Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients
Ahmed, A., Al Adl, A., Emran, T., Hussein, S., Abdel-Fattah, A. (2019). Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients. EKB Journal Management System, 76(5), 4176-4181. doi: 10.21608/ejhm.2019.43085
Ahmed Alaa-Eldin Ahmed; Ahmed Salama Al Adl; Tarek Mustafa Emran; Sharif Kamal Hussein; Ayman Mahmoud Abdel-Fattah. "Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients". EKB Journal Management System, 76, 5, 2019, 4176-4181. doi: 10.21608/ejhm.2019.43085
Ahmed, A., Al Adl, A., Emran, T., Hussein, S., Abdel-Fattah, A. (2019). 'Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients', EKB Journal Management System, 76(5), pp. 4176-4181. doi: 10.21608/ejhm.2019.43085
Ahmed, A., Al Adl, A., Emran, T., Hussein, S., Abdel-Fattah, A. Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients. EKB Journal Management System, 2019; 76(5): 4176-4181. doi: 10.21608/ejhm.2019.43085

Effect of Blood and Fistula Flow Rates on Dialysis Adequacy, Phosphate Removal and Cardiac Function in Hemodialysis Patients

The Egyptian Journal of Hospital Medicine
Article 21, Volume 76, Issue 5, July 2019, Page 4176-4181  XML PDF (493.79 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.43085
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Authors
Ahmed Alaa-Eldin Ahmed1; Ahmed Salama Al Adl email 2; Tarek Mustafa Emran3; Sharif Kamal Hussein4; Ayman Mahmoud Abdel-Fattah2
1Internal Medicine Department, Faculty of Medicine, Al-Azhar University, Cairo
2Internal Medicine Department, Faculty of Medicine, Al-Azhar University, Damietta
3Clinical Pathology Department, Faculty of Medicine, Al-Azhar University, Damietta
4Radiology Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Abstract
Background: dialysis adequacy refers to the delivery of a dose of dialysis considered high enough to promote an optimal long term outcome. Quantification of the dialysis dose is an essential element because the adequacy has a profound effect on patient morbidity and mortality. Aim of the study: assessment the effect of blood and fistula flow rates on dialysis adequacy, phosphate removal and cardiac function in hemodialysis patients. Patients and Methods: this study was conducted on eighty patients with regular hemodialysis (HD) selected from Al-Azhar University Hemodialysis Unite in New Damietta. The studied patients were divided into two main groups according to blood flow rate (BFR) as follows: Group A 40 patients on BFR 250 mL/min and Group B 40 patients on BFR 350 mL/min. Results: there was statistically significant decrease of pre dialysis phosphate in group A in comparison to group B. There was statistically significant increase of KT/V, UUR and PRR in group B in comparison to group A. Arteriovenous fistula (AVF) Qa had negative correlation with TAPSE while it had positive correlation to all echocardiography findings except EF and heart rate (HR), kt/V and URR in group A. AVF Qa had positive correlation to all echocardiography findings except (EF, HR and TAPSE), kt/V, URR and PRP in group B Conclusion: increasing of blood and fistula flow rates are effective in increasing dialysis adequacy and phosphate reduction ration and it is more evident where using high-flux hemodialysis.
Keywords
Hemodialysis; Arteriovenous fistula
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