Evaluation of pulmonary function in renal transplant recipients and chronic renal failure patients undergoing maintenance hemodialysis

Abdalla, Mohamed E.; Abdelgawad, Mohamed; Alnahal, Alsayed

doi:10.1016/j.ejcdt.2013.04.012

Cited by 10 publications

(8 citation statements)

References 25 publications

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“…Among these, respiratory system disorders are one of the most prevalent complications in ESRD patients [ 2 ]. A variety of pulmonary abnormalities, including pulmonary edema, pleural effusion, acute respiratory distress syndrome, pulmonary fibrosis and calcification, pulmonary hypertension, hemosiderosis, pleural fibrosis, and sleep apnea syndrome, have been documented in these patient cohorts [ 3 – 5 ]. Impaired pulmonary function may be the direct result of circulating uremic toxins or may indirectly result from fluid overload, anemia, immune suppression, extraosseous calcification, malnutrition, electrolyte disorders, and/or acid-base imbalances, which are common issues in ESRD patients [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Relatively few studies have investigated the alterations of pulmonary function in ESRD patients undergoing hemodialysis treatment, and conflicting results have been reported. Also, the effects of hemodialysis are not well understood [ 5 ]. Therefore, we designed this study to investigate the acute effects of hemodialysis treatment on spirometry parameters.…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary Function in Patients with End-Stage Renal Disease: Effects of Hemodialysis and Fluid Overload

et al. 2016

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BackgroundRespiratory system disorders are one of the most prevalent complications in end-stage renal disease patients on hemodialysis. However, the pathogenesis of impaired pulmonary functions has not been completely elucidated in these patients. We designed a study to investigate acute effects of hemodialysis treatment on spirometry parameters, focusing on the relationship between pulmonary function and fluid status in hemodialysis patients.Material/MethodsWe enrolled 54 hemodialysis patients in this study. Multifrequency bioimpedance analysis (BIA) was used to assess fluid status before and 30 min after the midweek of hemodialysis (HD). Overhydration (OH)/extracellular water (ECW)% ratio was used as an indicator of fluid status. Fluid overload was defined as OH/ECW ≥7%. Spirometry was performed before and after hemodialysis.ResultsForced vital capacity (FVC), FVC%, and forced expiratory volume in the first second (FEV1) levels were significantly increased after hemodialysis. FVC, FVC%, FEV1, FEV1%, mean forced expiratory flow between 25% and 75% of the FVC (FEF25–75), FEF25–75%, peak expiratory flow rate (PEFR), and PEFR% were significantly lower in patients with fluid overload than in those without. OH/ECW ratio was negatively correlated with FVC, FVC%, FEV1, FEV1%, FEF25–75, FEF25–75%, PEFR, and PEFR%. Stepwise multiple regression analysis revealed that male sex and increased ultrafiltration volume were independently associated with higher FVC, whereas increased age and OH/ECW ratio were independently associated with lower FVC.ConclusionsFluid overload is closely associated with restrictive and obstructive respiratory abnormalities in HD patients. In addition, hemodialysis has a beneficial effect on pulmonary function tests, which may be due to reduction of volume overload.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pulmonary Function in Patients with End-Stage Renal Disease: Effects of Hemodialysis and Fluid Overload

et al. 2016

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“…Chronic renal failure may affect respiratory function. Pulmonary dysfunction may be the direct consequence of circulating uremic toxins or may result indirectly from volume overload, anemia, immune suppression, extra osseous calcification, malnutrition, electrolyte disorders, and/or acid-base imbalances 8 .…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Does Inspiratory Muscle Trainer Have an Effect on Diaphragmatic Excursion in Hemodialytic Patients?

Nahas¹,

Abdeen²,

Moneem³

2017

IJAR

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Background: Hemodialysis patients suffer from severe muscular weakness and one of the most important muscle is the diaphragmmain muscle of respiration -that was experienced by dyspnea and decreased functional capacity due to a unique form of protein and energy malnutrition .Purpose: to determine the response of diaphragmatic excursion to inspiratory muscle trainer prior hemodialysis session. Methods: Thirty patients of both sexes (10 men and 20 women) were included in this study with mean age(± SD) was 35.47 (± 6.51). They were chosen from El Sahel Teaching Hospital, Nephrology department, dialysis unit, and undergoing dialysis from at least 2-3 years.Ultrasonography (U.S) was used to assess diaphragmatic excursion (D.E) during deep breathing maneuver before and at the end of the training program. All patients received the inspiratory muscle training for 12 weeks, 3 times/week. Results: The results of this study showed statistical significant difference between pre and post-training in diaphragmatic excursion (p ˂0.001) with a percentage of improvement 65.74%. The percentage of improvement in men was 65.29% corresponds that in women was 66.08% compared to the predata status. Conclusion: Inspiratory muscle training by inspiratory muscle trainer device for 12 weeks in hemodialysis patients had significantly improved the diaphragmatic excursion (DE) that ensures the improvement in their mechanics of breathing and sense of dyspnea.

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“…Estudos tem demons-trado que a DRC está associada a várias doenças respiratórias, tais como: edema pulmonar, derrame pleural, fibrose, calcificação do parênquima pulmonar e síndrome da apnéia do sono. Além disso, a HD também pode impactar negativamente na força muscular respiratória e função pulmonar do indivíduo (5,6) .…”

Section: Introductionunclassified

Avaliação da força muscular respiratória e função pulmonar de pacientes com doença renal crônica submetidos í hemodiálise

Campos¹,

Leite²,

Silva³

et al. 2021

SaudColetiv (Barueri)

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Objetivo: Avaliar a força muscular respiratória (FMR) e a função pulmonar (FP) de pacientes com doença renal crônica (DRC) submetidos à hemodiálise (HD). Métodos: Estudo transversal com 41 participantes. Foram verificadas as pressões inspiratória e expiratória máxima (PImáx; PEmáx), capacidade Vital Forçada (CVF) e volume expiratório forçado no primeiro segundo (VEF1). Resultados: Não há diferença significante entre homens e mulheres em relação ao percentual do previsto alcançado para PImáx, porém há em relação a PEmáx (p=0,082; p=0,003). Quanto a FP constatou-se que há diferença significativa entre homens e mulheres, para ambas as variáveis CVF e VEF1 (p=0,034 e p=0,024). Conclusão: Em relação à FMR, os pacientes com doença renal crônica em hemodiálise possuem fraqueza muscular respiratória, e quando comparados por gênero, os homens apresentaram força muscular inspiratória reduzida em relação ao previsto. Quanto a FP, as mulheres possuem valores abaixo dos padrões de normalidade comparada aos homens.

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Evaluation of pulmonary function in renal transplant recipients and chronic renal failure patients undergoing maintenance hemodialysis

Cited by 10 publications

References 25 publications

Pulmonary Function in Patients with End-Stage Renal Disease: Effects of Hemodialysis and Fluid Overload

Pulmonary Function in Patients with End-Stage Renal Disease: Effects of Hemodialysis and Fluid Overload

Does Inspiratory Muscle Trainer Have an Effect on Diaphragmatic Excursion in Hemodialytic Patients?

Avaliação da força muscular respiratória e função pulmonar de pacientes com doença renal crônica submetidos í hemodiálise

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