Hospitalization for initiation of maintenance hemodialysis

Nephron. Clinical Practice
Mahendra AgraharkarTejinder S Ahuja

Abstract

Recent data on complications of hemodialysis (HD) is lacking. With advancement in dialysis technology the incidence of complications such as dialysis disequilibrium syndrome (DDS) has decreased. Notwithstanding these improvements many patients with end-stage renal disease (ESRD) continue to be hospitalized solely for initiation of hemodialysis. This study was undertaken to assess if such admissions are justified and also to determine incidence and predictors of complications of HD during initiation. Medical records of adult patients (>18 years) initiated on maintenance hemodialysis from January 1st, 1998 through December 31st, 2000 at our institution were reviewed. The demographics of the patients, cause of renal failure, creatinine clearance, type of vascular access, comorbidities, serum chemistries, ultrafiltration (UF) rate and indications for initiating dialysis were noted. Intradialytic complications were retrieved from the dialysis flow sheets. Of the 240 patients reviewed, 18.3% developed complications during initiation of dialysis, and none was severe. Hypotension and leg cramps were the most frequent complications. The patients who developed hypotension and cramps were significantly older than those with no complicatio...Continue Reading

References

Aug 1, 1976·The Journal of Clinical Investigation·A I ArieffV C Lazarowitz
Feb 1, 1991·Kidney International·J T Daugirdas
Apr 1, 1987·Artificial Organs·F PearsonR Caruana
Dec 1, 1983·Kidney International·P IvanovichD E Hammerschmidt
Dec 1, 1983·Kidney International·D E ChenowethL W Henderson
Jan 1, 1993·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·J I TokarsL A Bland
Apr 1, 1996·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R R SteuerJ M Conis
Oct 27, 1997·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·K S KatzarskiJ Bergström
Apr 24, 1999·Journal of the American Society of Nephrology : JASN·J Q Jaeger, R L Mehta
Nov 14, 2002·Seminars in Nephrology·Majd I Jaradat, Bruce A Molitoris
Jun 1, 1964·Archives of Internal Medicine·H PETERSON, A G SWANSON
May 1, 1965·Archives of Neurology·J B POSNERF PLUM
Feb 24, 1962·Lancet·A C KENNEDYJ C EATON
Jan 1, 2001·Hemodialysis International·Mandeep M SahaniTodd S Ing

❮ Previous
Next ❯

Citations

Sep 4, 2008·Seminars in Dialysis·Nilang PatelMandip Panesar
Nov 30, 2004·Clinical Neurology and Neurosurgery·R Brouns, P P De Deyn

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.