Pathological Findings in Chest Radiographs of Chronic Kidney Disease Patients Undergoing Hemodialysis
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Chronic kidney disease is a condition in which there is destruction of the kidneys along with structural or functional
abnormalities, with or without decreased glomerular filtration rate for more than 3 months. The common treatment for
this condition is hemodialysis, however, it may cause complications, specifically cardiovascular and non-cardiovascular
system dysfunctions that can be observed through thorax imaging. This study aims to observe pathologic thorax imaging
findings on chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang. This
study is a descriptive study using a cross-sectional design. The data is gathered from medical records from the Medical
Records & Radiology Department of RSUP Dr. Mohammad Hoesin Palembang that have passed the inclusion and
exclusion criteria. The data is processed using the SPSS application version 25. The results of this study indicate that,
based on risk factors, patients are generally in the 55-64 age range (41%), female (60%), and with a normal BMI/normal
weight (52%). Based on the patients’ comorbid diseases, patients mostly have hypertension (59%), followed by diabetes
mellitus (46%). Analysis of the chest radiographs indicate that (70%) of patients have cardiomegaly; (22%) of patients
have grade 1, (15%) have grade 2, (7%) have grade 3 aortic arch calcification; (49%) have pulmonary edema; (31%) have
unilateral pleural effusion, and (14%) have bilateral pleural effusion. The majority of chronic kidney disease patients
undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang are in the 55-64 age range, female, and with
normal BMI. The most common comorbid conditions are hypertension and diabetes mellitus. Analysis of the chest
radiographs indicate that the majority of patients have cardiomegaly; grade 1, 2, and 3 aortic arch calcification; pulmonary
edema; unilateral and bilateral pleural effusion.