Blood Pressure of Maintenance Hemodialysis Patients in the Dalmatian Region of Croatia: Differences between Hospital and Out-of-Hospital Dialysis Centers
Autor: | Dragan Klarić, Josipa Radić, Mario Ilić, Milenka Šain, Vedran Kovačić, Marijana Gulin |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Croatia medicine.medical_treatment 030232 urology & nephrology Blood Pressure 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Renal Dialysis Internal medicine medicine Humans In patient Dialysis Antihypertensive Agents Aged Out of hospital Aged 80 and over Arterial hypertension · Blood pressure · Antihypertensives · Hemodialysis business.industry Incidence (epidemiology) Hematology General Medicine Maintenance hemodialysis Middle Aged Surgery Hospitalization Blood pressure Cross-Sectional Studies Nephrology Hypertension Female Kidney Diseases Hemodialysis Health Facilities medicine.symptom business Weight gain |
Popis: | Aims: This study was aimed at comparing the incidence of arterial hypertension and blood pressure (BP) variance in hospital and out-of-hospital hemodialysis (HD) patients during HD sessions. Methods: A cross-sectional study was conducted for 1 week at all the HD centers in Dalmatia, Croatia. The pre-, intra-, and post-dialysis BP values were collected for 3 consecutive HD sessions per patient. Results: Of the 399 subjects, 73.9% were hypertensives, who showed higher interdialytic weight gain compared to the normotensives (2.58 vs. 2.40). Hospital and out-of-hospital HD patients received identical antihypertensive therapies, except that beta blockers were more frequently administered to out-of-hospital HD patients. Higher pre-, intra-, and post-dialysis BP values were recorded in patients at out-of-hospital HD centers. Conclusion: The differences in BP variability and antihypertensive therapies administered to hospital HD patients as compared to out-of-hospital HD patients may reflect differing approaches by the nephrologists at these centers. |
Databáze: | OpenAIRE |
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