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Acute Effects of Hemodialysis on Pulmonary Function in Patients With End-stage Renal Disease.
MedLine Citation:
PMID:  20622309     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Introduction. Despite many beneficial effects, hemodialysis may cause pulmonary dysfunction. On the other hand, patients with end-stage renal disease are potentially prone to lung edema and respiratory dysfunction. This study was conducted to evaluate the alterations of pulmonary function indicators after hemodialysis, measured by spirometry. Materials and Methods. A total of 26 patients on hemodialysis for at least 3 months were studied. They were all older than 18 years old. None of the patients was a current or recent smoker, and none of them had a history of respiratory diseases, current or recent respiratory infections, musculoskeletal disorders, or tuberculosis. All of the patients underwent the spirometry test before and after a 4-hour hemodialysis session, and the forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), vital capacity (VC), and FEV1/FVC ratio were measured. Results. After hemodialysis, the FVC significantly increased (P = .02), while no significant improvement in the FEV1, VC, and FEV1/FVC ratio were observed. Gender was related to the changes in VC, with better results in women (P < .001). There was no association between the changes in spirometry parameters and age, body mass index, cause of kidney failure, type of anion used for hemodialysis, and weight changes. Conclusions. According to our results, pulmonary function, especially the FVC, improves after a session of hemodialysis.
Authors:
Rayhaneh Rahgoshai; Raham Rahgoshai; Ardeshir Khosraviani; Amir Ahmad Nasiri; Mehrdad Solouki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Iranian journal of kidney diseases     Volume:  4     ISSN:  1735-8582     ISO Abbreviation:  Iran J Kidney Dis     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101316967     Medline TA:  Iran J Kidney Dis     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  214-7     Citation Subset:  IM    
Affiliation:
Shahid Beheshti University of Medical Sciences, Tehran, Iran. rayhaneh.rahgoshai@gmail.com.
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