Anemia and Depression in Patients with End Stage Renal Disease on Hemodialysis

Rusul Saad  Rasheed; Besma Mohammed  Ali; Sarah Saad  Hussien; Zahraa Hussam Eldin  Ismaeel

Rusul Saad Rasheed MBChB FABHS CM, Community Medicine Specialist, Ministry of Health, Iraq
Besma Mohammed Ali MBChB FABHS CM, Community Medicine Consultant, Ghazi Al-Hariri Hospital for Surgical Specialties, Baghdad, Iraq
Sarah Saad Hussien MBChB FICMS FM, Family Medicine Specialist, Ministry of Health, Iraq
Zahraa Hussam Eldin Ismaeel FIBMS/FM CNS, Family Medicine Consultant, Ghazi Al-Hariri Hospital for Surgical Specialties, Baghdad, Iraq

Keywords: Anemia, Depression, Hemodialysis

Abstract

End-stage renal disease (ESRD) represents a global health challenge. Anemia and depression are frequent complication. Depression may be affected by reduction in tissue oxygenation, deterioration of physical performance due to anemia, that affects the progression of disease. The objective of the study is to assess the relation between anemia and depression among patients with ESRD. Across section study in Baghdad from the 1^st of February to 1^stof May 2024 in the Iraqi hemodialysis center /Baghdad medical city. Depression assessed using PHQ9 criteria. Laboratory data were recorded for hemoglobin, red blood cells, hematocrit, serum iron and ferritin. P value < 0.05 was considered statistically significant. This study included 173 patients with mean age (53.11±14.8) years. Depression was found in (67.1%) of them. Most patients were anemic, (80.9 %) had hemoglobin ≤11 g/dl. This study supports the association of depression with serum iron level, but did not support its relation with serum ferritin and anemia.

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