Effect of a plasma sodium biofeedback system applied to HFR on the intradialytic cardiovascular stability. Results from a randomized controlled study
| Autor: | Francesco Locatelli, Luigi Coli, Filippo Aucella, Peter Ahrenholz, Francesco Quarello, Paola Mesiano, Sibilla Sagripanti, Joan Fort, Thierry Petitclerc, Carmine Stallone, Roland E. Winkler, Antonio Gesuete, Lise Mandart, Sergio Stefoni, Andrea Serra, Carlo Navino, Simeone Andrulli, Antonio Scarlatella, Giovanni M. Frascà, Christian Tielemans, Christine Fumeron, Silvana Savoldi, Salvatore Di Filippo |
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| Přispěvatelé: | Locatelli F, Stefoni S, Petitclerc T, Colì L, Di Filippo S, Andrulli S, Fumeron C, Frascà GM, Sagripanti S, Savoldi S, Serra A, Stallone C, Aucella F, Gesuete A, Scarlatella A, Quarello F, Mesiano P, Ahrenholz P, Winkler R, Mandart L, Fort J, Tielemans C, Navino C., Internal Medicine Specializations |
| Rok vydání: | 2012 |
| Předmět: |
Male
biofeedback sodium online measure medicine.medical_specialty Time Factors SODIUM ONLINE medicine.medical_treatment Blood Pressure Hemodiafiltration law.invention Randomized controlled trial INTRADIALYTIC HYPOTENSION law Hfr cell Hemofiltration medicine Clinical endpoint Humans Prospective Studies Plasma Volume Prospective cohort study Dialysis Aged Aged 80 and over Transplantation Cross-Over Studies Néphrologie - urologie business.industry Sodium Hemodynamics intradialytic hypotension Biofeedback Psychology Middle Aged biochemical phenomena metabolism and nutrition equipment and supplies Transplantation d'organes Crossover study Surgery carbohydrates (lipids) Blood pressure BIOFEEDBACK Nephrology Anesthesia Kidney Failure Chronic bacteria Female Hypotension business |
| Zdroj: | Nephrology, dialysis, transplantation, 27 (10 |
| ISSN: | 1460-2385 0931-0509 |
| Popis: | BackgroundIntradialytic hypotension (IDH) is still a major clinical problem for haemodialysis (HD) patients. Haemodiafiltration (HDF) has been shown to be able to reduce the incidence of IDH.MethodsFifty patients were enrolled in a prospective, randomized, crossover international study focussed on a variant of traditional HDF, haemofiltration with endogenous reinfusion (HFR). After a 1-month run-in period on HFR, the patients were randomized to two treatments of 2 months duration: HFR (Period A) or HFR-Aequilibrium (Period B), followed by a 1-month HFR wash-out period and then switched to the other treatment. HFR-Aequilibrium (HFR-Aeq) is an evolution of the haemofiltration with endogenous reinfusion (HFR) dialysis therapy, with dialysate sodium concentration and ultrafiltration rate profiles elaborated by an automated procedure. The primary end point was the frequency of IDH.ResultsSymptomatic hypotension episodes were significantly lower on HFR-Aeq versus HFR (23 ± 3 versus 31 ± 4 of sessions, respectively, P l l0.03), as was the per cent of clinical interventions (17 ± 3 of sessions with almost one intervention on HFR-Aeq versus 22 ± 2 on HFR, P SCOPUS: ar.j info:eu-repo/semantics/published |
| Databáze: | OpenAIRE |
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