bjectives : The urea kinetic modeling has been used as useful index for adequate dialysis in hemodialysis patients. We performed this study to evaluate the usefulness of kinetic index for degree of rehabilitation.
Methods : The kinetic indices using urea knetic medeling and degree of rehabilitation were
analysed 105 patients with chronic renal failure on hemodialysis treated at the Hanyang
University Hospital.
Results : The dermographic characteristics of these patients, male to female was 58:42 and
the mean age was 46.8±12.7 years. Underlying disorders of chronic renal failure consisted of
chronic glomerulonephritis (71.5%), hypertensive nephrosclerosis (14.3%). And diabetic
nephropathy (7.6%). Family status was significant in that 18 cases (58%) were married and
32.3% (10) were never married, the remaining 3(9.7%) were diverced or widowed. Of the total
105 patients, 31(43.1%) are presently employed. Of those 31 working patients, 16 were
selfemployed, 8 were on service jobs and 3 were on general office jobs. More than half
(63.1%) of those patients worked full-time, 9(29%) part-time, and 3(9.7%) irregularly. Only 72
(68.6%) patients held jobs before dialysis, and 16(22.2%) of those returned to the same job.
The physical activity of the patients were stastically not related with urea kinetic indices
such as PCR, Kt/V, total KT/V/week, TACurea, nor with hematocrit (p>0.05). However, in
serum albumin level the difference between group 0. 1. 2 and group 3, 4 in physical activity
was significant (p<0.05). The patients dialysed below 2 times per week had lower values of
Kt/V, total KT/V/wk, and PCR than the patients dialysed more than 2 times per
week(p<0.01).
Conclusion : From the above results, it appeared that kinetic indices using urea kinetic
mdeling are not closely related to the degree of rehabilitation in hemodialysis patients.
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