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Absolute Interdialytic Weight Gain is more important than Percent Weight Gain for Intradialytic Hypotension in heavy patient.
MedLine Citation:
PMID:  22085217     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background:  Few literatures mentioned about the difference between absolute interdialytic weight gain (IDWG) and IDWG/DW (IDWG%), and subsequent effects on daily dialysis. The aim of present study was to evaluate the different between absolute IDWG and IDWG% in new hemodialysis patients. Method:  We retrospective reviewed the records of 255 patients who recently received conventional hemodialysis for at least 1 year at the same center from 1997 to 2008. The first 4 weeks after starting hemodialysis was defined as the pre-study period. Data were collected for 5-56 weeks. Results:  IDWG% value remained relatively constant in the first year of hemodialysis despite most patients had certain residual renal function. For hemodialysis outcomes, both absolute IDWG and IDWG% were significantly correlated with intradialytic hypotension (IDH) in men and heavy women. After divided patients into 4 stratums which according to the gender and the median dry weight, stepwise multivariate linear regression analysis showed that absolute IDWG, rather than IDWG%, was an independent risk factor for IDH in heavy men (Beta = 0.585, p < 0.001) and heavy women (Beta = 0.458, p < 0.001). Conclusions  Absolute IDWG, rather than IDWG%, is an independent risk factor for IDH in heavy hemodialysis patient. Therefore, higher absolute IDWG remain need to be strict controlled despite the corresponding IDWG% might be relative small in heavy hemodialysis patients.
Authors:
Chuan-Tsai La; Chih-Jen Wu; Han-Hsiang Chen; Chi-Feng Pan; Chin-Ling Chiang; Chiung-Ying Chang; Yu-Wei Chen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-16
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  -     ISSN:  1440-1797     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology.
Affiliation:
Division of Nephrology, Division of Hemodialysis center, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan Mackay Medicine, Nursing and Management College, Taipei, Taiwan Graduate Institute of Medical Science, Taipei Medical University, Taipei, Taiwan National Taipei College of Nursing, Taipei, Taiwan.
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