Factors Associated With Withdrawal From Dialysis Therapy in Incident Hemodialysis Patients Aged 80 Years or Older

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.

Download Full-text

35: Factors Associated with Sudden Cardiac Death in Chronic Hemodialysis Patients

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2008.02.040 ◽

2008 ◽

Vol 51 (4) ◽

pp. B36

Author(s):

Eliah Munyikwa ◽

Anthony Poindexter ◽

Kenneth Santiago ◽

Jane Garb ◽

Gregory Braden

Keyword(s):

Sudden Cardiac Death ◽

Cardiac Death ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Factors Associated

Download Full-text

Clinical and Echocardiographic Factors Associated with Right Ventricular Systolic Dysfunction in Hemodialysis Patients

Cardiorenal Medicine ◽

10.1159/000444129 ◽

2016 ◽

Vol 6 (3) ◽

pp. 230-236

Author(s):

Juan Manuel López-Quijano ◽

Antonio Gordillo-Moscoso ◽

Jesús Antonio Viana-Rojas ◽

Jorge Carrillo-Calvillo ◽

Peter B. Mandeville ◽

...

Keyword(s):

Right Ventricular ◽

End Stage Renal Disease ◽

Systolic Dysfunction ◽

Hemodialysis Patients ◽

Left Ventricular ◽

Ventricular Systolic Dysfunction ◽

Factors Associated ◽

Relaxation Velocity ◽

Stage Renal Disease ◽

End Stage

Background: Chronic kidney disease is a disorder of epidemic proportions that impairs cardiac function. Cardiovascular diseases are the leading cause of death in hemodialysis patients, and the understanding of new nontraditional predictors of mortality could improve their outcomes. Right ventricular systolic dysfunction (RVSD) has recently been recognized as a predictor of cardiovascular death in heart failure and hemodialysis patients. However, the factors contributing to RVSD in hemodialysis patients remain unknown. The aim of this study was to evaluate the clinical and echocardiographic factors associated with RVSD in hemodialysis patients. Methods: A cross-sectional study was conducted in which 100 outpatients with end-stage renal disease on chronic hemodialysis were evaluated. A transthoracic echocardiographic examination was performed at optimal dry weight. Right ventricular systolic function was evaluated using tricuspid annular plane systolic excursion (TAPSE). Clinical and echocardiographic data were recorded for each patient. A multivariate linear logistic regression was created using RVSD (TAPSE <14 mm) as the dependent variable. Results: Fifteen patients with RVSD and 85 patients without RVSD were analyzed. TAPSE had a positive correlation with left ventricular ejection fraction (LVEF) and myocardial relaxation velocity. Independent contributors to RVSD were LVEF (OR 1.14, 95% CI 1.05-1.26), left ventricular mass index (OR 1.02, 95% CI 1.00-1.04), and myocardial relaxation velocity (OR 1.81, 95% CI 1.18-3.19). Conclusions: Echocardiographic factors were significant contributors to RVSD. These measurements could be included as part of the routine workup in all end-stage renal disease patients on hemodialysis.

Download Full-text

Risk Factors Associated with Permanent Access-Site Infections in Chronic Hemodialysis Patients

Infection Control and Hospital Epidemiology ◽

10.1086/647530 ◽

1997 ◽

Vol 18 (11) ◽

pp. 757-761 ◽

Cited By ~ 12

Author(s):

Robert A. Bonomo ◽

Dora Rice ◽

Christopher Whalen ◽

David Linn ◽

Elizabeth Eckstein ◽

...

Keyword(s):

Risk Factors ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Access Site ◽

Factors Associated

Download Full-text

Phosphate clearance in peritoneal dialysis

Scientific Reports ◽

10.1038/s41598-020-74412-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Malgorzata Debowska ◽

Rafael Gomez ◽

Joyce Pinto ◽

Jacek Waniewski ◽

Bengt Lindholm

Keyword(s):

Peritoneal Dialysis ◽

Serum Level ◽

Phosphorus Removal ◽

Serum Levels ◽

Phosphate Removal ◽

Dialysis Therapy ◽

Lower Serum ◽

Factors Associated ◽

Lower Serum Level ◽

Phosphate Control

Abstract In renal failure, hyperphosphatemia is common and correlates with increased mortality making phosphate removal a key priority for dialysis therapy. We investigated phosphate clearance, removal and serum level, and factors associated with phosphate control in patients undergoing continuous ambulatory (CAPD), continuous cyclic (CCPD) and automated (APD) peritoneal dialysis (PD). In 154 prevalent PD patients (mean age 53.2 ± 17.6 year, 59% men, 47% anuric), 196 daily collections of urine and 368 collections of dialysate were evaluated in terms of renal, peritoneal and total (renal plus peritoneal) phosphorus removal (g/week), phosphate and creatinine clearances (L/week) and urea KT/V. Dialytic removal of phosphorus was lower in APD (1.34 ± 0.62 g/week) than in CAPD (1.89 ± 0.73 g/week) and CCPD (1.91 ± 0.63 g/week) patients; concomitantly, serum phosphorus was higher in APD than in CAPD (5.55 ± 1.61 vs. 4.84 ± 1.23 mg/dL; p < 0.05). Peritoneal and total phosphate clearances correlated with peritoneal (rho = 0.93) and total (rho = 0.85) creatinine clearances (p < 0.001) but less with peritoneal and total urea KT/V (rho = 0.60 and rho = 0.65, respectively, p < 0.001). Phosphate removal, clearance and serum levels differed between PD modalities. CAPD was associated with higher peritoneal removal and lower serum level of phosphate than APD.

Download Full-text

Interpersonal Psychosocial Factors Associated With Underreported Dietary Energy Intake in Hemodialysis Patients

Journal of Renal Nutrition ◽

10.1053/j.jrn.2012.01.021 ◽

2013 ◽

Vol 23 (1) ◽

pp. 37-44 ◽

Cited By ~ 2

Author(s):

Yoko Yokoyama ◽

Satoshi Sasaki ◽

Yoshimi Suzukamo ◽

Shin Yamazaki ◽

Misa Takegami ◽

...

Keyword(s):

Psychosocial Factors ◽

Energy Intake ◽

Hemodialysis Patients ◽

Dietary Energy ◽

Factors Associated ◽

Dietary Energy Intake

Download Full-text

The Relationship Between Hemodialysis Modality and Insulin Resistance in Non-Diabetic Hemodialysis Patients

Blood Purification ◽

10.1159/000368882 ◽

2015 ◽

Vol 39 (1-3) ◽

pp. 224-229 ◽

Cited By ~ 3

Author(s):

Sung Jin Moon ◽

Jung Eun Lee ◽

Jwa-Kyung Kim ◽

Soo Young Yoon ◽

Shin Wook Kang ◽

...

Keyword(s):

Insulin Resistance ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Multivariate Logistic Regression Analysis ◽

Hemodialysis Patients ◽

Model Assessment ◽

Multivariate Logistic Regression ◽

Factors Associated ◽

The Relationship

Background: Although various modalities of hemodialysis (HD) are presumed to have different effects on insulin resistance (IR), the relationship between hemodiafiltration (HDF) and IR has not been fully evaluated. Methods: In a cross-sectional study, 82 non-diabetic HD patients were enrolled. The patients were divided into two groups according to the median homeostasis model assessment index (HOMA-IR) value of 1.685. Clinical and biochemical data were compared, and multivariate logistic regression analysis was performed to identify the independent factors associated with higher HOMA-IR. Results: The higher HOMA-IR group had increased body mass index (BMI), decreased HDL cholesterol, and lower beta-2 microglobulin reduction rate (β2-MG RR) compared to the lower HOMA-IR group. HOMA-IR was significantly correlated with β2-MG RR. In addition, HDF patients had lower HOMA-IR levels compared with low flux hemodialysis patients. On multivariate logistic regression analysis, BMI and HDF treatment were independent factors associated with higher and lower HOMA-IR, respectively. Conclusion: This study suggests that HDF treatment may reduce IR in non-diabetic HD patients.

Download Full-text

Risk Factors Associated with Cardiovascular Morbidity and Mortality in Spanish Incident Hemodialysis Patients: Two-Year Results from the ANSWER Study

Blood Purification ◽

10.1159/000332395 ◽

2012 ◽

Vol 33 (1-3) ◽

pp. 21-29 ◽

Cited By ~ 11

Author(s):

Xavier Cuevas ◽

Fernando García ◽

Alejandro Martín-Malo ◽

Joan Fort ◽

Fina Lladós ◽

...

Keyword(s):

Risk Factors ◽

Hemodialysis Patients ◽

Cardiovascular Morbidity ◽

Morbidity And Mortality ◽

Factors Associated ◽

Cardiovascular Morbidity And Mortality

Download Full-text

Factors Affecting Hemodialysis Patients' Satisfaction with Their Dialysis Therapy

International Journal of Nephrology ◽

10.4061/2010/342901 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5 ◽

Cited By ~ 7

Author(s):

M. Al Eissa ◽

M. Al Sulaiman ◽

M. Jondeby ◽

A. Karkar ◽

M. Barahmein ◽

...

Keyword(s):

Social Life ◽

Demographic Data ◽

Standard Of Care ◽

Hemodialysis Patients ◽

Sexual Life ◽

Dialysis Therapy ◽

Factors Affecting ◽

Degree Of Satisfaction ◽

The Mean ◽

The Impact

Aim. To assess the degree of satisfaction among hemodialysis patients and the factors influencing this satisfaction.Methods. Patients were recruited from 3 Saudi dialysis centers. Demographic data was collected. Using 1 to 10 Likert scale, the patients were asked to rate theoverall satisfactionwith, andthe overall impactof, their dialysis therapy on their lives and to rate the effect of the dialysis therapy on 15 qualities of life domains.Results. 322 patients were recruited (72.6% of the total eligible patients). The mean age was 51.7 years (15.4); 58% have been on dialysis for 3 years. The mean Charlson Comorbidity Index was 3.2 (2), and Kt/V was 1.3 (0.44). The mean satisfaction score was (7.41 2.75) and the mean score of the impact of the dialysis on the patients' lives was 5.32 2.55. Male patients reported worse effect of dialysis on family life, social life, energy, and appetite. Longer period since the commencement of dialysis was associated with adverse effect on finances and energy. Lower level of education was associated with worse dialysis effect on stress, overall health, sexual life, hobbies, and exercise ability.Conclusion. The level of satisfaction is affected by gender, duration on dialysis, educational level, and standard of care given.

Download Full-text