scholarly journals Factors Related to Muscle Cramps during Hemodialysis in End Stage Renal Disease Patients

2021 ◽  
Vol 44 (4) ◽  
Author(s):  
Wilaiporn Akkabut ◽  
Sutasiny Junhoaton ◽  
Wariya Boonchanta ◽  
Morakot Arbmanee ◽  
Atiporn Ingsathit ◽  
...  
Keyword(s):  
Weight Gain ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
High Serum ◽  
Serum Bicarbonate ◽  
Bicarbonate Concentration ◽  
Muscle Cramps ◽  
Interdialytic Weight Gain ◽  
Stage Renal Disease ◽  
End Stage

Background: Muscle cramps are a common complication during hemodialysis that can cause patients extremely painful.Objective: To determine factors related to muscle cramps during hemodialysis in patients with end-stage renal disease.Methods: A descriptive correlational study was conducted in end-stage renal disease patients undergoing hemodialysis at Hemodialysis center, Faculty of Medicine Ramathibodi Hospital between February and March 2020. The data collection instruments included muscle cramps report form, demographic questionnaire, and factors related to muscle cramps questionnaire. The data were analyzed using descriptive statistics and multiple logistic regression.Results: A total of 44 patients were recruited in the study. The mean age was 63.3 years. A total of 458 muscle cramps during hemodialysis assessments were recorded in the one month. The result showed that 45 muscle cramps (9.8%) occurred during hemodialysis. Factors significantly related to muscle cramps during hemodialysis included interdialytic weight gain ≥ 3.5 kilograms (OR = 4.5, P < .05), experiencing cramps before hemodialysis (OR = 25.5, P < .05), and high serum bicarbonate concentration (OR = 5.6, P < .05).Conclusions: This study found that 9.8% of patients reported muscle cramps during hemodialysis. Interdialytic weight gain, having cramps before hemodialysis, and serum bicarbonate concentration were significantly related to muscle cramps during hemodialysis in patients with end-stage renal disease.

Knowledge of Disease and Dietary Compliance in Patients with End-Stage Renal Disease

1998 ◽  
Vol 82 (1) ◽  
pp. 331-336 ◽  
Author(s):  
Roger C. Katz ◽  
Jay Ashmore ◽  
El Via Barboa ◽  
Karen Trueblood ◽  
Veronica McLaughlin ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Well Being ◽  
Dialysis Patients ◽  
Dietary Compliance ◽  
Interdialytic Weight Gain ◽  
Stage Renal Disease ◽  
End Stage ◽  
The Relationship

Noncompliance is a common problem in patients with end-stage renal disease. In this study, we assessed the relationship between knowledge of disease and dietary compliance in a cohort of 56 dialysis patients. Based on a health belief model of adherence, we predicted that dialysis patients who knew more about kidney disease and its treatment would be more compliant than those who knew less about these matters. We also examined the relationship between dietary compliance and patients' emotional well-being. We used a composite measure of compliance consisting of serum K, P, and interdialytic weight gain. A 30-item “Kidney Disease Questionnaire” was used to assess patients' knowledge of their illness. Contrary to prediction, compilers did not score higher on the knowledge questionnaire; in fact, the observed correlation of .32 was in the opposite direction. In the same vein, we found no relationship between compliance and emotional well-being. These results, although somewhat surprising, add to a growing body of research which indicates that medical compliance involves more than educating patients about the mechanisms and treatment of their illness.

scholarly journals Efficacy of various antihypertensive drugs in the treatment of hypertension in the patients of end-stage renal disease leading to hemodialysis: a retrospective study

2017 ◽  
Vol 4 (1) ◽  
pp. 203
Author(s):  
Razi Ahmad ◽  
Anwar Habib ◽  
Sana Rehman
Keyword(s):  
Blood Pressure ◽  
Retrospective Study ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Antihypertensive Medication ◽  
Antihypertensive Drugs ◽  
Antihypertensive Agents ◽  
Muscle Cramps ◽  
Stage Renal Disease ◽  
End Stage

Background: Cardiovascular complications are the leading cause of morbidity and mortality in the patients of end-stage renal disease leading to hemodialysis. Majority of these patients suffers from hypertension and adequate control of blood pressure is a challenge in these patients because of multifactorial etiology and complicated pharmacokinetic changes in these patients. The present study aims is to find out the best possible drug or combination of drugs that can provide better control of blood pressure and improve the quality of life of these patients.Methods: A retrospective study was carried out on the patients who attended the hemodialysis unit of Hakeem Abdul Hamid Centenary hospital from July 2015 to June 2016 (one year), data on antihypertensive drugs and blood pressure control (pre-dialysis and post-dialysis) were recorded and analyzed.Results: 68.75% patients on hemodialysis were suffering from hypertension and were on antihypertensive medication. A combination of Amlodipine and clonidine were the most frequently prescribed antihypertensive agents. Muscle cramps an acute rise in blood pressure and hypotension were the most frequently encountered intradialytic complications in these patients.Conclusions: Although a combination of amlodipine and clonidine was most frequently prescribed antihypertensive medication in these patients these drugs were associated with intradialytic complications like muscle cramps and hypotension. Amlodipine with beta-adrenoceptor blocker (metoprolol or bisoprolol) provided best control of blood pressure in these patients with least intradialytic complications.

High serum estradiol concentrations in postmenopausal women with end-stage renal disease

2005 ◽  
Vol 64 (11) ◽  
pp. 394-395 ◽  
Author(s):  
M. Tanaka ◽  
K. Itoh ◽  
K. Matsushita ◽  
K. Matsushita ◽  
M. Fukagawa
Keyword(s):  
Renal Disease ◽  
Postmenopausal Women ◽  
End Stage Renal Disease ◽  
High Serum ◽  
Serum Estradiol ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Non-adherence to hemodialysis, perception of the illness, and severity of advanced nephropathy

2020 ◽  
Author(s):  
Lianna Gonçalves Dantas ◽  
Mario Seixas Rocha ◽  
Constança Margarida Sampaio Cruz
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Illness Perception ◽  
Severity Index ◽  
Clinical Aspects ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Interdialytic Weight Gain ◽  
Stage Renal Disease ◽  
End Stage

Abstract Introduction: Hemodialysis (HD) is a complex therapy that imposes several changes in the patient's life. Failure to follow therapy recommendations is called non-adherence (NA). The patient's illness perception, severity of chronic kidney disease, and individual strategies for coping with HD can have an impact on NA to the demands of therapy. Methods: This was a cross-sectional study with end-stage renal disease patients on conventional HD in Salvador, Bahia. We evaluated attendance to treatment and interdialytic weight gain (IDWG) as parameters of NA to HD, and investigated its association with clinical aspects and measures of disease perception (illness effects questionnaire - IEQ) and severity of nephropathy (end stage renal disease severity index - ESRD-SI), by analyzing Pearson or Spearman correlation. Results: 79 patients were evaluated, 57% male, aged 53.1 ± 12.3 years, with length of HD of 108 (89 - 131.5) months. Age correlated with ESRD-SI (r = 0.43) and NA parameters: negative correlation with relative IDWG (r = -0.41) and reduction in sessions (r = -0.31) and positive correlation with %HD performed (r = 0.25). The scores on the IEQ and ESRD-SI showed a positive correlation (r = 0.44; p <0.001), but did not show any correlation with the analyzed NA parameters. Conclusions: We did not find a correlation between illness perception and severity index of advanced nephropathy with the behaviors of NA to chronic HD. In this study, age correlated both with the perception of severity of advanced nephropathy and the parameters of NA to chronic HD.

scholarly journals Intradialytic Muscle Cramp and its Association with Peripheral Arterial Disease in End Stage Renal Disease Patients on Hemodialysis

2014 ◽  
Vol 52 (196) ◽  
pp. 967-971 ◽  
Author(s):  
Madhav Ghimire ◽  
Sanjib Kumar Sharma ◽  
Romila Chimoriya ◽  
Gopal Chandra Das
Keyword(s):  
Peripheral Arterial Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Arterial Disease ◽  
Hemodialysis Patients ◽  
Muscle Cramp ◽  
Muscle Cramps ◽  
Peripheral Arterial ◽  
Stage Renal Disease ◽  
End Stage

Introduction: Muscle cramp is a common intradialytic complication observed in hemodialysis patients. Similarly Peripheral arterial disease is a common condition in the hemodialysis population. No study on intradialytic muscle cramp and its association with Peripheral arterial disease is yet reported from Nepal. Methods: Fifty patients with a diagnosis of End Stage Renal Disease who were on hemodialysis were studied over a period of one year. Muscle cramp was defined clinically as contractions of a large muscle group and Peripheral arterial disease was diagnosed on the basis of the ankle –brachial index. Chi square (X2) test was used to determine the association between Intradialytic Muscle cramps and Peripheral Arterial Disease. Results: A total of 50 End Stage Renal Disease patients were analyzed. The mean age of the patient was 49.81±12.63 years. The major causes of End Stage Renal Disease in the study population was Chronic Glomerulonephritis 40 % (n=20). Muscle cramps were present in 26% (n=13) cases. Peripheral arterial disease was present in 30% (n=15) of patients. However there was no statistically significant association between the presence of Intradialytic Muscle cramps and peripheral arterial disease (p value =0.18) Conclusions: Intradialytic Muscle cramps and peripheral arterial disease were common occurrence in end stage renal disease patients on hemodialysis patients, however there was no association between the presence of intradialytic Muscle cramps and peripheral arterial disease.  Keywords: end stage renal disease; intradialytic muscle cramps; peripheral arterial disease.

scholarly journals The Effect of Acidosis on Albumin Level in Patients Treated With Regular Hemodialysis (Single Center Study)

2018 ◽  
Vol 10 (11) ◽  
pp. 57
Author(s):  
Manal Khudder Abdul Razak ◽  
Jawad Ibrahim Rasheed ◽  
Mudhafar Mohammed Meizel
Keyword(s):  
Metabolic Acidosis ◽  
Renal Disease ◽  
Serum Albumin ◽  
End Stage Renal Disease ◽  
Albumin Level ◽  
Albumin Concentration ◽  
Serum Albumin Concentration ◽  
Serum Bicarbonate ◽  
Stage Renal Disease ◽  
End Stage

BACKGROUND: Hypoalbuminemia is the most powerful predictor of mortality in end-stage renal disease on hemodialysis. Metabolic acidosis induces net negative nitrogen and total body protein balance. Some patients undergoing maintenance dialysis have low plasma bicarbonate levels due to inadequate dialysis. We aimed to evaluate the role of metabolic acidosis on serum albumin concentration in patients with end stage renal disease on hemodialysis, and to determine differences of serum bicarbonate level before and after hemodialysis in actual situation. METHODS: This cross sectional comparative study was conducted in the Iraqi Center for Hemodialysis/ Baghdad Teaching Hospital from June to December 2015. It included 100 subjects with end stage renal disease on hemodialysis. They were divided equally into cases with low albumin and comparison group with normal albumin level. Serum bicarbonate and the Kt/V were measured for all subjects before, after, and before next hemodialysis session to show the adequacy of dialysis. RESULTS: There was a significant association between low bicarbonate and low albumin level in hemodialysis patient and between numbers and duration of dialysis session with albumin. Low Kt/V was significantly associated with hypoalbuminemia. There was no statistically significant association between age and gender with hypoalbuminemia. CONCLUSION: This study shows that patients with metabolic acidosis had a lower serum albumin concentration and there was a significant correlation between numbers, duration and adequacy of hemodialysis sessions and albumin level. We recommend to increase the numbers of dialysis centers in Iraq and adjust the bicarbonate doses in dialysate according to patient&rsquo;s bicarbonate levels.

High serum testosterone concentrations in a diabetic woman with end-stage renal disease

2013 ◽  
Vol 60 (9) ◽  
pp. e23-e25
Author(s):  
María Rosario Vallejo Mora ◽  
Raquel Yahyaoui ◽  
Anita Dayaldasani ◽  
Óscar Pozo ◽  
Stella González Romero
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Serum Testosterone ◽  
High Serum ◽  
Diabetic Woman ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals DETERMINANT FATIGUE PADA PASIEN ESRD YANG MENJALANI HEMODIALISIS

2021 ◽  
Vol 2 (1) ◽  
pp. 41
Author(s):  
Fitri Amelia ◽  
Kiki Hardiansyah Safitri ◽  
Suwanto Suwanto
Keyword(s):  
Weight Gain ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
P Value ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Latar Belakang: End Stage Renal Disease (ESRD) merupakan penyakit ginjal kronik stadium akhir yang perlu dilakukan terapi dialysis. Saat terapi hemodialisis dampak yang paling dominan dirasakan adalah fatigue. Faktor-faktor yang berhubungan dengan fatigue adalah kadar hemoglobin, lamanya menjalani hemodialisis, perubahan tekanan darah, dan Inter Dialysis Weight Gain (IDWG). Tujuan: Menganalisis faktor-faktor yang berkorelasi dengan fatigue pada pasien ESRD yang menjalani hemodialysis. Metode: Penelitian ini menggunakan korelasional dengan pendekatan cross-sectional. Jumlah responden sebanyak 30 dengan kriteria pasien telah menjalani hemodialisis kurang lebih 2 kali dan dalam keadaan sadar serta kooperatif. Pengukuran variabel dilakukan dengan pengukuran/observasi dan menggunkan kuesioner FACIT fatigue scale versi 4 secara online. Hasil: hasil penelitian ini didapatkan kadar hemoglobin nilai median 7,95 (min 5,00 max 13,50), lamanya menjalani hemodialisis median 14,00(min 2 max 96), tekanan darah sistol mean 155,76 (SD = 26,11), diastol mean 79,93 (SD = 12,39), IDWG mean 2,45 (SD = 1,169), fatigue median 44,0 (min 15 max 50). Uji korelasi fatigue dengan kadar hemoglobin (p value 0,379, r = -0,167), lamanya menjalani hemodialisis (p value 0,007, r = -0,479), tekanan darah sistol   (p value 0,565, r = -0,109), diastol (p value 0,195, r = 0,234), IDWG (p value 0,525, r = -0,121). Kesimpulan: Yang artinya adanya korelasi bermakna untuk lamanya menjalani hemodialisis dengan fatigue. Tidak ada korelasi bermakna antara kadar hemoglobin, tekanan darah, dan IDWG dengan fatigue.

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