Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference

Flythe, Jennifer E.; Chang, Tara I.; Gallagher, Martin; Lindley, Elizabeth; Madero, Magdalena; Sarafidis, Pantelis; Unruh, Mark; Wang, Angela Yee-Moon; Weiner, Daniel E.; Cheung, Michael; Jadoul, Michel; Winkelmayer, Wolfgang C.; Polkinghorne, Kevan R; Adragão, Teresa; Anumudu, Samaya; Chan, Christopher T.; Cheung, Alfred K.; Costanzo, María Rosa; Dasgupta, Indranil; Davenport, Andrew; Davies, Simon; Dekker, Marijke; Dember, Laura M.; Gallego, Daniel; Gómez, Rafael; Hawley, Carmel M.; Hecking, Manfred; Iseki, Kunitoshi; Jha, Vivekanand; Kooman, Jeroen P.; Kövesdy, Csaba P.; Lacson, Eduardo; Liew, Adrian; Lok, Charmaine E.; McIntyre, Christopher W.; Mehrotra, Rajnish; Miskulin, Dana C.; Movilli, Ezio; Paglialonga, Fabio; Pécoits-Filho, Roberto; Perl, Jeff; Pollock, Carol; Riella, Miguel C.; Rossignol, Patrick; Shroff, Rukshana; Solá, Laura; Søndergaard, Henning; Tang, Sydney C.W.; Tong, Allison; Tsukamoto, Yusuke; Watnick, Suzanne; Weir, Matthew R.; Wetmore, James B.; Wilkie, Caroline; Wilkie, Martin

doi:10.1016/j.kint.2020.01.046

Cited by 175 publications

(186 citation statements)

References 175 publications

Supporting

Mentioning

182

Contrasting

Unclassified

Order By: Relevance

“…However, strong evidence for selection of [Na + ] D is lacking and there was no consensus in the recent KDOQI guideline. 1 Most studies have focused on osmotically active sodium. However, this concept of sodium homeostasis has been challenged after a long-term sodium balance study in humans in a protracted space flight simulation.…”

mentioning

confidence: 99%

Influence of Dialysate Sodium Prescription on Skin and Muscle Sodium Concentration

Lemoine

Salerno

Akbari

et al. 2021

American Journal of Kidney Diseases

Self Cite

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Influence of Dialysate Sodium Prescription on Skin and Muscle Sodium Concentration

Lemoine

Salerno

Akbari

et al. 2021

American Journal of Kidney Diseases

Self Cite

View full text Add to dashboard Cite

show abstract

“…On the other hand, Abdominal aorta is a susceptible site for atherosclerosis and calci cation, so the presence of AAC is related to the occurrence of CV disease and death in patients [32][33][34] . Therefore, both the 2009 Kidney Disease: Improving Global Outcomes (KDIGO) guideline and the 2017 KDIGO guideline update suggested that in patients with CKD G3a-G5D, a lateral abdominal X-ray can be used to assess the presence of vascular calci cation by estimating the calci cation of abdominal aorta [35] .…”

Section: Discussionmentioning

confidence: 99%

Abdominal Aortic Calcification is an Independent Predictor of Left Ventricular Mass Deterioration in Maintenance Hemodialysis Patients

Zhang

Guo

Han

et al. 2021

Preprint

View full text Add to dashboard Cite

Left ventricular mass (LVM) is related to poor outcomes of HD patients. Possible contributions of vascular calcification to LVM changes over time have not been well established. This is a prospective cohort study. At baseline, left lateral lumbar spine radiograph was conducted. The echocardiogram was performed respectively at baseline and 2 years later. The dialysis records were documented in the first week of the first month for each quarter during the two years. Fasting blood samples were collected. The averages were calculated. After the second echocardiogram, patients were followed up for another five years. One hundred and four patients were enrolled, with 57 males (54.8%) and an average age of 60.0 ± 11.1 years. Ninety-one patients had AAC (87.5%). The average level of LVMI changes 2 years later was 3.31 (− 1.51 ~ 8.18) g/m2.7, and 68 patients had increased LVMI. After another five years, 28 patients died (26.9%). Patients with worsening LVMI had significantly higher baseline AAC scores (8.0 (3.0 ~ 12.0) vs 4.0 (1.3 ~ 7.0), P = 0.022). The 5-year mortality rate was also higher (23/68 vs 5/31, P = 0.029). Multiple stepwise regression analysis demonstrated that baseline AAC was an independent predictor for increased LVMI (P = 0.005). For one point increase in AAC scores, LVMI increased by 0.27g/m2.7 2 years later. The independent correlated factors baseline AAC were age and hs-CRP. In conclusion, AAC is an independent predictor of LVMI deterioration over time in HD patients. Whether direct intervention for LVM can benefit MHD patients is controversial. Prevention and treatment of VC may be an important intervention target to improve LVM and prognosis.

show abstract

“…Tekanan darah pasien dialisis berdampak pada gejala pasien, kualitas hidup, dan komplikasi kardiovaskular [13]. Hipertensi intradialitik pada pasien hemodialisis rutin dikaitkan dengan peningkatan mortalitas .…”

Section: Pendahuluanunclassified

Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions

Armiyati

Hadisaputro

Chasani³

et al. 2021

mki

View full text Add to dashboard Cite

Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.

show abstract

Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference

Abstract: Research recommendations within each topic area are listed in order of priority, stratified by modality type.JE Flythe et al.: BP and volume control in dialysis: a KDIGO conference report

Cited by 175 publications

References 175 publications

Influence of Dialysate Sodium Prescription on Skin and Muscle Sodium Concentration

Influence of Dialysate Sodium Prescription on Skin and Muscle Sodium Concentration

Abdominal Aortic Calcification is an Independent Predictor of Left Ventricular Mass Deterioration in Maintenance Hemodialysis Patients

Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions

Contact Info

Product

Resources

About