Effects of Interdialytic Weight Gain on Lung Function Tests in Hemodialyzed Patients

B, Rajkovaca Z Jakovljevic

doi:10.4172/2161-0940.1000146

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…In patients with CKD, a progressive decline in pulmonary function correlates with declining in GFR and the impairment of spirometric function in patients with renal insufficiency is continual with reduction of GFR (15) .The progressive decline in kidney function assessed by GFR suggests some decline in pulmonary function associated with deteriorating kidney function that could explain the significant improvement in FEV1 levels after hemodialysis through improvement in small airways edema associated with CKD (16) .…”

Section: Discusionmentioning

confidence: 99%

Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease

Al-Mudheffer

Al-daraji²

2016

Kufa Jour. Nurs. Sci.

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Background: Chronic kidney disease (CKD) can adversely affect the respiratory systems functions and dynamics via different mechanisms resulting of toxic metabolites. Patients with CKD require hemodialysis for survival and prior studies have been showed a controversial effects of hemodialysis on respiratory function Objectives: The aim of the study was to investigate the acute impact of hemodialysis on spirometric parameters in patients with CKD undergoing maintenance hemodialysis. Methodology: One hundred patients (50% male, mean age 43.2 ± 15 years) with CKD who underwent regular hemodialysis at the hemodialysis center at Al-Sader Teaching Hospital between January and September 2015were enrolled in the study. Forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and the FEV1/FVC ratio (FEV1%) were performed for each patient who consented to participate in the study; before the hemodialysis session and within half hour after it. SPSS was used for the statistical analysis. Results: FEV1 and FVC were showed a statistically significant improvement in their values after hemodialysis(P<0.05) while FEV1% showed no significant changes and improvement after hemodialysis(P>0.05). FEV1 and FVC were showed a significant change and increment with increased of the frequency of hemodialysis sessions (P <0.05). Conclusion: There was a significant increase in spirometric parameters after hemodialysis for patients with CKD. Recommendations: A further studies with follow ups are required to confirm our findings and establish the chronic effect of hemodialysis on pulmonary function testAbbreviations: FEV1(Forced expiratory volume in the first second ),FVC( forced vital capacity),CKD(chronic kidney disease),Hb(hemoglobin),GFR(glomerular filtration rate).

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Section: Discusionmentioning

confidence: 99%

Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease

Al-Mudheffer

Al-daraji²

2016

Kufa Jour. Nurs. Sci.

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Lung-kidney interactions and their role in chronic kidney disease-associated pulmonary diseases

Bollenbecker

Czaya

Gutiérrez

et al. 2022

American Journal of Physiology-Lung Cellular and Molecular Phys

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Chronic illnesses rarely present in a vacuum, devoid of other complications, and chronic kidney disease is hardly an exception. Comorbidities associated with chronic kidney disease lead to faster disease progression, expedited dialysis dependency, and a higher mortality rate. Although chronic kidney disease is most commonly accompanied by cardiovascular diseases and diabetes, there is clear crosstalk between the lungs and kidneys pH balance, phosphate metabolism, and immune system regulation. Our present understanding of the exact underlying mechanisms that contribute to chronic kidney disease-related pulmonary disease are poorly understood. This review summarizes the current research on kidney-pulmonary interorgan crosstalk in the context of chronic kidney disease, highlighting various acute and chronic pulmonary diseases that lead to further complications in patient care. Treatment options for patients presenting with chronic kidney disease and lung disease are explored by assessing activated molecular pathways and the body's compensatory response mechanisms following homeostatic imbalance. Understanding the link between the lungs and kidneys will potentially improve health outcomes for patients and guide healthcare professionals to better understand how and when to treat each of the pulmonary comorbidities that can present with chronic kidney disease.

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Effects of Interdialytic Weight Gain on Lung Function Tests in Hemodialyzed Patients

Cited by 2 publications

References 13 publications

Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease

Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease

Lung-kidney interactions and their role in chronic kidney disease-associated pulmonary diseases

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