Frequency of intradialytic hypotensive episodes: old problem, new insights
| Autor: | Eva Xavier, Paulo Teles, Clemente Neves Sousa, Augusto Coelho, Ana Rocha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment symbols.namesake Renal Dialysis Risk Factors Internal medicine Diabetes mellitus Internal Medicine medicine Prevalence Humans Poisson regression Risk factor Dialysis Aged Retrospective Studies Aged 80 and over business.industry Body Weight Retrospective cohort study Phosphorus Middle Aged medicine.disease Confidence interval Surgery Cross-Sectional Studies Diabetes Mellitus Type 2 Hypertension symbols Female Hemodialysis Hypotension Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) |
| Popis: | Symptomatic intradialytic hypotension (IDH) continues to be an important complication of hemodialysis treatment. There is some evidence that besides an IDH episode, repeated episodes could represent an even more important independent risk factor for mortality in hemodialysis patients. A retrospective cross-sectional study was performed to study 18 dialysis treatments in 43 patients during 6 weeks. Relationships of IDH episodes with baseline variables were examined using a Poisson regression model (generalized linear model). IDH was frequent (93% of patients) and highly variable by patient (0%-100%). Multivariate analysis showed that patients who experienced frequent hypotensive episodes had a lower dry weight (90% confidence interval [CI]: 0.95-0.99), higher phosphorus levels (90% CI: 1.07-1.47), greater prevalence of diabetes mellitus (90% CI: 1.11-2.71), and hypertension (90% CI: 1.04-2.45). Dry weight, hypertension, and phosphorus levels are modifiable risk factors to possibly reduce the rate of IDH episodes. The potential protective role of phosphorus warrants further investigation. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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