الفهرس 
Key Performance Indicators for Healthcare Quality AssessmentOnly 14 pages are availabe for public view
 |  | from | 151 |  |  |
| | | from | 151 | | |
Abstract
Abstract
In ESRD patients, optimizing dialysis quality is consequently a major issue, and monitoring specific indicators is therefore mandatory. A relevant quality-of-care indicator should have two main characteristics: it should be associated with a lower risk of death, and attainment of the target should be possible.
A total of 78 patients receiving thrice weekly hemodialysis ± post-dilution online hemodiafiltration (OL-HDF) in Pediatric Dialysis Unit (PDU), Children’s Hospital, Ain Shams University, Cairo, Egypt were enrolled in the study during the period from April 2020 till October 2021.
All males and females 18 years and below were included in the study. Our endpoint was renal transplantation, shift to peritoneal dialysis, patient transfer, patient’s age exceeding 18 years, and patient’s death during the calendar of the study.
Patients were subjected to demographic data (age, gender, residency, socioeconomic standards, and parents’ education), duration of HD, cause of CKD, anthropometric measures including height-for-age, dry weight-for-age, BMI-for-height-for-age, BMI-for-height-age.
Our study also included measurement of the different pillars of CKD including growth assessment, nutritional assessment, CKD-MBD, anemia, HD adequacy, vascular access, HD procedure-related complications including IDH and days of hospital stay, water treatment unit, and finally ESRD-related HRQOL in the form of multiple-choice questionnaire obtained from children of different ages as well as from parent-proxy.
Our KPIs for height-for-age showed SDS < -2SD in 64%, 76.2% & 80% of our patients in the three semiannual KPI reports consecutively. The three semiannual KPI reports in our study revealed consecutive increase in the percentage of patients having weight for age SDS <-2SD (73.3%, 73.7%, 74.4%). Our KPIs for BMI-for height-for age revealed SDS <-2SD in 38.7%, 26.3% and 25.0% and BMI SDS >+2SD in 1.3%, 3.5% and 2.5% of patients for the 3 semi-annual readings consecutively.
Our KPIs for BMI based on BMI-for height-age z-score revealed different results from BMI-for-height-for-age as BMI SDS <-2SD was found in 4.0%, 1.7% and 2.4% and BMI SDS >+2SD in 2.7%, 6.9% and 5.0% of patients in the 3 semi-annual readings consecutively.
Our quarterly measured KPIs showed a rising trend in the percentage of patients with serum albumin >3.5gm/dl from 84.8% at the end of 1st quarter of the study to 97.6% at the end of its 6th quarter. At the same time, it showed a parallel decreasing trend in the percentage of patients having nPCR <1g/kg/day from 18.2% to 2.4% at the same quarters.