The Effect of Increasing Blood Flow Rate on Dialysis Adequacy in Hemodialysis Patients with Low Kt/V
Identifieur interne : 002782 ( Main/Exploration ); précédent : 002781; suivant : 002783The Effect of Increasing Blood Flow Rate on Dialysis Adequacy in Hemodialysis Patients with Low Kt/V
Auteurs : Y. O. Kim [Corée du Sud] ; W. J. Song [Corée du Sud] ; S. A. Yoon [Corée du Sud] ; M. J. Shin [Corée du Sud] ; H. C. Song [Corée du Sud] ; Y. S. Kim [Corée du Sud] ; S. Y Kim [Corée du Sud] ; Y. S. Chang [Corée du Sud] ; B. K. Bang [Corée du Sud]Source :
- Hemodialysis International [ 1492-7535 ] ; 2004-01.
Abstract
Dialysis adequacy indexed by Kt/V in hemodialysis (HD) patients is recommended as a single‐pool Kt/V of at least 1.2 per session thrice weekly. But many patients cannot achieve this adequacy target. Although dialysis time is the most important as a factor influencing Kt/V, it is difficult to prolong dialysis time in practice because of its economic impact and poor patient compliance. Objective: The aim of this study is to investigate the effect of increasing blood flow rate on dialysis adequacy in HD patients with low Kt/V. Methods: This study enrolled 36 HD patients with single‐pool Kt/V <1.2 per session thrice weekly, which was measured in dialyzer blood flow rate of 230 mL/min. We increased 15% of blood flow rate in patients <65 kg of body weight and 20% in patients >65 kg. And then we compared Kt/V and urea reduction ratio (URR) between before and after increasing blood flow rate. Results: The mean age was 48 ± 11 years (23–73 years), and the number of males was 25. Of the total patients, 24 patients had dry weight <65 kg. Mean dialysis duration was 52 ± 50 months (3–216 months). Mean Kt/V before increasing blood flow rate was 1.02 ± 0.09. It increased to 1.14 ± 0.12 after increasing blood flow rate (p < 0.001). Of the total 36 patients, 13 patients (36.1%) achieved adequacy target (Kt/V ≤ 1.2). Mean URR before increasing blood flow rate was 56.9 ± 4.0%. It also increased to 60.8 ± 4.1% (p < 0.001). Conclusion: Our data suggest that increasing blood flow rate by 15–20% of previous flow rate is effective in achieving dialysis adequacy in HD patients with low Kt/V.
Url:
DOI: 10.1111/j.1492-7535.2004.0085q.x
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000880
- to stream Istex, to step Curation: 000874
- to stream Istex, to step Checkpoint: 001254
- to stream Main, to step Merge: 002791
- to stream Main, to step Curation: 002782
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Effect of Increasing Blood Flow Rate on Dialysis Adequacy in Hemodialysis Patients with Low Kt/V</title><author><name sortKey="Kim, Y O" sort="Kim, Y O" uniqKey="Kim Y" first="Y. O." last="Kim">Y. O. Kim</name></author><author><name sortKey="Song, W J" sort="Song, W J" uniqKey="Song W" first="W. J." last="Song">W. J. Song</name></author><author><name sortKey="Yoon, S A" sort="Yoon, S A" uniqKey="Yoon S" first="S. A." last="Yoon">S. A. Yoon</name></author><author><name sortKey="Shin, M J" sort="Shin, M J" uniqKey="Shin M" first="M. J." last="Shin">M. J. Shin</name></author><author><name sortKey="Song, H C" sort="Song, H C" uniqKey="Song H" first="H. C." last="Song">H. C. Song</name></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y. S." last="Kim">Y. S. Kim</name></author><author><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y" last="Kim">S. Y Kim</name></author><author><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name></author><author><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. Bang</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:992BE1BB8CCF30DB90BBEFBDFE5FC13F82CC7888</idno><date when="2004" year="2004">2004</date><idno type="doi">10.1111/j.1492-7535.2004.0085q.x</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-R1MMFSSS-Z/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000880</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000880</idno><idno type="wicri:Area/Istex/Curation">000874</idno><idno type="wicri:Area/Istex/Checkpoint">001254</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001254</idno><idno type="wicri:doubleKey">1492-7535:2004:Kim Y:the:effect:of</idno><idno type="wicri:Area/Main/Merge">002791</idno><idno type="wicri:Area/Main/Curation">002782</idno><idno type="wicri:Area/Main/Exploration">002782</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">The Effect of Increasing Blood Flow Rate on Dialysis Adequacy in Hemodialysis Patients with Low Kt/V</title><author><name sortKey="Kim, Y O" sort="Kim, Y O" uniqKey="Kim Y" first="Y. O." last="Kim">Y. O. Kim</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Song, W J" sort="Song, W J" uniqKey="Song W" first="W. J." last="Song">W. J. Song</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yoon, S A" sort="Yoon, S A" uniqKey="Yoon S" first="S. A." last="Yoon">S. A. Yoon</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Shin, M J" sort="Shin, M J" uniqKey="Shin M" first="M. J." last="Shin">M. J. Shin</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Song, H C" sort="Song, H C" uniqKey="Song H" first="H. C." last="Song">H. C. Song</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y. S." last="Kim">Y. S. Kim</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y" last="Kim">S. Y Kim</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. Bang</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, The Catholic University of Korea, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Hemodialysis International</title><title level="j" type="alt">HEMODIALYSIS INTERNATIONAL</title><idno type="ISSN">1492-7535</idno><idno type="eISSN">1542-4758</idno><imprint><biblScope unit="vol">8</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="85">85</biblScope><biblScope unit="page" to="85">85</biblScope><biblScope unit="page-count">100</biblScope><publisher>Blackwell Science Inc</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2004-01">2004-01</date></imprint><idno type="ISSN">1492-7535</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1492-7535</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dialysis adequacy indexed by Kt/V in hemodialysis (HD) patients is recommended as a single‐pool Kt/V of at least 1.2 per session thrice weekly. But many patients cannot achieve this adequacy target. Although dialysis time is the most important as a factor influencing Kt/V, it is difficult to prolong dialysis time in practice because of its economic impact and poor patient compliance. Objective: The aim of this study is to investigate the effect of increasing blood flow rate on dialysis adequacy in HD patients with low Kt/V. Methods: This study enrolled 36 HD patients with single‐pool Kt/V <1.2 per session thrice weekly, which was measured in dialyzer blood flow rate of 230 mL/min. We increased 15% of blood flow rate in patients <65 kg of body weight and 20% in patients >65 kg. And then we compared Kt/V and urea reduction ratio (URR) between before and after increasing blood flow rate. Results: The mean age was 48 ± 11 years (23–73 years), and the number of males was 25. Of the total patients, 24 patients had dry weight <65 kg. Mean dialysis duration was 52 ± 50 months (3–216 months). Mean Kt/V before increasing blood flow rate was 1.02 ± 0.09. It increased to 1.14 ± 0.12 after increasing blood flow rate (p < 0.001). Of the total 36 patients, 13 patients (36.1%) achieved adequacy target (Kt/V ≤ 1.2). Mean URR before increasing blood flow rate was 56.9 ± 4.0%. It also increased to 60.8 ± 4.1% (p < 0.001). Conclusion: Our data suggest that increasing blood flow rate by 15–20% of previous flow rate is effective in achieving dialysis adequacy in HD patients with low Kt/V.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Y O" sort="Kim, Y O" uniqKey="Kim Y" first="Y. O." last="Kim">Y. O. Kim</name></region><name sortKey="Bang, B K" sort="Bang, B K" uniqKey="Bang B" first="B. K." last="Bang">B. K. Bang</name><name sortKey="Chang, Y S" sort="Chang, Y S" uniqKey="Chang Y" first="Y. S." last="Chang">Y. S. Chang</name><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S. Y" last="Kim">S. Y Kim</name><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y. S." last="Kim">Y. S. Kim</name><name sortKey="Shin, M J" sort="Shin, M J" uniqKey="Shin M" first="M. J." last="Shin">M. J. Shin</name><name sortKey="Song, H C" sort="Song, H C" uniqKey="Song H" first="H. C." last="Song">H. C. Song</name><name sortKey="Song, W J" sort="Song, W J" uniqKey="Song W" first="W. J." last="Song">W. J. Song</name><name sortKey="Yoon, S A" sort="Yoon, S A" uniqKey="Yoon S" first="S. A." last="Yoon">S. A. Yoon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/StressCovidV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002782 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002782 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= StressCovidV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:992BE1BB8CCF30DB90BBEFBDFE5FC13F82CC7888
|texte= The Effect of Increasing Blood Flow Rate on Dialysis Adequacy in Hemodialysis Patients with Low Kt/V
}}
| This area was generated with Dilib version V0.6.33. |  |