Document Detail

Blood pressure control in haemodialysis patients: an audit.
MedLine Citation:
PMID:  16669969     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This audit was conducted to study the level of achievement of some criteria relevant to blood pressure control in haemodialysis patients and to evaluate if auditing process improves the quality of medical care given to these patients. METHODS: The records of all 105 patients on maintenance haemodialysis were included in the study. Five criteria relevant to blood pressure control were selected for auditing. The criteria were: predialysis blood pressure control <140/80, dry weight, dialysis adequacy, salt and water intake restriction, and patient education. The auditing process was conducted at two different times 6 months apart. RESULTS: The first data collected in the auditing process showed that there were only 40 patients (38%) with controlled predialysis blood pressure. In the second data collection the number of patients with controlled predialysis blood pressure had risen significantly to 78 (74.3%), P < 0.0001. The same improvement was achieved for dry weight 39 (37%) to 73 (69.5%) P < 0.0001, dialysis adequacy 38 (36.2%) to 75 (71.4%) P = 0.043, salt and water intake restriction 39 (37%) to 71 (67.6%) P = 0.045, and patient education 30 (28.6%) to 55 (52.4%) P < 0.0001. CONCLUSION: Setting up audit cycles to evaluate achievement of required standard in relevant criteria contribute to better blood pressure control and leads to improvement in the care of patients on dialysis. Auditing can be an essential tool in identification of poorly controlled blood pressure, its cause and is useful in control of hypertension in the haemodialysis population.
Nabieh Al-Hilali; Hani Al-Humoud; Vadakethu T Ninan; Mangalathillam Rn Nampoory; Kaivilayil V Johny
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  11     ISSN:  1320-5358     ISO Abbreviation:  Nephrology (Carlton)     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-03     Completed Date:  2006-10-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  100-4     Citation Subset:  IM    
Department of Medicine, Mubarak AI-Kabeer Hospital, Kuwait.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Body Weight
Dialysis Solutions / adverse effects
Hypertension / drug therapy,  etiology,  therapy*
Kidney Failure, Chronic / complications,  therapy
Medical Audit*
Middle Aged
Renal Dialysis* / adverse effects
Reg. No./Substance:
0/Antihypertensive Agents; 0/Dialysis Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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