Extracellular water compartment in hemodialyzed patients with normal blood pressure and with hypertension
Journal Title: Polish Journal of Public Health - Year 2010, Vol 120, Issue 4
Abstract
Introduction. Evaluation of hydration levels in dialyzed patients is an essential part of dialysis therapy. Bioimpedance is a valuable tool in the evaluation of the hydration level of the body in the dialyzed patient. Aim. The aim of this study was to examine the correlation between hydration values and parameters such as: dialysis adequacy parameter, protein catabolism rate (PCR, Kt/V) nutrition rate (albumin concentration, total protein concentration, creatinine concentration before haemodialysis) in haemodialyzed patients with normal blood pressure and with hypertension. Material and method. A single examination was carried out before haemodialysis with the use of the whole body bioimpedance for 51 dialyzed patients divided into two groups – the group of haemodialyzed patients with normal blood pressure (11 individuals: 5 females and 6 males) and the group of haemodialyzed patients with hypertension (40 individuals: 17 females and 23 males). In the correlation study statistically significant correlation was proven between: ECW and Kt/V (r=-0.80; p=0.003), ICW and Kt/V (r=-0.60; p=0.05) in haemodialyzed patients with normal arterial blood pressure (normotonics) before haemodialysis. Results. In the group of haemodialyzed hypertonics, significant correlation was shown between: ECW and Kt/V (r=-0.43; p=0.006), ICW and total serum protein concentration (r=0.41; p=0.008), ICW and creatinine concentration before HD (r=0.49; p=0.001). In the group of haemodialyzed patients with normal arterial blood pressure and with hypertension before haemodialysis, statistically significant correlation was proven between: systolic pressure and ECW (r= 0.31; p=0.03), systolic pressure and ECW/body weight before HD (r=0.44; p=0.001). Conclusions. The results of the study have shown the inverse proportional relation between ECW and Kt/V among hemodialyzed patients either with normal blood pressure or with hypertension.
Authors and Affiliations
Teresa Małecka-Massalska, Elżbieta Mądro, Krystyna Lupa, Wojciech Załuska, Andrzej Książek
Keywords
Related Articles
- EP ID EP102930
- DOI -
- Views 124
- Downloads 0
Influence of tobacco smoking on oral health
Tobacco smoking is considered the most frequent addiction both in Poland and all over the world. Tobacco smoke contains about 4,000 chemical compounds, 40 of which are carcinogens. Tobacco smoking leads to deterioration...
Traffic accidents involving pedestrians – a problem of modern medicine and public health
Pedestrians are road users, who may be both potential victims, as well as perpetrators of road accidents, and technological advances in road communication increase the likelihood of road accidents, especially involving p...
Epidemia otyłości w XXI wieku.
Otyłość jest obecnie uznawana za chorobę cywilizacyjną o zasięgu światowym. Badania potwierdzają jej związek przyczynowo-skutkowy z występowaniem chorób układu krążenia, tj.: nadciśnieniem tętniczym i chorobą niedokrwien...
The Perception of Changes in the National Health Service (NHS) Structure in Great Britain based on the example of front line staff
[b]Introduction. [/b]Significant structural changes are part of everyday life in the NHS. In 1948, when the Labour Party government created the National Health Service (NHS) in the United Kingdom, no one could foresee th...