Κατεύθυνση Μονάδες Εντατικής Θεραπείας-Καρδιολογία, Ιατρική και Νοσηλευτική Φροντίδα
Library of the School of Health Sciences

2024-05-01

2024

Ntagka Evgenia

Κυρίτση Ελένη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Τούσουλης Δημήτριος, Ομότιμος Καθηγητής, Ιατρικής Σχολής, ΕΚΠΑ
Τούτουζας Κωνσταντίνος, Καθηγητής, Ιατρικής Σχολής, ΕΚΠΑ

Εκτίμηση παραγόντων ευθυνόμενων για μεταβολές της αρτηριακής πίεσης, σε αιμοκαθαιρόμενους ασθενείς, κατά τη διάρκεια της συνεδρίας αιμοκάθαρσης

Greek

Evaluation of factors responsible for blood pressure changes, in dialysis patients, during the dialysis session

Introduction Blood pressure (BP) variation during the session is a particularly important cardiovascular risk factor for dialysis patients. Many factors are responsible, the main ones being the changes occurring in water/sodium balance, the levels of uremic toxins before and after treatment and various other factors such as patient stress.
Aim The aim of the present study is to investigate the responsible factors for blood pressure changes, in haemodialysis patients, during dialysis.
Material and Methods The sample of the study consisted of 51 haemodialysis patients of the Chronic Hemodialysis Unit "MESOGEIOS" of Haidari. Data were collected from the patients' electronic records and from their laboratory tests. All statistical analyses were performed with the statistical package SPSS version 25 and the statistical tests x2, t-test, paired-sample test and anova were applied. A 5% significance level was considered statistically significant.
Results Of the 51 patients, the largest proportion of 58.8% were men. 37.3% of the sample were smokers and 21.6% were ex-smokers. Hypertension was observed in 88.2% of the sample, diabetes mellitus in 39.2%, autoimmune disease in 33.3%, dyslipidemia in 13.7%, mediterranean anaemia in 3.9% and coronary artery disease in 15.7%. No statistically significant differences in BP values were found in relation to smoking, gender, coexisting arterial hypertension, diabetes mellitus, the presence of autoimmune disease, dyslipidemia and other comorbidities (p>0.05). The difference in BP before and after the AMC session was 5.8 mmHg (143.0 and 137.2, respectively) (p=0.022). BP before dialysis has a positive correlation with that after dialysis (p<0.001), has a weak correlation with body weight (p=0.038) and with sodium conductivity (p=0.015). Post-dialysis BP has a negative correlation with body weight (p=0.018), admission weight to the dialysis session (p=0.026), machine blood flow (p=0.012), and sodium conductivity (p=0.011).
Conclusions Admission weight at the session and the difference in value from the preset dry weight, age and dry body weight are the main factors responsible for changes in blood pressure values during the dialysis session. With regard to the parameters determined for the conduct of the session, it is noted that higher ultrafiltration rates, session time, sodium conductivity, blood flow and solution temperature also play an important role.

Health Sciences

Dialysis, Blood pressure, Factors, Chronic kidney disease, Haemodialysis patients

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0

Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/3397910