| Online hemodiafiltration: 4 years of clinical experience. | |
| | |
MedLine Citation:
|
PMID: 16441865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Online hemodiafiltration (online HDF) is a new hemodialysis technique combining convection and diffusion and thus also enabling the purification of large molecules. As yet, only a small number of clinical experiences have been published about the effectiveness and safety of online HDF. We present a prospective and observational study conducted on 31 patients treated with online HDF in our center in the last 4 years. The purpose of the study is to compare the evolution of the following aspects before and after starting online HDF: dose of dialysis, purification of medium-sized/large molecules, inflammation, nutrition, Ca-P metabolism, anemia, and intradialytic complications. Online HDF increased Kt/V to 31.0% (p > 0.001) and reduced postdialysis beta(2)-M to 66.4% (p > 0.001). The rest of the parameters analyzed did not vary significantly. During online HDF, episodes of symptomatic hypotension fell by 45% in relation to conventional hemodialysis, and no relevant complication occurred. Online HDF is very useful in patients in whom we need to increase replacement therapy, such as patients with a large body surface, those in whom we suspect a residual syndrome or those who have been receiving dialysis for a long time and for whom we wish to prevent amyloidosis. Online HDF is safe and better tolerated than conventional hemodialysis. |
| | |
Authors:
|
Rosa Muñoz; Isabel Gallardo; Evandro Valladares; Ramón Saracho; Isabel Martínez; Julen Ocharan; Jesús Montenegro |
Related Documents
:
|
6379665 - Treatment of severe aplastic anemia with high-dose methylprednisolone and antilymphocyt... 15001255 - Prognostic significance of pretreatment hemoglobin for local control and overall surviv... 11933115 - Polysaccharides isolated from echinacea purpurea herba cell cultures to counteract unde... 6944145 - Prognostic factors and treatment effects on survival in erythroleukemia: a retrospectiv... 22977495 - Pilot study of hepatic arterial infusion chemotherapy with gemcitabine and 5-fluorourac... 22153925 - Identifying the best candidate for radical prostatectomy among patients with high-risk ... |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
|
Title: Hemodialysis international. International Symposium on Home Hemodialysis Volume: 10 Suppl 1 ISSN: 1492-7535 ISO Abbreviation: Hemodial Int Publication Date: 2006 Jan |
Date Detail:
|
Created Date: 2006-01-30 Completed Date: 2006-05-03 Revised Date: 2013-04-05 |
Medline Journal Info:
|
Nlm Unique ID: 101093910 Medline TA: Hemodial Int Country: Canada |
Other Details:
|
Languages: eng Pagination: S28-32 Citation Subset: IM |
Affiliation:
|
Nephrology Department, Hospital de Galdakao, Galdakao-Vizcaya, Spain. rmunoz@hgda.osakidetza.net |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Anemia / etiology Calcium Phosphates / metabolism Female Hemodiafiltration / adverse effects, instrumentation*, methods Humans Hypotension / etiology Inflammation / etiology Longitudinal Studies Male Middle Aged Nutritional Physiological Phenomena Online Systems* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Calcium Phosphates; 97Z1WI3NDX/calcium phosphate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Microinflammation in hemodialysis is related to a preactivated subset of monocytes.
Next Document: The relevance of convection in clinical practice: a critical review of the literature.