Document Detail


Clinical experience with short-time hemodialysis.
MedLine Citation:
PMID:  7580039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the safety and efficiency of short-time hemodialysis (HD), the authors used the urea kinetic method to provide patients with similar amount of dialysis to that received during conventional treatment times. After six months on conventional HD (cellulosa acetate dialyzers, bicarbonate dialysate, and 4-hour treatment time), 8 patients were switched to short-time HD (cellulose triacetate dialyzers, bicarbonate dialysate, and 3-hour treatment time). During short-time HD, treatment time was reduced by 25%, while Kt/V index and protein catabolic rate remained constant. Shorter treatment times were not associated with an increase in intra- or interdialytic complications. When compared with the conventional period, short-time HD did not result in pre- or postdialysis blood pressure changes, interdialytic weight gain, or changes in biochemical parameters. Short-time HD did not result in an increase in hospital admissions. This study demonstrates that short-time HD performed with mandatory attention to the adequacy of dialysis as measured by urea kinetic modeling is compatible with objective improvement in patient welfare. The long-term effects of this treatment modality are not known, but our experience so far has been favorable.
Authors:
P Kes; I Ratković-Gusić
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti     Volume:  49     ISSN:  1330-0164     ISO Abbreviation:  Acta Med Croatica     Publication Date:  1995  
Date Detail:
Created Date:  1995-12-26     Completed Date:  1995-12-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9208249     Medline TA:  Acta Med Croatica     Country:  CROATIA    
Other Details:
Languages:  eng     Pagination:  53-8     Citation Subset:  IM    
Affiliation:
Department of Nephrology and Dialysis, Sestre Milosrdnice University Hospital, Zagreb.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Kidney Failure, Chronic / metabolism,  therapy
Male
Middle Aged
Prospective Studies
Renal Dialysis* / adverse effects
Time Factors

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


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