Time to recovery after a hemodialysis session: impact of selected variables

Background. Various biomarkers and assays have been used for assessment of (anti)oxidant status in hemodialysis patients, including those intended for measurement of serum total (anti)oxidants, most often as a part of panel biomarkers.Methods. Serum (anti)oxidant status was measured in 32 chronically hemodialyzed patients and in 47 healthy persons, using two oxidations and three antioxidant assays.Results. The patients before the hemodialysis session have had higher values of total oxidants in comparison to the healthy persons, with a further increase during the hemodialysis. These findings were confirmed with both oxidation assays, but they differ in the percentage of increase and the statistical significance. All three antioxidant assays showed significantly higher values of the total serum antioxidants in the patients before the hemodialysis session in comparison to the healthy persons, and their significant decrease during the hemodialysis. However, the assays differ in the percentage of decrease, its statistical significance, and the correlations with uric acid.Conclusion. The variability of results of total (anti)oxidants which are obtained using different assays should be taken into account when interpreting data from clinical studies of oxidative stress, especially in complex pathologies such as chronic hemodialysis.

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Changes in Inflammatory Markers during a Hemodialysis Session and Their Relation to Vascular Access Type

The Journal of Vascular Access ◽

10.5301/jva.5000080 ◽

2012 ◽

Vol 13 (4) ◽

pp. 446-451 ◽

Cited By ~ 1

Author(s):

Benaya Rozen-Zvi ◽

Arie Erman ◽

Asher Korzets ◽

Rachel S. Levy-Drummer ◽

Avry Chagnac ◽

...

Keyword(s):

Vascular Access ◽

Inflammatory Markers ◽

Hemodialysis Session

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Impact of hemodialysis session on handgrip strength

Brazilian Journal of Nephrology ◽

10.5935/0101-2800.20150072 ◽

2015 ◽

Vol 37 (4) ◽

Cited By ~ 8

Author(s):

Ana Paula Pinto ◽

Christiane Ishikawa Ramos ◽

Marion Schneider Meireles ◽

Maria Ayako Kamimura ◽

Lilian Cuppari

Keyword(s):

Handgrip Strength ◽

Hemodialysis Session

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RISK FACTORS ASSOCIATED WITH TEMPORARY CATHETER-RELATED INFECTION IN PATIENTS ON DIALYSIS TREATMENT

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072015000670014 ◽

2015 ◽

Vol 24 (3) ◽

pp. 680-685 ◽

Cited By ~ 2

Author(s):

Palmiane de Rezende Ramim Borges ◽

João Bedendo

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Renal Failure ◽

Dialysis Treatment ◽

Catheter Related Infection ◽

Hemodialysis Catheter ◽

Factors Associated ◽

Independent Variables ◽

Hemodialysis Session ◽

A Prospective Study

ABSTRACTThis study aims to identify risk factors associated with temporary hemodialysis catheter-related infection, in patients on dialysis treatment in a teaching hospital. This is a prospective study performed from November of 2012 to May of 2013, with 129 patients. Sociodemographic, clinical and biochemical data were collected from patient charts. In patients with a catheter,, 48.8% had catheter-related infection, 65% were male, 65% were 60 years of age or older, 85.3% had the catheter because they were diagnosed with acute renal failure, and 88% were hospitalized in an intensive care unit. There was a significant correlation between the independent variables and the outcome of infection. The risk factors associated with temporary hemodialysis catheter-related infection were: length of time of catheter use, the change of device, death, and complications during a hemodialysis session.

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Higher Serum Bisphenol A Levels in Diabetic Hemodialysis Patients

Blood Purification ◽

10.1159/000445203 ◽

2016 ◽

Vol 42 (1) ◽

pp. 77-82 ◽

Cited By ~ 5

Author(s):

Faruk Turgut ◽

Sana Sungur ◽

Ramazan Okur ◽

Mustafa Yaprak ◽

Muge Ozsan ◽

...

Keyword(s):

Bisphenol A ◽

High Performance ◽

Patient Characteristics ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Dialysis Session ◽

Laboratory Parameters ◽

Hemodialysis Session ◽

Before And After ◽

Patients With Diabetes

Background: Bisphenol A (BPA) has been implicated as an ‘endocrine disruptor'. We aimed at exploring the association between serum BPA levels and patient characteristics, particularly the presence of diabetes mellitus, and laboratory parameters in hemodialysis patients. Methods: This study included 47 chronic hemodialysis patients. Patient characteristics were recorded. Blood was drawn before and after hemodialysis session. Serum BPA levels were measured by the high-performance-liquid-chromatography and laboratory parameters were measured by using standard methods. Results: In hemodialysis patients, postdialysis serum BPA levels were significantly higher than predialysis after a single hemodialysis session (5.57 ± 1.2 vs. 4.06 ± 0.73, p < 0.0001). Predialysis serum BPA levels were significantly higher in patients with diabetes than non-diabetics (4.4 ± 0.6 vs. 3.9 ± 0.7, p = 0.025). No association was found between serum BPA levels and patient characteristics, and particularly laboratory parameters. Conclusion: Serum BPA levels were rising significantly after a single dialysis session. Diabetic hemodialysis patients had higher predialysis serum BPA levels.

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A STUDY OF THE EFFECTIVENESS OF A MUTUAL EXCHANGE SUPPORT PROGRAM FOR PARENTS OF CHILDREN WITH DEVELOPMENT DISORDERS

Psychological Applications and Trends 2021 ◽

10.36315/2021inpact088 ◽

2021 ◽

Author(s):

Yutaro Hirata ◽

◽

Yutaka Haramaki ◽

Yasuyo Takano ◽

◽

...

Keyword(s):

Developmental Disorders ◽

Rating Scale ◽

Mood States ◽

Mutual Exchange ◽

Session Impact ◽

Impact Scale ◽

D 63 ◽

Before And After ◽

Anxiety Depression ◽

The Relationship

"There is an urgent need to support families of children with developmental disorders, especially when it is necessary for such families to help each other. However, practice and research related to support systems for families have begun only recently in Japan. Considering these issues, the authors developed a program to support mutual exchanges among parents of children with developmental disorders. This study aimed to verify the program’s effectiveness and to examine the relationship between participants’ program experience and its effectiveness. Participants included 21 male and female parents of children with developmental disorders. The parents were in their 30s to 50s (4 in their 30s, 14 in their 40s, and 3 in their 50s) (1 male, 20 females). Effectiveness indicators included the Profile of Mood States 2nd Edition-Adult Short (POMS2-A Short) (before and after implementation), Session Impact Scale (SIS), and Mutual Exchange Support Experience Rating Scale. t-tests were conducted on the pre- and post-program results of the POMS2-A short. Results showed that scores on Anger-Hostility (t=4.77, df=20, p<.01, d=1.04), Confusion-Bewilderment (t=4.31, df=20, p<.01, d=.94), Depression-Dejection (t=2.88, df=20, p<.01, d=.63), Fatigue-Inertia (t=3.63, df=20, p<.01, d=.79), and Tension-Anxiety (t=3.61, df=20, p<.01, d=.79) in the POMS2-A Short decreased significantly after the implementation of the program. These results evidence the effectiveness of the program in improving several mood states, especially anger-hostility, tension-anxiety, depression-depression, and fatigue."

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Chronic Inhibition of CYP3A is Temporarily Reduced by Each Hemodialysis Session in Patients With End‐Stage Renal Disease

Clinical Pharmacology & Therapeutics ◽

10.1002/cpt.1875 ◽

2020 ◽

Vol 108 (4) ◽

pp. 866-873

Author(s):

Erlend Johannessen Egeland ◽

Bartlomiej J. Witczak ◽

Hasse Khiabani Zaré ◽

Hege Christensen ◽

Anders Åsberg ◽

...

Keyword(s):

Renal Disease ◽

End Stage Renal Disease ◽

Hemodialysis Session ◽

Stage Renal Disease ◽

End Stage

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Evaluation of peripheral perfusion index and heart rate variability as early predictors for intradialytic hypotension in critically ill patients

BMC Anesthesiology ◽

10.1186/s12871-019-0917-1 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Hanan Mostafa ◽

Mohamed Shaban ◽

Ahmed Hasanin ◽

Hassan Mohamed ◽

Shymaa Fathy ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Pulmonary Oedema ◽

Critically Ill ◽

Critically Ill Patients ◽

Perfusion Index ◽

Intradialytic Hypotension ◽

Peripheral Perfusion ◽

Hemodialysis Session ◽

Prophylactic Measures

Abstract Background Intradialytic hypotension is a serious complication during renal replacement therapy in critically ill patients. Early prediction of intradialytic hypotension could allow adequate prophylactic measures. In this study we evaluated the ability of peripheral perfusion index (PPI) and heart rate variability (HRV) to predict intradialytic hypotension. Methods A prospective observational study included 36 critically ill patients with acute kidney injury during their first session of intermittent hemodialysis. In addition to basic vital signs, PPI was measured using Radical-7 (Masimo) device. Electrical cardiometry (ICON) device was used for measuring cardiac output, systemic vascular resistance, and HRV. All hemodynamic values were recorded at the following time points: 30 min before the hemodialysis session, 15 min before the start of hemodialysis session, every 5 min during the session, and 15 min after the conclusion of the session. The ability of all variables to predict intradialytic hypotension was assessed through area under receiver operating characteristic (AUROC) curve calculation. Results Twenty-three patients (64%) had intradialytic hypotension. Patients with pulmonary oedema showed higher risk for development of intradialytic hypotension {Odds ratio (95% CI): 13.75(1.4–136)}. Each of baseline HRV, and baseline PPI showed good predictive properties for intradialytic hypotension {AUROC (95% CI): 0.761(0.59–0.88)}, and 0.721(0.547–0.857)} respectively. Conclusions Each of low PPI, low HRV, and the presence of pulmonary oedema are good predictors of intradialytic hypotension.

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