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Screening for Carpal Tunnel Syndrome in Patients on Chronic Hemodialysis
1Department of Pathophysiology, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of Pathophysiology, Faculty for Dental Medicine and Health Care, Josip Juraj Strossmayer University of Osijek.
Insights
Over a third of chronic hemodialysis patients show carpal tunnel syndrome risk. Older age, higher BMI, and increased urea levels are significant risk factors for this condition in HD patients.
Area of Science:
- Nephrology
- Neurology
- Public Health
Background:
- Carpal tunnel syndrome (CTS) is a common condition affecting nerve function in the wrist.
- Patients undergoing chronic hemodialysis (HD) are at increased risk for various complications, including neurological issues.
Purpose of the Study:
- To determine the prevalence of carpal tunnel syndrome risk in chronic hemodialysis patients.
- To identify demographic, anthropometric, and laboratory factors associated with carpal tunnel syndrome risk in this population.
Main Methods:
- A cross-sectional study involving 78 chronic HD patients.
- Utilized the Levine questionnaire to assess CTS symptoms and functional status.
- Collected and analyzed demographic, anthropometric, and laboratory data.
Main Results:
- Carpal tunnel syndrome risk was identified in 38.5% of the study participants.
- Patients at risk were older and had a higher body mass index (BMI).
- Age, BMI, and predialytic serum urea concentration were independent predictors of CTS risk.
Conclusions:
- More than one-third of patients on chronic HD are at risk for carpal tunnel syndrome.
- Older age, higher BMI, and elevated predialytic serum urea are associated with increased CTS risk.
- Electromyoneurography may be indicated for diagnosis and potential surgical treatment in this patient group.
Objectives:
To determine the prevalence of carpal tunnel syndrome risk in patients on chronic hemodialysis (HD) using Levine questionnaire for assessment of carpal tunnel syndrome - related symptoms severity and patients' functional status and to examine the relation of the determined risk with the participants' demographic, anthropometric and laboratory data.
Participants And Methods:
This crosssectional study included 78 chronic HD patients at Department for Nephrology in University Hospital Osijek. All participants filled out the Levine questionnaire to examine the severity of carpal tunnel syndrome - related symptoms and their functional state. The participants' demographic, anthropometric and laboratory data were taken from the medical records and statistically analyzed by SPSS for Windows (version 16.0, SPSS Inc., Chicago, IL, SAD).
Results:
Risk for carpal tunnel syndrome was found in 38.5% of the participants. No significant differences between patients with and without the risk were found in sex distribution, underlying kidney disease or vascular access. Patients at risk were older (P=0.044) and had higher body mass index (BMI), (t-test, P=0.019). Participants' age, BMI and predialytic serum urea concentration were independent predictors for carpal tunnel syndrome risk (P=0.033).
Conclusion:
The prevalence of risk for carpal tunnel syndrome among patients on chronic HD was found in more than one third of patients. Older age, higher BMI and higher predialytic serum urea concentration bear a higher risk. Electromyoneurography is thus often indicated in this population to confirm the diagnosis for consecutive surgical treatment.
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