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Frequency of intradialytic hypotensive episodes: old problem, new insights
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Orientador(es)
Resumo(s)
Symptomatic intradialytic hypotension (IDH) continues to be an important complication of hemodialysis treatment. There is some evidence that besides an IDH episode, repeated episodes could represent an even more important independent risk factor for mortality in hemodialysis patients. A retrospective cross-sectional study was performed to study 18 dialysis treatments in 43 patients during 6 weeks. Relationships of IDH episodes with baseline variables were examined using a Poisson regression model (generalized linear model). IDH was frequent (93% of patients) and highly variable by patient (0%-100%). Multivariate analysis showed that patients who experienced frequent hypotensive episodes had a lower dry weight (90% confidence interval [CI]: 0.95-0.99), higher phosphorus levels (90% CI: 1.07-1.47), greater prevalence of diabetes mellitus (90% CI: 1.11-2.71), and hypertension (90% CI: 1.04-2.45). Dry weight, hypertension, and phosphorus levels are modifiable risk factors to possibly reduce the rate of IDH episodes. The potential protective role of phosphorus warrants further investigation.
Descrição
Palavras-chave
Aged Aged, 80 and over Cross-Sectional Studies Diabetes Mellitus, Type 2 Female Humans Hypertension Hypotension Male Middle Aged Phosphorus Prevalence Renal Dialysis Retrospective Studies Risk Factors Body Weight
Contexto Educativo
Citação
Journal of the American Society of Hypertension 9(10) (2015) 763-768
Editora
Elsevier