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UPPER EXTREMITY COMPLICATIONS IN PATIENTS WITH CHRONIC RENAL FAILURE RECEIVING HAEMODIALYSIS
Author(s) -
Hurton Scott,
Embil John M.,
Reda Andrew,
Smallwood Susan,
Wall Cathy,
Thomson Lily,
Zacharias James,
Dascal Mario,
Trepman Elly,
Koulack Joshua
Publication year - 2010
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2010.00197.x
Subject(s) - medicine , dash , weakness , surgery , population , upper limb , chronic renal failure , end stage renal disease , hemodialysis , environmental health , computer science , operating system
SUMMARY Limited data are available about disability associated with upper extremity complications in patients who receive haemodialysis for end‐stage renal disease. In this study of 123 patients receiving haemodialysis, the mean Disabilities of the Arm, Shoulder and Hand (DASH) score was 31 ± 22 points, indicating markedly greater disability than in a normal population. Dupuytren's contracture was the most frequent deformity. Brachial, radial and ulnar pulses were present in most upper limbs, but 14 (14%) of 102 patients had poor arterial perfusion pressures. Diabetic patients had residual or complete loss of protective sensation more frequently than nondiabetic patients. Motor testing with the index finger abduction and fifth finger flexion tests showed a significantly greater frequency of weakness in diabetic than nondiabetic patients. In summary, upper extremity disability was noted in haemodialysis patients, including loss of protective sensation and motor strength, both in diabetic and nondiabetic subjects.