Search Results
Results 351 - 400 of 1023
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Yao Q - - 2004
Despite rapid improvements in dialysis technology during the last 20 years, the mortality rate in end-stage renal disease (ESRD) patients treated with dialysis is still unacceptably high and comparable to that of many cancer patients with metastases. The main cause of the increased mortality in ESRD patients is cardiovascular disease ...
Schiffl H - - 2004
Acute renal failure (ARF) is a frequent complication in hospitalized patients. Despite advances in intensive care and renal replacement therapy, outcomes in ARF are distressingly poor. The high mortality of critically ill patients with ARF relates at least in part to fatal non-renal organ complications of ARF itself. However, adequacy ...
Barbosa Dulce - - 2004
BACKGROUND: Vancomycin-resistant Enterococcus (VRE) has been reported among long-term dialysis patients, although risk factors for VRE colonization are not well defined. This study aims to appraise the prevalence and risk factors for VRE colonization among patients on long-term dialysis therapy, as well as the mechanisms for dissemination of vancomycin resistance. ...
Tojimbara Tamotsu - - 2004
The purpose of this study was to evaluate the effect of direct hemoperfusion using a Polymyxin B (PMX) immobilized fiber column in septic patients with chronic renal failure after emergency surgery. Twenty-four renal failure patients, including 19 dialysis patients, with sepsis or septic shock were treated with direct hemoperfusion after ...
Fadrowski Jeffrey J JJ Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Park 335, 600 North Wolfe Street, MD 21287, Baltimore, USA, - - 2004
To identify demographic and clinical characteristics associated with failure to achieve hemoglobin levels >/=11 g/dl in prevalent pediatric end-stage renal disease (ESRD) patients, a cross-sectional analysis of patient clinical data collected by the Mid-Atlantic Renal Coalition in conjunction with the 2000 and 2001 ESRD Clinical Performance Measures Projects was performed. ...
Kazmi Waqar H - - 2004
BACKGROUND: Late nephrology referral has been associated with adverse outcomes among patients with end-stage renal disease; however, its relationship to mortality is unclear. We examined the impact of timing of nephrology care relative to initiation of dialysis on mortality after initiation of dialysis. METHODS: Data from the Dialysis Morbidity and ...
Wang Angela Yee-Moon - - 2005
BACKGROUND: Residual renal function (RRF) is an important predictor of outcome in peritoneal dialysis (PD) patients. Whether results from survival studies in dialysis patients with RRF can also be extrapolated to anuric patients remains uncertain. In this observational study, we examined the characteristics of PD patients with a residual glomerular ...
Pattaragarn Anirut - - 2004
OBJECTIVE: To evaluate the correlation between exercise capacity and hemoglobin in pediatric patients with end-stage renal disease (ESRD) treated with automated peritoneal dialysis (APD) and hemodialysis. DESIGN: Prospective case-control study and retrospective review. SETTING: Dialysis summer camp and Children's Mercy Hospital exercise laboratory. PARTICIPANTS: Prospective evaluation conducted with 14 patients ...
Gigli Gian Luigi - - 2004
BACKGROUND AND PURPOSE: Patients undergoing dialysis therapy due to end-stage renal disease (ESRD) present a high prevalence of sleep disorders, including restless legs syndrome (RLS). However, the known data generally have been obtained from relatively small patient samples, coming from single or very few dialysis units. Moreover, some data were ...
Johansen Kirsten L - - 2004
Hypogonadism is common among men with end-stage renal disease (ESRD), beginning before the need for dialysis and not improved with the initiation of dialysis. Many of the manifestations of hypogonadism, such as bone disease and muscle wasting, are also frequently seen among dialysis patients. There have been few studies of ...
Johnstone Stephanie - - 2004
A dialysis team project to improve patient knowledge resulted in a significant improvement in patient understanding of health-risk behavior related to blood pressure and albumin management in a large hemodialysis clinic. This project demonstrates that brief intervention combined with a well-coordinated renal team can successfully steer the team's time and ...
Göksan B - - 2004
Dialysis may induce severe headache as a result of a large amount of water and electrolyte shifts. It is important to recognize it because it can be a great problem to the patient and changing dialysis parameters or methods can prevent it. In this study we investigated the frequency and ...
Nakajima Fumitaka - - 2004
BACKGROUND: Helicobacter pylori has been reported to play an important role in the development of gastritis and gastric ulcer. METHODS: This study included 168 patients with end-stage renal disease (ESRD; 30 non-dialysis patients, 138 patients receiving dialysis; mean duration of dialysis: 57.3 +/- 61.7 months) and 138 control volunteers. We ...
Sakka Yumiko - - 2004
The objectives of this study were to determine the association between angiotensin converting enzyme (ACE) gene polymorphism and left ventricular (LV) geometry, and to clarify independent effects of ACE genotype on mortality after commencing dialysis in diabetic patients with end-stage renal disease (ESRD). A total of 106 diabetic patients, 71 ...
Tejani Amir - - 2004
Sirolimus (Rapamune, rapamycin) has been shown to be an effective and safe immunosuppressive drug in adult kidney transplant patients when administered concomitantly with cyclosporine (CsA) and steroids. This study reports on a phase 1 assessment of the drug's tolerance, safety, and pharmacokinetic parameters in pediatric patients. The safety and pharmacokinetic ...
Kanno Yoshihiko - - 2004
BACKGROUND: Left ventricular hypertrophy (LVH) is frequently found at the initiation of dialysis therapy for diabetic and hypertensive patients, and is highly predictive of future cardiac morbidity and mortality. Angiotensin type 1 receptor (AT1) antagonists may be able to regress LVH by mechanisms independent of their antihypertensive effects in diabetic ...
Norwood M G A - - 2004
OBJECTIVES: To assess the outcome of AAA repair in patients with established renal failure (RF), including patients on dialysis. DESIGN: Retrospective case-control study in a teaching hospital. Methods. All patients with established RF undergoing AAA repair were identified during the last eight years. Data was collected from patient notes on ...
Naka Toshio - - 2004
Acid-base disorders are common in critically ill patients. Metabolic acid-base disorders are particularly common in patients who require acute renal replacement therapy. In these patients, metabolic acidosis is common and multifactorial in origin. Analysis of acid-base status using the Stewart-Figge methodology shows that these patients have greater acidemia despite the ...
Nakai Shigeru - - 2004
Questionnaire forms for an annual survey conducted at the end of 2001 were sent out to 3520 institutions, and 3485 replies were received (response rate, 99.00%). According to the survey, the dialysis population of Japan at year end was 219 183 patients, up 6.3% (13 049) over the year before. ...
Abbott Kevin C - - 2004
BACKGROUND: The impact of obesity on survival in end-stage renal disease (ESRD) patients as related to dialysis modality (i.e., a direct comparison of hemodialysis with peritoneal dialysis) has not been assessed adjusting for differences in medication use, follow-up > or =2 years, or accounting for changes in dialysis modality. METHODS: ...
Tezcan Ugur K - - 2004
BACKGROUND: Atrial fibrillation is a frequent arrhythmia in patients undergoing hemodialysis. The consequences of hemodialysis on P wave durations and P wave dispersion have not been fully understood. The objective of this study was to study the effect of dialysis on P wave maximum (Pmax), P wave minimum (Pmin), and ...
Kestenbaum Bryan - - 2004
BACKGROUND: Medical therapy for secondary hyperparathyroidism (SHPTH) has evolved considerably during the past decade. It is not known how changes in medical therapy might impact the parathyroidectomy (PTX) rate among dialysis patients. Relatively low parathyroid hormone (PTH) levels have been found among elderly dialysis patients and those with diabetes. Clinical ...
Twardowski Zbylut - - 2004
The effects of dialysis frequency increase by one weekly and prolongation of dialysis duration by a mean of 17.5% on certain clinical manifestation and results of laboratory investigations were studied in a group of 14 patients treated with haemodialyses because of chronic renal failure caused by isolated renal diseases. Haemodialyses ...
Dursun Belda - - 2004
Cardiac autonomic dysfunction (CAD) is a common problem in patients with end-stage renal disease (ESRD) and may contribute to the risk of cardiac mortality. Long-term effects of dialysis modalities on CAD in ESRD patients are not clear. In this one-year prospective study, we studied the effects of different dialysis modalities ...
Janssen van Doorn Karin - - 2004
Progressive increase of old patients with end stage renal disease (ESRD) with a high mortality and morbidity rate, receiving haemodialysis, increases the impact of psychosocial factors on the outcome. Depression is the most prevalent psychological problem in patients in haemodialysis and is associated with a high mortality. The purpose of ...
Chavers Blanche M - - 2004
BACKGROUND: Recent guidelines recommend a target hemoglobin range of 11 to 12 g/dL in pediatric and adult dialysis patients. We compared anemia prevalence in United States Medicare pediatric and adult dialysis patients. METHODS: Prevalent hemodialysis patients (0 to 19 years, pediatric: N= 1692; adult: N= 352,291) and peritoneal dialysis patients ...
Liakopoulos Vassilis - - 2004
OBJECTIVE: Patients on peritoneal dialysis (PD) can develop uremic symptoms as their residual renal function declines. In this retrospective study, we assessed the effect of increasing the dose of dialysis in patients who developed uremic symptoms. METHODS: Patients on PD who had an increase in their dialysis dose due to ...
Agaba Emmanuel I - - 2004
In developed countries, malnutrition is common in patients with chronic renal failure (CRF) and has adverse effects on patient morbidity and mortality. The prevalence of malnutrition before the initiation of dialysis is poorly characterized in CRF patients in developing countries. We studied the prevalence of malnutrition among Nigerians with CRF ...
Locatelli Francesco - - 2004
BACKGROUND: The Dialysis Outcomes and Practice Patterns Study (DOPPS) is a prospective, observational study based on data collected from nationally representative samples of haemodialysis facilities. The burden of anaemia in haemodialysis patients is substantial, leading to considerable morbidity, mortality and reduced quality of life. This study examines anaemia management and ...
Pernod Gilles - - 2004
BACKGROUND: Clinical and therapeutic characteristics of chronic dialysis patients vary widely at national and/or regional levels. Their increased cardiovascular (CV) mortality is not explained by traditional cardiovascular disease (CVD) risk factors only. Therefore, this study aimed to investigate and compare the characteristics of patients starting dialysis in a homogeneous Alpin ...
Bellmann Romuald - - 2004
Albumin dialysis has been shown to improve the outcome in patients with cholestatic liver failure caused by chronic liver disease. This study reports 7 liver transplant recipients who were treated with albumin dialysis for intractable pruritus of different origin (ductopenic graft rejection, non-anastomotic strictures, and recurrence of hepatitis C). Treatment ...
Bernardini Judith - - 2004
A measure of comorbidity in dialysis patients must not only predict outcomes but also be reproducible and easy to obtain. Our primary purpose in the present study was to determine the inter-rater reliability of the Charlson comorbidity index (CCI) in peritoneal dialysis (PD) patients. Our secondary purpose was to evaluate ...
Ayoub Abdelbasit - - 2004
BACKGROUND: The effects of cool dialysate on the urea reduction ratio (URR) in high efficiency haemodialysis have not been completely studied. After reviewing the literature, it appeared that patients' perceptions of cool dialysis have not been studied. Since patients' perception have an impact on patient satisfaction, this motivated the authors ...
Griffith Todd F - - 2003
BACKGROUND: The treatment of hypertension in dialysis patients is prevalent and poorly characterized. beta-Blockers and calcium channel blockers (CCBs) have been associated with reduced all-cause and cardiovascular mortality. This study describes the treatment of hypertension and assesses the association between mortality and class of antihypertensive medication among a cohort of ...
Frascà Giovanni M - - 2003
Twenty-six patients with Antineutrophil cytoplasmic antibody (ANCA)-associated crescentic glomerulonephritis (GN) were divided into two groups according to the acute phase treatment: drug therapy consisting of steroids and oral cyclophosphamide plus a plasma exchange (PE) course (group A, 13 patients) or drug therapy alone (group B, 13 patients). Group A patients ...
Korevaar Johanna C - - 2003
BACKGROUND: Up-until-now, the survival and health-related quality of life of hemodialysis and peritoneal dialysis patients has only been compared in observational studies. These studies have reported small and opposing differences between both modalities. The aim of this study was to compare the outcome of hemodialysis as initial chronic dialysis treatment ...
Agaba E I - - 2003
The incidence of end-stage renal disease (ESRD) is on the rise in developing countries. To identify issues related to renal replacement therapy in ESRD patients in the developing world, we analyzed the practice and costs of hemodialysis in Nigerian ESRD patients. Ten ESRD patients were dialyzed at the Jos University ...
Abbott Kevin C - - 2003
BACKGROUND: There are some concerns that arteriovenous fistula (AVF) use or other dialysis specific factors may exacerbate cardiovascular disease in long-term hemodialysis (HD) patients. METHODS: We performed a historical cohort study of the United States Renal Data System Dialysis Morbidity and Mortality Wave II study, limited to 993 patients who ...
Mehrotra Rajnish - - 2003
ESRD Network 18 has identified numerous opportunities from improvement in the process of modality selection for incident patients commencing maintenance dialysis therapy. The overall goal for the Network is to ensure that all patients are presented with a choice for treatment in a timely manner. This in turn, would lead ...
Himmelfarb Jonathan - - 2003
PURPOSE OF REVIEW: Oxidative stress has been described as 'a disturbance in the prooxidant-antioxidant balance in favor of the former, leading to potential damage. In uremic patients, an increase in oxidative stress may occur because of the loss of residual renal function, and may be exacerbated by dialysis. This review ...
Locatelli Francesco - - 2003
Anaemia secondary to chronic kidney disease is a complex syndrome. Adequate dialysis can contribute to its correction by removing small, and possibly middle/large molecules, that may inhibit erythropoiesis. A clear relationship between higher haemoglobin or haematocrit levels, lower recombinant human erythropoietin (epoetin) dose and increase in dialysis dose has been ...
Agraharkar Mahendra - - 2003
Although recovery of renal functions in dialysis dependent patients is estimated to be greater than 1%, there are no indicators that actually suggest such revival of renal function. Residual renal function in dialysis patients is unreliable and seldom followed. Therefore renal recovery (RR) in dialysis dependent patients may remain unnoticed. ...
Krishnan Mahesh - - 2003
Data indicate that a significant percentage of dialysis patients do not achieve the hemoglobin (Hb) target range of 11 to 12 g/dL. Our dialysis facility undertook a quality improvement program to assess and modify the processes affecting anemia-related outcomes. A 30% reduction in the percentage of patients with Hb levels ...
Ostermann Maria E - - 2003
BACKGROUND: Guidelines on cardiopulmonary resuscitation (CPR) recommend that decisions about resuscitation are part of every patient's care plan. We aimed to ascertain the initial views of a haemodialysis cohort in the UK regarding their CPR status in the event of an in-hospital cardiac arrest not related to dialysis. METHODS: During ...
Linthorst Gabor E - - 2003
INTRODUCTION: Fabry disease or alpha-galactosidase A (alpha-Gal A) deficiency is an X-linked lysosomal storage disorder that often leads to renal insufficiency in males and occasionally in females. The disease is rare, but its prevalence may be underestimated due to its variable clinical picture. Enzyme supplementation therapy with rHu-alphaGal A is ...
Sakata Noriyuki - - 2003
BACKGROUND: Calcification of the media of arteries is common in patients with end-stage renal disease (ESRD) undergoing haemodialysis and is a major cause of arteriosclerosis. The aim of this study was to clarify the role of glycoxidative modification of elastin in the calcification of aortic media in this group of ...
Russo Mark W - - 2003
OBJECTIVE: Hepatitis C virus (HCV) is prevalent in patients with end stage renal disease who are on dialysis. Liver disease from HCV is a cause of substantial morbidity and mortality after kidney transplantation in infected recipients. Effective treatment of chronic HCV is needed in this group of patients. We aimed ...
Afzali Behdad - - 2003
Cardiovascular disease (CVD) rates in dialysis patients are very high. One of the many associated risk factors is chronic inflammation. The relationship of baseline markers of chronic inflammation with the presence of CVD was assessed in a large cohort of stable dialysis patients. Median time (IQR) on dialysis treatment was ...
Buturović-Ponikvar Jadranka - - 2003
The total number of end-stage renal failure patients treated by renal replacement therapy increased, from 1435 at 31 December 2000 to 1542 at 31 December 2001 (7.5% increase). At the end of 2001, 771 p.m.p. end-stage renal failure patients were treated by renal replacement therapy in Slovenia, 73% of them ...
Malliaraki Niki - - 2003
Oxidative stress may play a critical role in the vascular disease of end stage renal failure and hemodialysis patients. Studies, analyzing either discrete analytes and antioxidant substances, or the integrated total antioxidant activity of human plasma during hemodialysis, give contradictory results. Recently, we have introduced a new automated method for ...
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