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Interdialytic weight gain

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https://www.readbyqxmd.com/read/30517579/clinical-trial-for-the-control-of-water-intake-of-patients-undergoing-hemodialysis-treatment
#1
Graziella Allana Serra Alves de Oliveira Oller, Marília Pilotto de Oliveira, Cláudia Bernardi Cesarino, Carla Regina de Souza Teixeira, José Abrão Cardeal da Costa, Luciana Kusumota
OBJECTIVE: to analyze the impact of an educational and motivational intervention for patients with a chronic kidney disease, undergoing hemodialysis treatment, on the control of fluid intake during interdialytic periods. METHOD: a quasi-experimental, non-randomized clinical trial with patients from a Nephrological Unit of the State of São Paulo. Participants were included in two groups: Control Group with 106 patients and Intervention Group with 86 patients, totaling 192 participants...
November 29, 2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/30450466/augmented-cardiopulmonary-baroreflex-sensitivity-in-intradialytic-hypertension
#2
Sook H Park, Ida T Fonkoue, Yunxiao Li, Dana R DaCosta, Holly R Middlekauff, Jeanie Park
Introduction: End-stage renal disease (ESRD) patients with a paradoxical increase in blood pressure (BP) during hemodialysis (HD), termed intradialytic hypertension (ID-HTN), are at significantly increased risk for mortality and adverse cardiovascular events. ID-HTN affects up to 15% of all HD patients, and the pathophysiologic mechanisms remain unknown. We hypothesized that ESRD patients prone to ID-HTN have heightened volume-sensitive cardiopulmonary baroreflex sensitivity (BRS) that leads to exaggerated increases in sympathetic nervous system (SNS) activation during HD...
November 2018: KI Reports
https://www.readbyqxmd.com/read/30448825/cycles-arrows-and-turbulence-time-patterns-in-renal-disease-a-path-from-epidemiology-to-personalized-medicine
#3
REVIEW
Jeroen P Kooman, Len A Usvyat, Marijke J E Dekker, Dugan W Maddux, Jochen G Raimann, Frank M van der Sande, Xiaoling Ye, Yuedong Wang, Peter Kotanko
Patients with end-stage renal disease (ESRD) experience unique patterns in their lifetime, such as the start of dialysis and renal transplantation. In addition, there is also an intricate link between ESRD and biological time patterns. In terms of cyclic patterns, the circadian blood pressure (BP) rhythm can be flattened, contributing to allostatic load, whereas the circadian temperature rhythm is related to the decline in BP during hemodialysis (HD). Seasonal variations in BP and interdialytic-weight gain have been observed in ESRD patients in addition to a profound relative increase in mortality during the winter period...
November 16, 2018: Blood Purification
https://www.readbyqxmd.com/read/30381891/impact-of-dialysate-sodium-concentration-lowering-on-home-blood-pressure-variability-in-hemodialysis-patients
#4
Ziye Chen, Fang Sun, Yang Shen, Lijie Ma, Jing Liu, Yilun Zhou
Blood pressure variability is an independent risk factor for mortality and cardiovascular events in hemodialysis patients. Dialysate sodium concentration may not only have effects on blood pressure but also on blood pressure variability. We investigated whether dialysate sodium concentration lowering could decrease home blood pressure variability in hemodialysis patients. Forty-three hemodialysis patients at their dry weight assessed by bioimpedance methods, with pre-dialysis serum sodium >136 mmol/L were recruited...
November 1, 2018: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/30343516/dialysate-sodium-concentration-the-forgotten-salt-shaker
#5
Norio Hanafusa, Ken Tsuchiya, Kosaku Nitta
The concentration of sodium in dialysis fluid, a major determinant of extracellular fluid volume and blood pressure, plays a major role in the sodium balance in end-stage renal disease patients. A low dialysate sodium concentration (DNa) reduces interdialytic weight gain (IDWG) and blood pressure and might help ameliorate endothelial dysfunction and inflammation. However, low DNa can also increase the incidence of hypotensive episodes and muscle cramps. Sodium profiling, as typically prescribed in which the DNa is ramped up from above 140 mEq/L to nonphysiological levels, might reduce hypotension in patients with hemodynamic instability but at the cost of the consequences of hypernatremia...
October 21, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/30328027/relationships-of-high-cardiac-output-with-ventricular-morphology-myocardial-energetics-and-energy-costs-in-hemodialysis-patients-with-preserved-ejection-fraction
#6
Tomonari Harada, Masaru Obokata, Koji Kurosawa, Hidemi Sorimachi, Kuniko Yoshida, Hideki Ishida, Kyoko Ito, Tetsuya Ogawa, Yoshitaka Ando, Masahiko Kurabayashi, Kazuaki Negishi
Hemodialysis patients have conditions that increase cardiac output (CO), including arteriovenous fistula, fluid retention, vasodilator use, and anemia. We sought to determine the relationships between these factors and CO and to evaluate the effects of the high-output states on ventricular morphology, function, and myocardial energetics in hemodialysis patients, using noninvasive load-insensitive indices. Cardiovascular function was assessed in hemodialysis patients with high output [ejection fraction ≥ 50%, cardiac index (CI) > 3...
October 16, 2018: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/30325241/forecast-post-dialysis-blood-pressure-in-hemodialysis-patients-with-intradialytic-hypertension
#7
Lu-Xi Zou, Ling Sun
BACKGROUND: Intradialytic hypertension (IDH) is emerging as an important issue in maintenance hemodialysis (MHD) patients. This study aimed to discuss potential factors related to IDH and build forecasting models for post-dialysis blood pressure (BP) in MHD patients with IDH. METHODS: A total of 266 MHD patients were enrolled, included 133 (50%) patients with IDH and 133 patients without IDH. The BP and pulse were determined and recorded over six consecutive dialysis treatments...
October 16, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/30297763/coffee-consumption-in-hemodialysis-patients-how-many
#8
Cristina Caetano, Ana Valente, Telma Oliveira, Cristina Garagarza
BACKGROUND AND AIMS: Coffee is one of the most widely consumed beverages worldwide. However, fluid intake restriction is an important and difficult challenge for hemodialysis (HD) patients. The aim of this study was to analyze the effect of coffee intake on hydration and nutritional parameters of HD patients. METHODS: This was an observational, cross-sectional, multicenter study where 373 HD patients from 8 dialysis centers in Portugal were enrolled. A face-to-face questionnaire was applied and patient's clinical and body composition parameters were analyzed...
October 8, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/30239837/all-cause-mortality-in-relation-to-changes-in-relative-blood-volume-during-hemodialysis
#9
Priscila Preciado, Hanjie Zhang, Stephan Thijssen, Jeroen P Kooman, Frank M van der Sande, Peter Kotanko
Background: Relative blood volume (RBV) monitoring is widely used in hemodialysis (HD) patients, yet the association between intradialytic RBV and mortality is unknown. Methods: Intradialytic RBV was recorded once/min during a 6-month baseline period; all-cause mortality was noted during follow-up. RBV at 1, 2 and 3 h into HD served as a predictor of all-cause mortality during follow-up. We employed Kaplan-Meier analysis, univariate and adjusted Cox proportional hazards models for survival analysis...
September 18, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/30237432/the-optimal-blood-pressure-target-in-different-dialysis-populations
#10
Jong Hyun Jhee, Jimin Park, Hyoungnae Kim, Youn Kyung Kee, Jung Tak Park, Seung Hyeok Han, Chul Woo Yang, Nam-Ho Kim, Yon Su Kim, Shin-Wook Kang, Yong-Lim Kim, Tae-Hyun Yoo
Hypertension is common and contributes to adverse outcomes in patients undergoing dialysis. However, the proper blood pressure (BP) target remains controversial and several factors make this difficult. This study aimed to investigate the adequate BP target in patients undergoing prevalent dialysis. Data were retrieved from the Clinical Research Center for End-Stage Renal Disease (2009-2014). 2,299 patients undergoing dialysis were evaluated. Patients were assigned into eight groups according to predialysis systolic blood pressure (SBP)...
September 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/30231860/inadequate-dietary-energy-intake-associates-with-higher-prevalence-of-metabolic-syndrome-in-different-groups-of-hemodialysis-patients-a-clinical-observational-study-in-multiple-dialysis-centers
#11
Tuyen Van Duong, Te-Chih Wong, Hsi-Hsien Chen, Tzen-Wen Chen, Tso-Hsiao Chen, Yung-Ho Hsu, Sheng-Jeng Peng, Ko-Lin Kuo, Hsiang-Chung Liu, En-Tzu Lin, Chi-Sin Wang, I-Hsin Tseng, Yi-Wei Feng, Tai-Yue Chang, Chien-Tien Su, Shwu-Huey Yang
BACKGROUND: Metabolic syndrome (MetS) has been established as a risk for cardiovascular diseases and mortality in hemodialysis patients. Energy intake (EI) is an important nutritional therapy for preventing MetS. We examined the association of self-reported dietary EI with metabolic abnormalities and MetS among hemodialysis patients. METHODS: A cross-sectional study design was carried out from September 2013 to April 2017 in seven hemodialysis centers. Data were collected from 228 hemodialysis patients with acceptable EI report, 20 years old and above, underwent three hemodialysis sessions a week for at least past 3 months...
September 19, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/30184172/the-association-of-interdialytic-blood-pressure-variability-with-cardiovascular-events-and-all-cause-mortality-in-haemodialysis-patients
#12
Pantelis A Sarafidis, Charalampos Loutradis, Antonios Karpetas, Georgios Tzanis, Athanasios Bikos, Vasilios Raptis, Christos Syrgkanis, Vasilios Liakopoulos, Aikaterini Papagianni, George Bakris, Gianfranco Parati
Background: Long-term pre-dialysis blood pressure variability (BPV) in haemodialysis patients is associated with increased cardiovascular risk. The association of the main haemodynamic culprit in dialysis, that is, short-term BPV, with outcomes has not been investigated. We examine the prognostic role of short-term BPV for mortality and cardiovascular events in this population. Methods: A total of 227 haemodialysis patients underwent 44-h ambulatory monitoring during a standard interval and were followed-up for 30...
September 3, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/30178237/interdialytic-weight-gain-and-vasculopathy-in-children-on-hemodialysis-a-single-center-study
#13
Vasiliki Karava, Cherine Benzouid, Theresa Kwon, Marie-Alice Macher, Georges Deschênes, Julien Hogan
BACKGROUND: Increased interdialytic weight gain (IDWG) has been associated with poor outcomes in adults, but its impact on hemodialysis vasculopathy in children is unknown. METHODS: Nineteen patients (age 9 to 19 years old) with a median hemodialysis duration of 10.4 months were enrolled. Cardiovascular evaluation included left ventricular mass index (LVMI), pulse wave velocity (PWV), and carotid intima-media thickness (cIMT) measurements. PWV and cIMT were expressed as z-scores based on reference values in healthy children...
December 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/30152415/impact-of-pharmaceutical-care-on-clinical-outcomes-among-hemodialysis-patients-a-multicenter-randomized-controlled-study
#14
Uday Venkat Mateti, Anantha Naik Nagappa, Ravindra Prabhu Attur, Shankar Prasad Nagaraju, Dharshan Rangaswamy
The aim of this study is to assess the impact of pharmaceutical care on medication adherence, hemoglobin (Hb) levels, blood pressure (BP), and interdialytic weight gain (IDW) among hemodialysis (HD) patients. An open-label randomized controlled study has been conducted at three different hospitals of HD centers. The patients have been randomized into two groups [usual care group (UCG) and pharmaceutical care group (PCG)] by block design. The assessment has been carried out at baseline, 6th , and 12th months...
July 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/30109784/calcium-polystyrene-sulfonate-decreases-inter-dialytic-hyperkalemia-in-patients-undergoing-maintenance-hemodialysis-a-prospective-randomized-crossover-study
#15
Jing Wang, Meng-Meng Lv, Odeh Zach, Ling-Yu Wang, Meng-Ying Zhou, Gui-Rong Song, Xu Zhang, Hong-Li Lin
Hyperkalemia is a life-threatening emergency in maintenance hemodialysis (MHD) patients. This clinical trial investigated the efficacy and safety of calcium-polystyrene sulfonate (Ca-PS) in MHD patients with interdialytic hyperkalemia. A total of 58 hemodialysis patients with hyperkalemia (≥5.5 mol/L) were selected and administered either a 3-week Ca-PS (3 × 5 g/day) or a blank control following the model of a prospective, randomized, crossover clinical trial with a 1-week washout period. All patients were followed up for another 3 weeks for safety evaluations...
August 14, 2018: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/30029850/association-between-interdialytic-weight-gain-perception-about-dry-weight-and-dietary-and-fluid-behaviors-based-on-body-mass-index-among-patients-on-hemodialysis
#16
Yuki Tamaura, Masaaki Nishitani, Rie Akamatsu, Nobuyo Tsunoda, Fumiko Iwasawa, Keiko Fujiwara, Takuya Kinoshita, Masashi Sakai, Toru Sakai
OBJECTIVE: This study aimed to identify dietary and fluid behaviors associated with relative interdialytic weight gain (RIDWG) (divided by the respective dry weight [DW]) by stratifying the patients according to body mass index (BMI). DESIGN AND METHODS: This was a cross-sectional, multicenter investigation. Between July 2016 and March 2017, data were collected from 4 Japanese dialysis centers in 3 cities. The patients (n = 577) were asked to reply to a self-completed questionnaire, including questions on perception about DW and dietary and fluid behaviors...
July 17, 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29997771/resilience-and-therapeutic-regimen-compliance-in-patients-undergoing-hemodialysis-in-hospitals-of-hamedan-iran
#17
Nesa Noghan, Arash Akaberi, Sepideh Pournamdarian, Elham Borujerdi, Sima Sadat Hejazi
Background: The relationship between resilience, one of the important issues in mental health, and therapeutic regimen compliance, the key in the successful management of chronic disease such as chronic kidney disease, is unclear. Objective: The aim of this study was to determine the relationship between resilience and therapeutic regimen compliance in ESRD patients, undergoing hemodialysis. Methods: In this cross-sectional study, 107 hemodialysis patients referred to Besat and Shahid Beheshti Hospitals of Hamedan, Iran were selected through systematic sampling method from January to April 2013...
May 2018: Electronic Physician
https://www.readbyqxmd.com/read/29954331/once-weekly-hemodialysis-combined-with-low-protein-and-low-salt-dietary-treatment-as-a-favorable-therapeutic-modality-for-selected-patients-with-end-stage-renal-failure-a-prospective-observational-study-in-japanese-patients
#18
Toshiyuki Nakao, Yoshie Kanazawa, Toshimasa Takahashi
BACKGROUND: For patients with end-stage renal failure (ESFR), thrice-weekly hemodialysis is a standard care. Once-weekly hemodialysis combined with low-protein and low-salt dietary treatment (OWHD-DT) have been rarely studied. Therefore, here, we describe our experience on OWHD-DT, and assess its long-term effectiveness. METHODS: We instituted OWHD-DT therapy in 112 highly motivated patients with creatinine clearance below 5.0 mL/min. They received once-weekly hemodialysis on a diet of 0...
June 28, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29876972/dry-weight-targeting-the-art-and-science-of-conventional-hemodialysis
#19
Yasushi Ohashi, Ken Sakai, Hiroki Hase, Nobuhiko Joki
Fluid volume overload is common and is associated with adverse outcomes in hemodialysis patients. Practicing physicians individually manage fluid volume balance in their dialysis patients according to blood pressure, interdialytic weight gain, cardiac function, nutritional status, and other comorbidities. However, accurate assessment of fluid volume status remains a concern. Indicators of dry weight target have been explored further with newer concepts and technologies. In general, total body water comprises approximately 50%-60% of adult body weight (range, 45%-75%), and water comprises 73...
June 6, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29870977/association-of-intradialytic-hypertension-with-left-ventricular-mass-in-hypertensive-hemodialysis-patients-enrolled-in-the-blood-pressure-in-dialysis-bid-study
#20
Amith Roy Shamir, Ameet Karembelkar, Jonathan Yabes, Yi Yao, Dana Miskulin, Jennifer Gassman, David Ploth, Lavinia Negrea, Susan Paine, Mahboob Rahman, Raymond Y Kwong, Philip Zager, Manisha Jhamb
BACKGROUND/AIMS: Intradialytic hypertension (IDH), or paradoxical rise in blood pressure (BP) during hemodialysis (HD) is associated with increased morbidity and mortality. The association between IDH and increased left ventricular mass (LVM), a well-known risk factor for adverse cardiovascular outcomes in HD patients, has not been studied. The aim of our study is to evaluate the cross-sectional association of intradialytic change in BP with cardiac structure and function measured by cardiac MRI in hypertensive HD patients enrolled in the multi-center Blood Pressure in Dialysis (BID) clinical trial...
2018: Kidney & Blood Pressure Research
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