The Impact of Hemodialysis Frequency and Duration on Blood Pressure Management and Quality of Life in End-Stage Renal Disease Patients

Shafiee, Mohammad A.; Chamanian, Pouyan; Shaker, Pouyan; Shahideh, Yasmin; Broumand, Behrooz

doi:10.3390/healthcare5030052

Cited by 18 publications

(19 citation statements)

References 26 publications

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“…Longer duration and / or more frequent hemodialysis sessions per week can reduce adverse effects on the myocardium because of a shorter interdialysis period thus reduced fluid accumulation. This can lead to normal extracellular fluid volume, so that blood pressure can be more normotensive 37 .…”

Section: Discussionmentioning

confidence: 99%

Pharmacist counseling is an important factor in lowering blood pressure of hemodialysis patients with hypertension

Resmiati

Sauriasari²,

Supardi

2020

Pharm Sci Asia

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Hypertension is major comorbidity yet difficult to manage in hemodialysis patients. Pharmacist's role to improve the clinical outcome of hypertensive hemodialysis patients needs to be evaluated. The study objective was to evaluate the effect of pharmacist counseling in lowering systolic and diastolic blood pressure in hypertensive hemodialysis patients in hemodialysis unit of Fatmawati Hospital Jakarta in 2018, by controlling some confounders. The study used a quasi-experimental design with pretest-posttest, conducting on age, gender, education, smoking habit, and payment method-matched intervention and control groups. The research sample was taken by consecutive sampling method for 30 patients in the intervention group and 28 patients in the control group. Pharmacist counseling was carried out only in the intervention group. The parameter used were predialysis, intradialysis, and postdialysis systolic and diastolic blood pressure. The results showed that there were significant differences in pretest and posttest (p < 0.05) for predialysis systolic and diastolic blood pressure in the counseling group. In multivariate analysis with backward method, pharmacist counseling was found to be the most determinant factor in reducing predialysis systolic blood pressure (p < 0.05) controlled by education level. It also significantly reduced predialysis diastolic blood pressure controlled by gender, intradialysis systolic blood pressure, and intradialysis diastolic blood pressure controlled by age. In conclusion, pharmacist counseling counseling was the most determinant factor in lowering pre-and intradialysis blood pressure in the hypertensive hemodialysis patient.

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Section: Discussionmentioning

confidence: 99%

Pharmacist counseling is an important factor in lowering blood pressure of hemodialysis patients with hypertension

Resmiati

Sauriasari²,

Supardi

2020

Pharm Sci Asia

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“…A lower fluctuation of volume gain and loss caused less renin-angiotensin-aldosterone system activation and catecholamine release [ 20 ]. Benefits of extended hemodialysis with lengthier and more frequent sessions were suggested to reduce myocardial stress [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Dialysis-specific factors and incident atrial fibrillation in hemodialysis patients

et al. 2020

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Background: Atrial fibrillation (AF) is common in end-stage renal disease patients. Besides the traditional risk factors, we aimed to find dialysis-specific factors for developing incident AF. Methods: From March 2017 to August 2018, we retrospectively reviewed all outpatient-based prevalent hemodialysis patients in our artificial kidney room, and they were followed up until August 2019. Dialysate calcium concentration (3 versus 2.5 mEq/L), time length (4 versus 3.5 h), frequency (thrice weekly versus twice weekly), dialyzer size (effective surface area of 1.4 m 2 versus 1.8 m 2), membrane permeability (high flux versus low flux), ultrafiltration rate (mL/kg/hour), and blood flow rate (mL/min) were evaluated. Results: Among a total of 84 patients, 15 (17.9%) had newly detected AF with a follow-up period of 21 (13.3-24) months. By performing multivariate Cox regression analysis, blood flow rate (mL/min) and ultrafiltration rate (mL/kg/h) were considered significant factors for developing incident AF (adjusted hazard ratio [HR], 0.977; p ¼ 0.011 and adjusted HR, 1.176; p ¼ 0.013, respectively), while dialysis bath, time length, and frequency, dialyzer size, and membrane type were not considered significant factors. Ultrafiltration cutoff rate of 8.6 mL/kg/h was the best predictive factor for incident AF (area under the curve-receiver operating characteristic [AUC-ROC], 0.746; p < 0.005), while blood flow rate was not considered a significant factor for incident AF in ROC analysis (AUC-ROC, 0.623; p ¼ 0.126). Ultrafiltration rate was largely dependent on interdialytic weight gain (p < 0.005, linear-by-linear association). Conclusion: Higher ultrafiltration rate was associated with incident AF in hemodialysis patients.

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“…The hemodialysis is a process of performing dialysis with dialyser chamber and the ultrafiltration is done in dialyser chamber by taking blood outside the body and electrolyte exchange is also performed [14]. AV fistula surgery and AV graft is done for long term dialysis [21]. The peritoneal dialysis is the process of doing medication in the peritoneal cavity [28].…”

Section: Existing Solutionmentioning

confidence: 99%

Design and Development of the Novel Technology for the Treatment of Patients with the Acute and Chronic Renal Failure

2019

IJITEE

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Kidney failure is a condition where the function of kidney gets disabled. In order to sustain in life, dialysis is predominantly adopted. The dialysis is a technical replacement of function of kidney and it is of two types. In considering the long term blood filtering process, the hemodialysis will be an efficient device in replacing the renal functioning but it was currently performed in the stationary mode. In order to fulfill the life supporting requirement, the “Miniaturized portable hemodialysis” device has been introduced which will be portable than the conventional ones. In order to enhance their features, the chambered dialysate technology and the specialized filtering mechanism has been fabricated to this project device. In the process of rectifying the technical errors, sensor indications are implemented for safety measures. In focusing towards the portable mechanism, the battery backup has been applied in this device which can perform patient dialysis in transferable mode.

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The Impact of Hemodialysis Frequency and Duration on Blood Pressure Management and Quality of Life in End-Stage Renal Disease Patients

Cited by 18 publications

References 26 publications

Pharmacist counseling is an important factor in lowering blood pressure of hemodialysis patients with hypertension

Pharmacist counseling is an important factor in lowering blood pressure of hemodialysis patients with hypertension

Dialysis-specific factors and incident atrial fibrillation in hemodialysis patients

Design and Development of the Novel Technology for the Treatment of Patients with the Acute and Chronic Renal Failure

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