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J Nephropathol. 2020;9(1): e09.
doi: 10.15171/jnp.2020.09

Scopus ID: 85078236851
  Abstract View: 158
  PDF Download: 92

Original Article

How to increase dialysis adequacy; A randomized clinical trial  

Afsaneh Dashti 1 ORCID logo, Nahid Shahgholian 2 ORCID logo, Maryam Mafi 3 ORCID logo, Fateme Goudarzi 4 ORCID logo, Seyedehzahra Hoseinigolafshani 5 * ORCID logo

1 Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
2 Department of Critical Care Nursing, Isfahan University of Medical Sciences, Isfahan, Iran
3 School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
4 Department of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
5 Department of Critical Care Nursing, Qazvin University of Medical Science, Qazvin, Iran
*Corresponding author: Seyedehzahra Hoseinigolafshani, Email: Z.hoseinigolafshani@qums.ac.ir

Abstract

Introduction: Studies have shown when hemodialysis treatment is sufficiently effective, complications of uremic syndrome, additional treatment costs and hospitalization length are reduced. Several methods have been proposed to improve hemodialysis adequacy.

Objectives: In this study, the effects of the synchronic use of the stepwise profile dialysis fluid flow rate with increased blood flow rate (BFR) were studied on hemodialysis adequacy. Patients and Methods: This is a cross-over clinical trial study conducted on 34 hemodialysis patients selected from a hemodialysis center of Qazvin University of Medical Sciences, Qazvin, Iran. The patients were randomly allocated into two groups (n= 17 patients in each group) in two sequences. In the first sequence, the subjects received four routine hemodialysis sessions in group one and four hemodialysis sessions with the stepwise profile of the fluid flow rate with increased BFR in group two. In the second sequence, the treatment methods were exchanged. Hemodialysis sessions were performed in both sequences, consecutively. Each session was at least three hours. Hemodialysis adequacy was measured using Kt/V software on the hemodialysis machines after each session.

Results: The mean score of dialysis adequacy was 0.89 in the routine method and 1.26 in the profile with increased BFR. There was a statistically significant difference between the methods (t= -7.9, df = 33, P < 0.001).

Conclusion: The results of the study suggest that the stepwise profile of the dialysis fluid flow rate with increased BFR should be used synchronously to improve hemodialysis adequacy.

Keywords: Hemodialysis, dialysis adequacy, Chronic kidney disease, End-stage renal disease, End-stage renal disease

Implication for health policy/practice/research/medical education:

Today, efforts are being made to reduce the treatment costs, complications and hospitalization length by improving hemodialysis adequacy. The results of this study showed that the synchronic use of the stepwise profile dialysis fluid flow rate with increased blood flow rate improved hemodialysis adequacy.

Please cite this paper as: Dashti A, Shahgholian N, Mafi M, Goudarzi F, Hoseinigolafshani SZ. How to increase dialysis adequacy; A randomized clinical trial. J Nephropathol. 2020;9(1):e09. DOI: 10.15171/jnp.2020.09.

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Submitted: 18 Apr 2019
Accepted: 30 Jul 2019
ePublished: 15 Sep 2019
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