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Original Research 
RMJ. 2025; 50(3): 601-604


Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease

Muhammad Iqbal, Abdul Rehman Arshad, Saifullah Khan, Mubaraka Amanullah, Zarmala Khan, Syeda Rabia Naqvi.


Abstract
Objective: To determine the effect of post-dialysis fatigue on mortality and hospital admissions in the short term.
Methodology: This cohort study was done on patients undergoing maintenance hemodialysis for a minimum of three months. Exclusion criteria included acutely unwell or unwilling patients. Post-dialysis fatigue at baseline was identified by verbal inquiry, and its duration was noted. Patients were then followed up for the next six months to record all-cause mortality and hospital admissions.
Results: There were 190 patients, including 141 (74.22%) males and 49 (25.78%) females, aged 52.18±16.01 years. Of these, 107 (56.32%) were undergoing dialysis twice a week and 83 (43.68%) thrice a week. Post-dialysis fatigue was seen in 139 (73.16%) patients, 27 (19.42%) of whom were admitted. Out of 51 (26.84%) patients without post-dialysis fatigue, 6 (11.76%) got admitted (relative risk for hospitalization: 1.65; 95% confidence interval 0.72, 3.77; p=0.233). Duration of post-dialysis fatigue was not related to hospitalization (area under ROC=0.591; 95% confidence interval 0.482, 0.700; p>0.999). During the follow-up period, 7 (5.04%) patients with post-dialysis fatigue and 2 (3.92%) without post-dialysis fatigue died (p>0.999). The relative risk for mortality was 1.28 (95% confidence interval 0.28, 5.98). Duration of post-dialysis fatigue was not related to mortality (area under ROC=0.514; 95% confidence interval 0.341, 0.686; p=0.891).
Conclusion: Post-dialysis fatigue does not predict a six-month risk of hospital admissions and mortality amongst patients undergoing maintenance hemodialysis.

Key words: Hemodialysis, hospitalization, mortality, post-dialysis fatigue.


 
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How to Cite this Article
Pubmed Style

Iqbal M, Arshad AR, Khan S, Amanullah M, Khan Z, Naqvi SR. Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. RMJ. 2025; 50(3): 601-604.

Web Style

Iqbal M, Arshad AR, Khan S, Amanullah M, Khan Z, Naqvi SR. Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. https://www.rmj.org.pk/?mno=191418 [Access: October 30, 2025].

AMA (American Medical Association) Style

Iqbal M, Arshad AR, Khan S, Amanullah M, Khan Z, Naqvi SR. Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. RMJ. 2025; 50(3): 601-604.


Vancouver/ICMJE Style

Iqbal M, Arshad AR, Khan S, Amanullah M, Khan Z, Naqvi SR. Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. RMJ. (2025), [cited October 30, 2025]; 50(3): 601-604.


Harvard Style

Iqbal, M., Arshad, . A. R., Khan, . S., Amanullah, . M., Khan, . Z. & Naqvi, . S. R. (2025) Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. RMJ, 50 (3), 601-604.


Turabian Style

Iqbal, Muhammad, Abdul Rehman Arshad, Saifullah Khan, Mubaraka Amanullah, Zarmala Khan, and Syeda Rabia Naqvi. 2025. Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. Rawal Medical Journal, 50 (3), 601-604.


Chicago Style

Iqbal, Muhammad, Abdul Rehman Arshad, Saifullah Khan, Mubaraka Amanullah, Zarmala Khan, and Syeda Rabia Naqvi. "Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease." Rawal Medical Journal 50 (2025), 601-604.


MLA (The Modern Language Association) Style

Iqbal, Muhammad, Abdul Rehman Arshad, Saifullah Khan, Mubaraka Amanullah, Zarmala Khan, and Syeda Rabia Naqvi. "Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease." Rawal Medical Journal 50.3 (2025), 601-604. Print.


APA (American Psychological Association) Style

Iqbal, M., Arshad, . A. R., Khan, . S., Amanullah, . M., Khan, . Z. & Naqvi, . S. R. (2025) Short term consequences of post dialysis fatigue amongst patients undergoing hemodialysis for end stage renal disease. Rawal Medical Journal, 50 (3), 601-604.


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