FACTORS ASSOCIATED WITH INTRADIALYTIC HYPOTENSION IN HEMODIALYSIS PATIENTS AND WAYS OF ITS CORRECTION. CLINIC EXPERIENCE
Abstract
Results of studies in recent years show a worse survival rate of dialysis patients who have frequent episodes intradialytic hypotension (IDH), as opposed patients without IDH.
The purpose of this quality improvement project was to study the factors associated with intradialytic hypotension in these patients and institute appropriate measures to mitigate this issue.
Patients and methods. In our clinic, we identified that 14.3% of dialysis patients experienced a decrease in their systolic blood pressure (SBP) to below 80 during dialysis.
Results. The results were studied for 3 months. We found that 57.1% of patients experienced an improvement in their blood pressure profile over the period of the study.
Conclusions. Factors associated with IDH are hypocalcemia, heart failure with systolic dysfunction, increase mterdialytic body weight over 2.5 kg and hospitalizations more than 2 times/year. Suggesting that simple changes to dialysis prescription can result in a significant reduction in the incidence of IDH.
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References
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