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Bahadi A, Benbria S, Elkabbaj D. Cost of dialysis therapy by modality in Morocco: Cost-minimization study comparing peritoneal dialysis to hemodialysis. Ther Apher Dial 2022; 26:1052-1053. [PMID: 35294111 DOI: 10.1111/1744-9987.13838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 03/03/2022] [Accepted: 03/12/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Abdelaali Bahadi
- Department of Nephrology, Military Teaching Hospital Mohammed V, Rabat, Morocco.,Faculty of Medicine, Department of Nephrology, Mohammed Vth University, Rabat, Morocco
| | - Sanaa Benbria
- Department of Nephrology, Military Teaching Hospital Mohammed V, Rabat, Morocco
| | - Driss Elkabbaj
- Department of Nephrology, Military Teaching Hospital Mohammed V, Rabat, Morocco.,Faculty of Medicine, Department of Nephrology, Mohammed Vth University, Rabat, Morocco
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Bentata Y, ElKabbaj D, Bahadi A, Rhou H, Laouad I, Sqalli T, Bouattar T, Ouzeddoun N, Bayahia R, Ramdani B. HLA‐identical living related kidney transplantation: Outcomes of a national multicenter study. Int J Urol 2022; 29:519-524. [DOI: 10.1111/iju.14827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/18/2022] [Accepted: 02/02/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Yassamine Bentata
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Mohammed VI University Mohammed First OujdaMorocco
- Laboratory of Epidemiology Clinical Research and Public Health Medical School University Mohammed First OujdaMorocco
| | - Driss ElKabbaj
- Department of Nephrology—Dialysis and Kidney Transplantation Military University Hospital Mohammed V University Mohammed V RabatMorocco
| | - Abdelaali Bahadi
- Department of Nephrology—Dialysis and Kidney Transplantation Military University Hospital Mohammed V University Mohammed V RabatMorocco
| | - Hakima Rhou
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Cheikh Zaid University Abulcasis RabatMorocco
| | - Inass Laouad
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Mohammed VI University Cadi Ayyad MarrakechMorocco
| | - Tarik Sqalli
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Hassan II University Sidi Mohammed Benabdellah FesMorocco
| | - Tarik Bouattar
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Naima Ouzeddoun
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Rabia Bayahia
- Department of Nephrology—Dialysis and Kidney Transplantation University Hospital Ibn Sina University Mohammed V RabatMorocco
| | - Benyouns Ramdani
- Department of Nephrology—Dialysis and Kidney Transplantation Unit University Hospital Ibn Rochd University Hassan II Casablanca Morocco
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Bahadi A, Lagtarna H, Benbria S, Zajjari Y, Elkabbaj D, Zemraoui N. Physical activity in Sahara Moroccan hemodialysis patients. BMC Res Notes 2021; 14:65. [PMID: 33597008 PMCID: PMC7890959 DOI: 10.1186/s13104-021-05460-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 01/22/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The evaluation of physical activity for chronic hemodialysis patients is a new approach for patient global care. The objective of this work is to evaluate the physical activity in chronic hemodialysis patients and identify the risk factors associated with reduced physical activity. This is a prospective study for 6 months including 150 chronic hemodialysis patients in the Guelmim-Oued Noun Regionin Moroccan Sahara. We use Baecke's survey, translated and validated in Arabic local language. The socio-demographic, clinical, and biological data were completed during the interrogation and from the medical records of the patients. RESULTS The mean age of our patients was 54.6 ± 16.4 years, with male predominance (59%). Most patients have a low education level and 60% were illiterate. Hypertension was found in 54% of our patients, diabetes in 39%, and cardiovascular disease in 10% of patients. Low Physical activity was associated with gender (OR = 4.05), age (OR = 1.03) and high education level (OR = 0.2). Our work has met the various pre-established objectives, however other more specific studies must be conducted to better characterize the profile of physical activity in chronic hemodialysis patients.
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Affiliation(s)
- A. Bahadi
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed Vth, Rabat, Morocco
- Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - H. Lagtarna
- Faculty of Medicine and Pharmacy, University Caddy Ayyad, Marrakech, Morocco
| | - S. Benbria
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed Vth, Rabat, Morocco
| | - Y. Zajjari
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed Vth, Rabat, Morocco
- Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - D. Elkabbaj
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed Vth, Rabat, Morocco
- Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - N. Zemraoui
- Department of Nephrology, Military Hospital Avicenne, Marrakech, Morocco
- Faculty of Medicine and Pharmacy, University Caddy Ayyad, Marrakech, Morocco
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Bahadi A, Benbria S, Rafik H, El Kabbaj D. Peritoneal dialysis in a Moroccan center: Prevalence and complications. Bull Dial Domic 2020. [DOI: 10.25796/bdd.v3i2.54793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Abstract :
Introduction: Peritoneal dialysis (PD) is as effective as hemodialysis and often provides a better quality of life for patients. Despite this, the replacement therapy remains little established in our country with a prevalence of less than 1% of patients with end-stage renal disease. The objective of this work is to report the development and complications of PD in our center.
Patients and methods: This is a retrospective study including all patients on PD between October 2008 and March 2019. We noted their demographic and clinical data at their initiation in peritoneal dialysis and we followed their evolution to discuss infectious and mechanical complications as well as the causes of PD exit.
Results: During the study period, 456 patients were admitted for end-stage renal disease. Among these patients, only 28 (6.1%) were put on PD including two diabetics. Their average age was 37.7 years with a sex ratio of 0.8. The average body surface area was 1.59 m² with an average residual renal function of 6.05 ml / min. PD was chosen as the first intention in 20 patients while 8 patients were on hemodialysis. The evolution was marked by a median survival of the technique of 18.5 months characterized by 8 episodes of peritonitis in 4 patients corresponding to a rate of 1 episode over 56 months. Regarding mechanical complications, we noted 9 omentum aspirations, 1 leak in one case and 1 umbilical hernia requiring surgical recovery in a patient. Out of 28 patients, 17 discharges were identified; 10 patients (67%) were transferred to hemodialysis, 4 died and only 3 patients (18%) were transplanted. The final transfer to hemodialysis was related to mechanical complications in 5 cases, loss of ultrafiltration in one case, repeated hydro-sodium overload in one case, peritonitis in one case and social reasons in two cases.
Conclusion: PD is an effective technique which preserves residual renal function and quality of life but its prevalence remains low in the order of 6% of patients treated for end-stage renal disease. The complications are dominated in our context by the mechanical complications main cause of final transfer in hemodialysis.
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Bahadi A, ElKabbaj D. Home Dialysis: Lessons from COVID-19 and Other Viral Outbreaks. Saudi J Kidney Dis Transpl 2020; 31:1161. [DOI: 10.4103/1319-2442.301192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Rafik H, Aatif T, Bahadi A, Azizi M, Kabbaj DE. L’activité physique mesurée par podomètre chez les hémodialysés chroniques. Sci Sports 2019. [DOI: 10.1016/j.scispo.2019.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rafik H, Aatif T, Azizi M, Bahadi A, El Kabbaj D. L’activité physique mesurée par podomètre chez les hémodialysés chroniques. Nephrol Ther 2019. [DOI: 10.1016/j.nephro.2019.07.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Rafik H, Bahadi A, Aatif T, Azizi M, Elkabbaj D. SP796PHYSICAL ACTIVITY MEASURED BY PEDOMETER IN CHRONIC HEMODIALYSIS PATIENTS. Nephrol Dial Transplant 2018. [DOI: 10.1093/ndt/gfy104.sp796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Hicham Rafik
- Nephrology Dialysis, Military Hospital, Rabat, Morocco
| | | | - Taoufiq Aatif
- Nephrologie Dialysis, 5th Military Hospital, Guelmim, Morocco
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Bahadi A, El Farouki MR, Zajjari Y, El Kabbaj D. [Initiating hemodialysis in Morocco: Impact of late referral]. Nephrol Ther 2017; 13:525-531. [PMID: 29150415 DOI: 10.1016/j.nephro.2017.02.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Revised: 02/11/2017] [Accepted: 02/19/2017] [Indexed: 11/19/2022]
Abstract
INTRODUCTION End-stage renal disease (ESRD) is a major public health concern in Morocco with an incidence in constant progression according to MAGREDIAL "Morocco Dialysis Registry". Patients are often sent late to nephrologists, which is a source of complications recognized in several countries. For these reasons, we tried to evaluate, in our context, the prevalence and factors of this late referral (LR). METHODS This is a retrospective study which included all patients initiating hemodialysis between January 2007 and December 2015. We found the history of following these patients and sought their clinical characteristics at the time of setting hemodialysis. RESULTS During the study, 318 patients were admitted for management of ESRD. Their average age was 54.31 years and diabetic nephropathy was the most common cause of 41% of cases. Only 105 patients (33%) had a nephrological follw up in almost two thirds of cases, hemodialysis was started by using a temporary central venous catheter especially femoral. we have identified five factors associated with LR: nemia, hypoalbuminemia, inflammatory syndrome, a longer initial hospitalization, a greater use of temporary catheterization as first access. CONCLUSION LR patients with ESRD remains very common in our context. It is about 67% and complicates implementation hemodialysis patients with anemia and more use of central catheters that are predictors of mortality previously described in the literature. Economically, LR significantly increases the cost of care by significantly increasing the duration of hospitalization.
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Affiliation(s)
- Abdelaali Bahadi
- Service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, boîte postale 10000, Rabat, Maroc.
| | - Mohammed Reda El Farouki
- Service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, boîte postale 10000, Rabat, Maroc
| | - Yassir Zajjari
- Service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, boîte postale 10000, Rabat, Maroc
| | - Driss El Kabbaj
- Service de néphrologie, dialyse et transplantation rénale, hôpital militaire d'instruction Mohammed V, boîte postale 10000, Rabat, Maroc
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Azizi M, Zajjari Y, Bahadi A, Mountasser D, Rafik H, Hassani K, Errihani M, Sobhi A, El Kabbaj D. Prise en charge de la fibrose rétropéritonéale : expérience du service de néphrologie dialyse et transplantation rénale de l’hôpital militaire d’instruction Mohammed V de Rabat. Nephrol Ther 2017. [DOI: 10.1016/j.nephro.2017.08.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Rafik H, Bahadi A, Azizi M, Sobhi A, Errihani M, Elkabbaj D. Bactériémies liées aux cathéters veineux centraux d’hémodialyse : incidence, profil microbiologique et facteurs de risque. Nephrol Ther 2016. [DOI: 10.1016/j.nephro.2016.07.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Abstract
La survenue d'une grossesse en hémodialyse chronique (HDC) est rare, mais depuis la description du premier cas par Confortini en 1971, plusieurs observations ont été rapportées. L'hémodialyse a considérablement amélioré la fertilité de ces patientes. Nous rapportons l'expérience de douze grossesses survenues entre 1999 et 2014, chez douze patientes d’âge médian 34 ans (22-44), en hémodialyse (HD) depuis 40 mois (3-72), l’âge gestationnel moyen de diagnostic est de 16 semaines d'aménorrhée, la grossesse était compliquée dans 50% des cas par un hydramnios. Le terme moyen est de 35 semaine d'aménorrhée (SA) et l'accouchement a été réalisé dans 90% des grossesses par voie basse. Le poids moyen des nouveau-nés est de 1800g. De telles grossesses sont à haut risque du fait de la fréquence des complications. Elles devraient être contrôlées par les équipes multidisciplinaires, et la consultation prénatal ne devrait pas être négligée. L'objectif de ce travail est de rapporter notre expérience concernant la survenue d'une grossesse chez les patientes dialysées et de la confronter aux données de la littérature.
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Affiliation(s)
| | | | - Hicham Rafik
- Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Driss Kabbaj
- Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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El Farouki MR, Bahadi A, Hamzi MA, Kabbaj D, Benyahia M. [Profile of chronic renal failure in diabetes at initiation of hemodialysis in the nephrology and dialysis service of the military hospital in Rabat, Morocco]. Pan Afr Med J 2013; 15:124. [PMID: 24255730 PMCID: PMC3830459 DOI: 10.11604/pamj.2013.15.124.2252] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 03/23/2013] [Indexed: 11/30/2022] Open
Abstract
Le diabète constitue une cause fréquente d'insuffisance rénale chronique terminale (IRCT) dans le monde. Ce travail présente une étude clinique rétrospective dont le but est de décrire le profil clinico-biologique des patients diabétiques en IRCT, de le comparer aux patients non-diabétiques au stade d'IRCT, et de suivre l’évolution de leurs abords vasculaires, afin d'en déduire des conclusions sur une prise en charge particulière des patients diabétiques. Les paramètres cliniques et biologiques concernant les patients mis en hémodialyse dans notre formation entre le 01 janvier 2006 et le 31 décembre 2011, ont été recueilli et analysés. Nous avons procédé à l’étude comparative des patients en fonction de l'existence ou non d'une néphropathie diabétique, et nous nous sommes intéressés à l’évolution de leurs abords vasculaires. Il s'agit de 207 patients insuffisants rénaux chroniques, dont 86 diabétiques. Le groupe des patients diabétiques était moins suivi avant la mise en hémodialyse (3,66 mois vs. 6,32 mois), avec une prise beaucoup plus importante d'antihypertenseurs (1,87 vs. 1,14, p<0,001). L’échec des abords vasculaires était plus important chez les patients diabétiques (45% vs. 27%, p=0,006), avec une survie moyenne plus faible de leurs abords vasculaires (509 vs 753 jours, p=0,003). L’étude comparative des taux d'hémoglobine, de parathormone intacte, d'albuminémie et de C-réactive protéine, entre le groupe de patients diabétiques et non diabétiques était non significative. Notre étude soulève le problème du suivi néphrologique chez les diabétiques, pourtant censés être mieux suivis, et son retentissement sur l'avenir de leurs abords vasculaires.
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Affiliation(s)
- Mohamed Reda El Farouki
- Service de néphrologie et dialyse de l'hôpital militaire d'instruction Mohammed V, Rabat, Maroc
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Bahadi A, Maoujoud O, Zejjari Y, Alayoud A, Hassani K, Elkabbaj D, Benyahia M. [Diagnosis and evaluation of hepatitis C virus among haemodialysis patients]. East Mediterr Health J 2013; 19:192-199. [PMID: 23516832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Hepatitis C is a health problem worldwide. The World Health Organization estimates that 3% of world's population is infected with hepatitis C virus (HCV). In haemodialysis patients, the prevalence reaches 80% in some countries. In Morocco, HCV prevalence is 32% according to the Moroccan register of dialysis. The natural history of hepatitis C infection in chronic haemodialysis patients is characterized by a silent evolution. There are different methods to diagnose HCV and they are becoming increasingly sensitive. There are indirect tests for antibodies to HCV: these are reproducible but false negatives are common and there is direct testing of viral RNA: this is more sensitive but not always available and is more expensive. The use of these tests has been categorized through new recommendations from learned societies. However, the evaluation of liver disease is still controversial and liver biopsy remains the gold standard. This paper reviews the approaches for diagnosing and evaluating hepatitis C in haemodialysis patients.
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Affiliation(s)
- A Bahadi
- Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital militaire d'instruction Mohammed V, Rabat.
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Bahadi A, Maoujoud O, Zejjari Y, Alayoud A, Hassani K, Elkabbaj D, Benyahia M. Diagnosis and evaluation of hepatitis C virus among haemodialysis patients. East Mediterr Health J 2013. [DOI: 10.26719/2013.19.2.192] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Alayoud A, Montassir D, Hamzi A, Zajjari Y, Bahadi A, Kabbaj DE, Maoujoud O, Aatif T, Hassani K, Benyahia M, Oualim Z. The Kt/V by ionic dialysance: Interpretation limits. Indian J Nephrol 2013; 22:333-9. [PMID: 23326042 PMCID: PMC3544053 DOI: 10.4103/0971-4065.103906] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
The availability of hemodialysis machines equipped with online clearance monitoring (OCM) allows frequent assessment of dialysis efficiency and adequacy without the need for blood samples. Accurate estimation of the urea distribution volume (V) is required for Kt/V calculated from OCM to be consistent with conventional blood sample-based methods. A total of 35 patients were studied. Ionic dialysance was measured by conductivity monitoring. The second-generation Daugirdas formula was used to calculate the Kt/V single-pool (Kt/VD). Values of V to allow comparison between OCM and blood-based Kt/V were determined using Watson formula (VWa), bioimpedance spectroscopy (Vimp), and blood-based kinetic data (Vukm). Comparison of Kt/Vw ocm calculated by the ionic dialysance and Vw (Kt/Vw ocm) with Kt/VD shows that using VW leads to significant systematic underestimation of dialysis dose by 24%. Better agreement between Kt/V ocm and Kt/VD was observed when using Vimp and Vukm. Bio-impedancemetry and the indirect method using the second-generation Daugirdas equation are two methods of clinical interest for estimating V to ensure greater agreement between OCM and blood-based Kt/V.
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Affiliation(s)
- A Alayoud
- Service of Nephrology, Dialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V Rabat, Morocco
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Akhmouch I, Alayoud A, Bahadi A, Zajjari Y, Montasser D, El Allam M, Oualim Z. Bisalbuminemia during remission of nephrotic syndrome. Saudi J Kidney Dis Transpl 2012; 23:1251-3. [PMID: 23168859 DOI: 10.4103/1319-2442.103570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The bisalbuminemia acquired outside of the long-term antibiotic treatment is an exceptional event. It is a rare condition characterised by the presence of two distinct fractions of serum albumin on electrophoresis. This anomaly reflects the presence, at the same time, of a normal albumin and a modified albumin. These changes of albumin may be related to various causes. Their association with nephrotic syndrome is exceptional. We report a case of bisalbuminemia during a period of remission of nephrotic syndrome.
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Affiliation(s)
- I Akhmouch
- Service d'hémodialyse- Premier Centre Médicochirurgical, Agadir, Morocco.
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El Farouki M, Bahadi A, El Amrani M, Hamzi M, Akhemouch I, Asserraji M, Kabbaj D, Benyahia M, Oualim Z. Profil des insuffisantes rénaux chroniques diabétiques à l’initiation de l’hémodialyse. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hassani K, Zajjari Y, Bahadi A, Arache W, Hamzi M, Maoujoud O, Kabbaj D, Benyahia M. Monitorage online de l’hémoglobine : un nouvel outil de surveillance en dialyse. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bahadi A, Hamzi MA, Farouki MR, Montasser D, Zajjari Y, Arache W, Hassani K, El Amrani M, Alayoud A, Hassani M, Benyahia M, Elallam M, Elkabbaj D, Oualim Z. Predictors of early vascular-access failure in patients on hemodialysis. Saudi J Kidney Dis Transpl 2012; 23:83-87. [PMID: 22237224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Vascular access management is key and critical in the successful management of hemodialysis patients, and an arteriovenous fistula (AVF) is considered the access of choice. This study was conducted between January 2007 and October 2009 at the Military Hospital in Rabat. Data on 115 patients who underwent 138 AVFs were retrospectively studied. Wrist AVF was the most common site of use. The primary course was uncomplicated in 63% of the patients, while primary failure occurred in 23.9% of the patients. Presence of diabetes was the most important risk factor for primary failure.
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Affiliation(s)
- A Bahadi
- Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital Mohammed V, Rabat, Morocco.
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El Amrani M, Arache W, El Farouki MR, Montasser D, Hassani K, Bahadi A, Hamzi A, Aatif T, El Allam M, Kabbaj D, Benyahia M, Oualim Z. Angiœdème héréditaire de type I et insuffisance rénale. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Bahadi A, Montasser D, Salek G, Hafidi R, Hassani M, El Allam M, Benyahia M, Elkabbaj D, Oualim Z. La grossesse en hémodialyse : 11ans d’expérience. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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El Kabbaj D, Eljaoudi R, Bahadi A, Errasfa M, Oualim Z. Effet de l’eau de dialyse ultrapure sur les marqueurs de stress oxydant. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Bahadi A, Maoujoud O, Hassani K, Akhmouch I, Doblali T, El Allam M, Benyahia M, El Kabbaj D, Mrani S, Oualim Z. L’hépatite virale C en hémodialyse : étude multicentrique ambispective de séroconversion et de prévalence. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Bahadi A, Maojoud O, Doblali T, Hassani K, Montasser D, Farouki R, El Allam M, Elamrani M, Benyahia M, El Kabbaj D, Mrani S, Oualim Z. La mortalité chez l’hémodialysé chronique : huitans de suivi. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hassani K, Zajjari Y, Montasser D, Hamzi M, Bahadi A, Kabbaj D, Benyahia M, Oualim Z. Les anomalies échocardiographiques en situation d’insuffisance rénale chronique terminale. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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El Farouki M, Bahadi A, Hamzi M, El Amrani M, Zejjari Y, Montasser D, Arache W, Aatif T, Kabbaj D, Elallam M, Benyahia M, Oualim Z. Les facteurs de survie des fistules artério-veineuses natives. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Akhmouch I, Asserraji M, Bahadi A, Bouaiti E, Alayoude M, Aatif T, Hamzi MA, Kawtar H, Allam M, Oualim Z. Effect of the quality of water used for dialysis on the efficacy of hemodialysis: a single-center experience from Morocco. Saudi J Kidney Dis Transpl 2011; 22:576-580. [PMID: 21566327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
The quality of the water used for dialysis has been suggested as a factor causing inflammation in patients on hemodialysis (HD). We therefore conducted this study to identify the effect of quality of the water on nutritional state, inflammation and need for human recombinant erythropoietin (EPO) in patients undergoing HD at Agadir, Morocco. This prospective study included patients on HD for at least one year. The water treatment was done according to the standard protocol, which was followed by additional enhancement of ultrafiltration using an additional polysulfone filter (diasafe, Fresenius, Bad Homburg, Germany) before the dialyser. Water was monitored regularly during the study period to ensure acceptable levels of bacterial count as well as endotoxin levels. Various parameters including dry weight, systolic and diastolic blood pressure (PA) before and after an HD session, need for human recombinant EPO, levels of hemoglobin (Hb), albumin, ferritin, C-reactive protein (CRP), and the dose of dialysis delivered (Kt/V) were measured first at the beginning of the study and thereafter, in the third, sixth and 12 th months of the study. The study involved 47 patients, and after 12 months of the study, an improvement in median dry weight (1.2 kg, P = 0017) and a simultaneous median reduction of 20.7 IU/kg/week of EPO, with an in-crease of the median level of Hb, was noted. The results of our study suggest that by improving the biocompatibility of HD with the use of good quality water, patients acquire a better nutritional, inflammatory and hematologic status.
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Affiliation(s)
- I Akhmouch
- 1st Medico-surgical Hospital, Agadir, Morocco.
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Maoujoud O, Ahid S, Asseraji M, Bahadi A, Aatif T, Zajari Y, Oualim Z. [Prevalence of metabolic syndrome in chronic haemodialysis patients in Morocco]. East Mediterr Health J 2011; 17:56-61. [PMID: 21735803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
We determined the prevalence of metabolic syndrome in 25 chronic haemodialysis patients in the haemodialysis centre of the Mohammed V military teaching hospital in Rabat. The mean age of the patient as was 46.5 (SD 14.8) years and mean haemodialysis duration 62.9 (SD 38.4) months. We evaluated the 5 parameters of metabolic syndrome: waist circumference, hypertriglyceridaemia, high-density lipoprotein (HDL) cholesterol, blood pressure and blood glucose. In all, 11 (44%) patients had metabolic syndrome: 7 women and 4 men. Low HDL cholesterol was found in 100% of the patients, hypertriglyceridaemia in 90.9% and hypertension in 63.6%. There were significant differences between patients with and without metabolic syndrome with regard to levels of hypertriglyceridaemia and HDL cholesterol, and waist circumference. Factors significantly associated with the presence of metabolic syndrome were abdominal obesity, and systolic hypertension and aypertriglyceri daemia.
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Affiliation(s)
- O Maoujoud
- Service de Néphrologie, Dialyse et Transplantation rénale, Hôpital militaire d'instruction Mohammed L Rabat, Maroc.
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Maoujoud O, Ahid S, Asseraji M, Bahadi A, Aatif T, Zajari Y, Oualim Z. Prevalence of metabolic syndrome in chronic haemodialysis patients in Morocco. East Mediterr Health J 2011. [DOI: 10.26719/2011.17.1.56] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Akhmouch I, Bahadi A, Zajjari Y, Bouzerda A, Asserraji M, Alayoud A, Montasser D, Moujoud O, Aattif T, Kadiri M, Zemraoui N, Elkabbaj D, Hassani M, El Allam M, Benyahia M, Oualim Z. Characteristics of intradialytic hypotension: experience of Agadir Center-Morocco. Saudi J Kidney Dis Transpl 2010; 21:756-761. [PMID: 20587892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
We report in this retrospective study the experience of our hemodialysis (HD) center in the incidence of intradialytic hypotension (IDH) over 18 months. We first studied the demographic, clinical, biological and morphological data of our 52 HD patients and compared the characteristics of patients with frequent IDH and those without. We found that factors significantly associated with IDH include diabetes, left ventricular hypertrophy, impaired diastolic function, weight gain and high ultrafiltration rates. Despite these results, further larger studies are required to confirm them.
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Affiliation(s)
- I Akhmouch
- Department of Nephrology, 1st Medical and Chirurgical Center, Agadir, Morocco.
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Bahadi A, El Kabbaj D, Elfazazi H, Abbi R, Hafidi MR, Hassani MM, Moussaoui R, Elouennass M, Dehayni M, Oualim Z. Urinary tract infection in pregnancy. Saudi J Kidney Dis Transpl 2010; 21:342-344. [PMID: 20228527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
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