scholarly journals EFEKTIVITAS TERAPI LEG EXERCISE INTRADIALYTIC TERHADAP PENURUNAN MUSCLE CRAMP PADA PASIEN CHRONIC KIDNEY DISEASE YANG MENJALANI HEMODIALISIS

2021 ◽  
Vol 3 (2) ◽  
pp. 82-86
Author(s):  
Achmad Fauzi ◽  
Radika Radika
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
End Stage Renal Disease ◽  
Muscle Cramp ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Leg Exercise ◽  
Stage Renal Disease ◽  
End Stage

Pendahuluan: Chronic Kidney Disease (CKD) yang terjadi > 3 bulan dan ditunjukan oleh nilai laju filtrasi glomerulus (GFR) < 15 ml/menit/1,73m2 pada tahap stadium akhir (End Stage Renal Disease (ESRD)) diperlukan terapi pengganti ginjal, yaitu salah satunya hemodialisis. Salah satu permasalahan yang sering dikeluhkan pasien hemodialisis rutin adalah muscle cramp, yang biasanya dirasakan satu jam sebelum hemodialisis selesai dilakukan. Untuk mengatasi gejala tersebut dilakukan leg exercise intradialytic. Tujuan penelitian untuk mengidentifikasi pengaruh terapi leg exercise intradialytic terhadap penurunan muscle cramp pada pasien CKD yang menjalani hemodialisis. Metode: Metode penelitian: penelitian bersifat kuantitatif dengan desain quasi eksperimental one group pre-post test design. Sampel ditentukan dengan metode purposive sampling. Hasil: Hasil penelitian menunjukkan bahwa terjadi perubahan yang signifikan muscle cramp sebelum dan sesudah dilakukan terapi leg exercise intradialytic  dengan p value = 0,000. Kesimpulan: Terapi leg exercise intradialytic selama hemodialisis dapat menurunkan muscle cramp pada pasien CKD yang menjalani hemodialisis.

scholarly journals Investigation of the Impact of Endodontic Therapy on Survival among Dialysis Patients in Taiwan: A Nationwide Population-Based Cohort Study

2021 ◽  
Vol 18 (1) ◽  
pp. 326
Author(s):  
Chih-Chien Chiu ◽  
Ya-Chieh Chang ◽  
Ren-Yeong Huang ◽  
Jenq-Shyong Chan ◽  
Chi-Hsiang Chung ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Root Canal ◽  
Dialysis Patients ◽  
Root Canal Therapy ◽  
Risk Of Death ◽  
Stage Renal Disease ◽  
End Stage

Objectives Dental problems occur widely in patients with chronic kidney disease (CKD) and may increase comorbidities. Root canal therapy (RCT) is a common procedure for advanced decayed caries with pulp inflammation and root canals. However, end-stage renal disease (ESRD) patients are considered to have a higher risk of potentially life-threatening infections after treatment and might fail to receive satisfactory dental care such as RCT. We investigated whether appropriate intervention for dental problems had a potential impact among dialysis patients. Design Men and women who began maintenance dialysis (hemodialysis or peritoneal dialysis) between January 1, 2000, and December 31, 2015, in Taiwan (total 12,454 patients) were enrolled in this study. Participants were followed up from the first reported dialysis date to the date of death or end of dialysis by December 31, 2015. Setting Data collection was conducted in Taiwan. Results A total of 2633 and 9821 patients were classified into the RCT and non-RCT groups, respectively. From the data of Taiwan’s National Health Insurance, a total of 5,092,734 teeth received RCT from 2000 to 2015. Then, a total of 12,454 patients were followed within the 16 years, and 4030 patients passed away. The results showed that members of the non-RCT group (34.93%) had a higher mortality rate than those of the RCT group (22.79%; p = 0.001). The multivariate-adjusted hazard ratio for the risk of death was 0.69 (RCT vs. non-RCT; p = 0.001). Conclusions This study suggested that patients who had received RCT had a relatively lower risk of death among dialysis patients. Infectious diseases had a significant role in mortality among dialysis patients with non-RCT. Appropriate interventions for dental problems may increase survival among dialysis patients. Abbreviations: CKD = chronic kidney disease, ESRD = end-stage renal disease, RCT = root canal therapy.

scholarly journals The effect of exercising with manual compression foot pumps, on dialysis efficiency, in patients with end stage renal disease

2009 ◽  
Vol 65 (2) ◽  
Author(s):  
J. Kern ◽  
A. Stewart ◽  
P. Becker
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Exercise Programme ◽  
Test Design ◽  
Manual Compression ◽  
Post Intervention ◽  
Eligibility Criteria ◽  
Post Test ◽  
Stage Renal Disease ◽  
End Stage

Aim: This study aimed to establish if exercising with manual compressionfoot-pumps, could be used as an intervention to improve dialysis efficacy. A  pre test -post test design was used to test the intervention. Subjects were invited to participate in the study depending on whether they fitted the eligibility criteria of the study. Eight weeks after entry into the study pre-test values of dialysis efficacy (Kt/V ) were established prior to the implementation of an eight-week exercise programme followed by the collection of post intervention dialysis efficacy values. Subjects performed seated heel raises with manual compression foot-pumps on their feet (Venous A nti-stasis Slippers) for 20 continuous minutes per hour for the first three hours of their dialysis sessions (two or three times per week). Twelve subjects finished the programme. During the eight weeks of exercise an increaseof 8.7% was noted in Kt/V  values with a mean change of 0.12 (p=0.04). It appears that an eight week exercise programme using manual compression foot pumps (Venous A nti-stasis Slippers) may be effective in improving dialysisefficiency. These findings need to be tested in a study with an appropriate sample size.

scholarly journals Perceived knowledge among patients cared for by nephrologists about chronic kidney disease and end-stage renal disease therapies

2008 ◽  
Vol 74 (9) ◽  
pp. 1178-1184 ◽  
Author(s):  
Fredric O. Finkelstein ◽  
Kenneth Story ◽  
Catherine Firanek ◽  
Paul Barre ◽  
Tomoko Takano ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Perceived Knowledge ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Prevalence of clinically validated primary causes of end-stage renal disease (ESRD) in a State Capital in Northeastern Brazil

2018 ◽  
Vol 40 (2) ◽  
pp. 130-135 ◽  
Author(s):  
Luana Rodrigues Sarmento ◽  
Paula Frassinetti Castelo Branco Camurça Fernandes ◽  
Marcelo Ximenes Pontes ◽  
Daniel Barros Santos Correia ◽  
Victhor Castelo Branco Chaves ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Primary Hypertension ◽  
High Rate ◽  
Northeastern Brazil ◽  
State Capital ◽  
Stage Renal Disease ◽  
End Stage

ABSTRACT Introduction: Knowledge of validated primary causes of end-stage renal disease (ESRD) is extremely relevant in the realm of public health. The literature lacks validated studies on the primary causes of ESRD. Objective: The aim of this study was to estimate the prevalence of the causes of ESRD in a State Capital in Northeastern Brazil. Methods: This cross-sectional study was based on the analysis of medical records of patients on hemodialysis at five specialized centers in Fortaleza, CE, Brazil. Deaths and patients referred to other centers outside Fortaleza were excluded from the study. The data of 830 patients were initially collected, but 818 remained enrolled after the exclusion criteria were applied, the equivalent to 48% of the patents on dialysis in the city. Results: 61.1% of the patients were males. Twenty-two percent of all enrolled individuals were aged 60-69 years. Patient mean age was 55.7 ± 16 years. The most common validated cause of ESRD was unknown (35.3%), followed by diabetes mellitus (26.4%), adult polycystic kidney disease (6.2%), graft failure (6.2%), obstructive uropathy (5.7%), and primary glomerulonephritis (5.3%). Before validation, primary hypertension was the most frequent cause of chronic kidney disease (22.9%), decreased to 3.8% after validation. Conclusion: The data contradicted national studies reporting primary hypertension as the main cause of chronic kidney disease (CKD). A high rate of unknown causes and categorization bias were observed mainly in relation to primary hypertension as a cause of CKD, which affects the overall prevalence of causes of ESRD in patients on dialysis.

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