  • Middle Aged
  • Recombinant Proteins
  • Renal Dialysis*
  • Retrospective Studies

Substances

  • Hematinics
  • Hemoglobins
  • Recombinant Proteins
  • Erythropoietin
  • Aspartate Aminotransferases
  • Alanine Transaminase