Influence of Interdialytic Weight Gain on Blood Pressure in Hemodialysis Patients

1994 ◽  
Vol 12 (4-5) ◽  
pp. 259-266 ◽  
Author(s):  
Antinus J. Luik ◽  
Ulrich Gladziwa ◽  
Jeroen P. Kooman ◽  
Johannus P. van Hooff ◽  
Peter W. de Leeuw ◽  
...  
2020 ◽  
pp. 169-171
Author(s):  
M Manasa ◽  
Aravind Reddy. Gangula

Interdialytic weight gain in patients with hemodialysis depends on fluid, salt intake in interdialytic period and compliance of dialysis patients. In end stage renal disease(ESRD) patients due to decreased and absent residual urine output there is salt and water retention in body which leads to interdialytic weight gain. Overhydration and IDWG is assumed to be the main cause of pre hemodialysis raised blood pressure(BP) in ESRD patients. Here the relationship between IDWG and pre HD blood pressure is studied in 40 hemodialysis patients. We recorded pre HD BP and IDWG in four subsequent hemodialysis sessions for each patient during the period of 2 weeks in patients who are on twice weekly hemodialysis. so, in total we studied 160 hemodialysis sessions. Mean of four pre HD BP is compared with mean of four IDWG for each patient. Then correlation between 40 mean IDWG and 40 mean pre HD BP is studied and also correlation between IDWG and pre HD blood pressure during 160 hemodidlysis sessions studied individually.


2005 ◽  
Vol 23 (5) ◽  
pp. 379-383 ◽  
Author(s):  
Ezio Movilli ◽  
Paola Gaggia ◽  
Corrado Camerini ◽  
Giuliano Brunori ◽  
Valerio Vizzardi ◽  
...  

2017 ◽  
Vol 44 (2) ◽  
pp. 110-121
Author(s):  
Marijana Gulin ◽  
Dragan Klarić ◽  
Mario Ilić ◽  
Josipa Radić ◽  
Vedran Kovačić ◽  
...  

Aims: This study was aimed at comparing the incidence of arterial hypertension and blood pressure (BP) variance in hospital and out-of-hospital hemodialysis (HD) patients during HD sessions. Methods: A cross-sectional study was conducted for 1 week at all the HD centers in Dalmatia, Croatia. The pre-, intra-, and post-dialysis BP values were collected for 3 consecutive HD sessions per patient. Results: Of the 399 subjects, 73.9% were hypertensives, who showed higher interdialytic weight gain compared to the normotensives (2.58 vs. 2.40). Hospital and out-of-hospital HD patients received identical antihypertensive therapies, except that beta blockers were more frequently administered to out-of-hospital HD patients. Higher pre-, intra-, and post-dialysis BP values were recorded in patients at out-of-hospital HD centers. Conclusion: The differences in BP variability and antihypertensive therapies administered to hospital HD patients as compared to out-of-hospital HD patients may reflect differing approaches by the nephrologists at these centers.


2007 ◽  
Vol 50 (1) ◽  
pp. 108-118.e4 ◽  
Author(s):  
Jula K. Inrig ◽  
Uptal D. Patel ◽  
Barbara S. Gillespie ◽  
Vic Hasselblad ◽  
Jonathan Himmelfarb ◽  
...  

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Baskoro Abdiansyah ◽  
Laily Isro'in ◽  
Saiful Nurhidayat

AbstractThe increase in blood pressure in hemodialysis patients is affected by an increase in interdialytic weight gain (IDWG). Increased blood pressure is the most often complication problem that occur during hemodialysis and became one of the causes of cardiovascular morbidity and mortality in patients. This study aims to identify and analyze the relationship between interdialytic weight gain and predialysis blood pressure in hemodialysis patients. This study uses a correlational design that assess and reveals the relationship between variables with cross sectional approach. This study was conducted with 53 subjects who underwent hemodialysis at Hemodialysis Unit of dr. Harjono’s Regional General Hospital of Ponorogo. Data were collected using a recording sheet, weight, and sphymonanometer. Data were analyzed by Chi-Square statistic test with significance level <0,05. The results showed a significant relationship between interdialytic weight gain (IDWG) with predialysis blood pressure (p=0.049). The study also found that subjects with high IDWG (>3%) were 3 times more likely to have hypertensive predialysis blood pressure (OR=3.102, p=0.052). It conclude that Interdialytic weight gain (IDWG) is associated with predialysis blood pressure, so control of interdialysis weight gain can be performed to control blood pressure predialysis in hemodialysis patients.The use of antihypertensive drugs to control blood pressure in hemodialysis patients have to be explored in more detail.Keywords : Interdialytic Weight Gain, Predialysis Blood Pressure, Hemodialysis AbstrakPeningkatan tekanan darah pada pasien hemodialisis dipengaruhi oleh peningkatan interdialytic weight gain (IDWG). Peningkatan tekanan darah merupakan masalah penyulit yang paling sering muncul selama hemodialisis dan menjadi salah satu penyebab morbiditas serta mortalitas kardiovaskuler pada pasien. Penelitian ini bertujuan untuk mengindentifikasi dan menganalisis hubungan antara interdialytic weight gain dengan tekanan darah predialisis pada pasien hemodialisis. Penelitian ini menggunakan rancangan korelasional yang mengkaji dan mengungkapkan hubungan antar variabel dengan pendekatan cross sectional. Penelitian ini dilakukan dengan 53 subjek penelitian yang menjalani hemodialisis pada Unit Hemodialisis Rumah Sakit Umum dr. Harjono Ponorogo. Data dikumpulkan menggunakan instrumen berupa lembar pencatatan, timbangan berat badan, dan sphymomanometer. Analisis data dilakukan dengan menggunakan uji statistik Chi-Square dengan tingkat signifikan <0,05. Hasil menunjukkan adanya hubungan yang signifikan antara interdialytic weight gain (IDWG) dengan tekanan darah predialisis (p=0,049). Pada penelitian ini juga ditemukan fakta bahwa subjek penelitian yang memiliki IDWG tinggi (>3%) berisiko 3 kali untuk untuk memiliki tekanan darah predialisis hipertensif (OR=3,102, p=0,052). Kesimpulan dari penelitian ini adalah interdialytic weight gain (IDWG) berhubungan dengan tekanan darah predialisis, sehingga pengendalian penambahan berat badan interdialisis dapat dilakukan untuk mengendalikan tekanan darah predialisis pada pasien hemodialisis. Penggunaan obat anti hipertensi untuk mengendalikan tekanan darah pada pasien hemodialisis masih perlu ditelusuri lebih rinci.Kata Kunci : Interdialytic Weight Gain, Tekanan Darah Predialisis, Hemodialisis


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