Predialysis serum phosphate and intradialytic hypotension

Autor: Finnian R. Mc Causland, João Sérgio Neves, Patrick B. Reeves, Sushrut S. Waikar, Simon Correa, Katherine Scovner Ravi, Suraj Sarvode Mothi
Rok vydání: 2021
Předmět:
Zdroj: Hemodialysis international. International Symposium on Home HemodialysisREFERENCES. 26(1)
ISSN: 1542-4758
Popis: INTRODUCTION Intradialytic hypotension (IDH) is a common complication of hemodialysis (HD) and is associated with excess morbidity and mortality. Higher serum phosphate is associated with adverse cardiovascular outcomes in maintenance HD patients; however, its association with IDH has not previously been assessed. METHODS This is an analysis of a prospective cohort of 969 HD patients (80,968 HD sessions) receiving HD at a large dialysis organization (LDO) and a post-hoc analysis of 1838 HD patients (10,594 HD sessions) in the Hemodialysis study (HEMO), a multicenter randomized controlled trial that examined standard or high-dose HD and low-flux or high-flux membranes. Unadjusted and adjusted mixed effects regression models were fit to determine the association of pre-HD serum phosphate with IDH, defined as a nadir intra-HD systolic blood pressure (SBP)
Databáze: OpenAIRE