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

Ahmed , Ahmed Alaa-El Din; Al Adl , Ahmed Salama; Emran , Tarek Mustafa; Hussein , Sharif Kamal; Abdel-Fattah , Ayman Mahmoud

Article Details

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

Authors:

Ahmed , Ahmed Alaa-El Din | Al Adl , Ahmed Salama | Emran , Tarek Mustafa | Hussein , Sharif Kamal | Abdel-Fattah , Ayman Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4176-4181

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138822

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

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 BConclusion: 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.

Article Details

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

Authors:

Ahmed , Ahmed Alaa-El Din | Al Adl , Ahmed Salama | Emran , Tarek Mustafa | Hussein , Sharif Kamal | Abdel-Fattah , Ayman Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4176-4181

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138822

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

FISTULATION

INTERNAL DISEASES

HAEMODIALYSIS

PATIENTS

Hemodialysis

Arteriovenous Fistula

Issues

Article Details

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

Authors: Ahmed , Ahmed Alaa-El Din | Al Adl , Ahmed Salama | Emran , Tarek Mustafa | Hussein , Sharif Kamal | Abdel-Fattah , Ayman Mahmoud

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4176-4181

Document Type: Article

Publication Date: 7/2019

Document Language: English

Document ID (Org No.): 138822

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

FISTULATION

INTERNAL DISEASES

HAEMODIALYSIS

PATIENTS

Hemodialysis

Arteriovenous Fistula

Issues

Authors:

Ahmed , Ahmed Alaa-El Din | Al Adl , Ahmed Salama | Emran , Tarek Mustafa | Hussein , Sharif Kamal | Abdel-Fattah , Ayman Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4176-4181

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138822

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002