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The influence of blood volume-controlled ultrafiltration on hemodynamic stability and quality of life.
Hemodial Int. 2008 Jan; 12(1):39-44.HI

Abstract

Dialysis hypotension occurs frequently and is associated with increased morbidity, mortality, and may influence quality of life. We investigated the influence of blood volume (BV)-controlled ultrafiltration on hemodynamic stability and quality of life in a prospective multiple crossover study. Nineteen patients were consecutively treated with standard hemodialysis (HD), BV-controlled ultrafiltration, and again with standard ultrafiltration during 3-week phases, during which different hemodynamic parameters, ultrafiltrate quantities, dry weight, and quality of life were measured. Blood volume-controlled ultrafiltration resulted in increased hemodynamic stability: systolic blood pressure was significantly higher after treatment with BV-controlled HD compared with both standard treatments (p=0.018 and 0.043, respectively). Also, systolic blood pressure reduction, as a measure of blood pressure stability, was significantly smaller during the BV-controlled phase (-3.9 mmHg) compared with both standard phases (-13.7 and -11.0 mmHg): p=0.003 and 0.035, respectively. No difference was found in the occurrence of large decreases of blood pressure (>30 mmHg), decreases below 90 mmHg systolic pressure, or subjective complaints during treatment or after treatment between both treatment modalities. During the course of the study, the dry weight decreased significantly from mean 73.3 to mean 70.9 kg, and the amount of ultrafiltrate was significantly larger using BV-controlled HD compared with standard treatment (mean 2407 vs. mean 2266 mL; p=0.035). Quality of life, measured by visual analog scales (VAS), showed discrete but no consistent differences between study phases. We conclude that BV-controlled HD increases hemodynamic stability and ultrafiltrate amount compared with a standard treatment. No consistent change in quality of life is found between both treatment modalities.

Authors+Show Affiliations

Department of Nephrology, St Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

18271839

Citation

Sentveld, Bas, et al. "The Influence of Blood Volume-controlled Ultrafiltration On Hemodynamic Stability and Quality of Life." Hemodialysis International. International Symposium On Home Hemodialysis, vol. 12, no. 1, 2008, pp. 39-44.
Sentveld B, van den Brink M, Brulez HF, et al. The influence of blood volume-controlled ultrafiltration on hemodynamic stability and quality of life. Hemodial Int. 2008;12(1):39-44.
Sentveld, B., van den Brink, M., Brulez, H. F., Potter van Loon, B. J., Weijmer, M. C., & Siegert, C. E. (2008). The influence of blood volume-controlled ultrafiltration on hemodynamic stability and quality of life. Hemodialysis International. International Symposium On Home Hemodialysis, 12(1), 39-44. https://doi.org/10.1111/j.1542-4758.2008.00238.x
Sentveld B, et al. The Influence of Blood Volume-controlled Ultrafiltration On Hemodynamic Stability and Quality of Life. Hemodial Int. 2008;12(1):39-44. PubMed PMID: 18271839.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The influence of blood volume-controlled ultrafiltration on hemodynamic stability and quality of life. AU - Sentveld,Bas, AU - van den Brink,Mandy, AU - Brulez,Harald F H, AU - Potter van Loon,Bert-Jan, AU - Weijmer,Marcel C, AU - Siegert,Carl E H, PY - 2008/2/15/pubmed PY - 2008/5/7/medline PY - 2008/2/15/entrez SP - 39 EP - 44 JF - Hemodialysis international. International Symposium on Home Hemodialysis JO - Hemodial Int VL - 12 IS - 1 N2 - Dialysis hypotension occurs frequently and is associated with increased morbidity, mortality, and may influence quality of life. We investigated the influence of blood volume (BV)-controlled ultrafiltration on hemodynamic stability and quality of life in a prospective multiple crossover study. Nineteen patients were consecutively treated with standard hemodialysis (HD), BV-controlled ultrafiltration, and again with standard ultrafiltration during 3-week phases, during which different hemodynamic parameters, ultrafiltrate quantities, dry weight, and quality of life were measured. Blood volume-controlled ultrafiltration resulted in increased hemodynamic stability: systolic blood pressure was significantly higher after treatment with BV-controlled HD compared with both standard treatments (p=0.018 and 0.043, respectively). Also, systolic blood pressure reduction, as a measure of blood pressure stability, was significantly smaller during the BV-controlled phase (-3.9 mmHg) compared with both standard phases (-13.7 and -11.0 mmHg): p=0.003 and 0.035, respectively. No difference was found in the occurrence of large decreases of blood pressure (>30 mmHg), decreases below 90 mmHg systolic pressure, or subjective complaints during treatment or after treatment between both treatment modalities. During the course of the study, the dry weight decreased significantly from mean 73.3 to mean 70.9 kg, and the amount of ultrafiltrate was significantly larger using BV-controlled HD compared with standard treatment (mean 2407 vs. mean 2266 mL; p=0.035). Quality of life, measured by visual analog scales (VAS), showed discrete but no consistent differences between study phases. We conclude that BV-controlled HD increases hemodynamic stability and ultrafiltrate amount compared with a standard treatment. No consistent change in quality of life is found between both treatment modalities. SN - 1492-7535 UR - https://www.unboundmedicine.com/medline/citation/18271839/The_influence_of_blood_volume_controlled_ultrafiltration_on_hemodynamic_stability_and_quality_of_life_ L2 - https://doi.org/10.1111/j.1542-4758.2008.00238.x DB - PRIME DP - Unbound Medicine ER -