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1 Table of Contents. 1 Table of Contents 2. 1.1 List of Tables 3. 1.2 List of Figures 3. 2 Introduction 4. 2.1 What Is This Report About? 4. 2.2 Renal Dialysis Equipment Market Segmentation 4. 2.3 Definitions of Markets Covered in the Report 5. 3 Renal Dialysis Equipment Market, India 7. 3.1 Renal Dialysis Equipment Market, India, Revenue ($m), 2009-2016 7. 3.2 Renal Dialysis Equipment Market, India, Revenue ($m), 2016-2023 9. 3.2.1 Dialysis Accessories Market, India, Revenue ($m), by Segment, 2009-2016 11. 3.2.2 Hemodialysis Machines Market, India, Revenue ($m), by Segment, 2009-2016 13. 3.2.3 Dialysis Accessories Market, India, Revenue ($m), by Segment, 2016-2023 15. 3.2.4 Hemodialysis Machines Market, India, Revenue ($m), by Segment, 2016-2023 17. 3.3 Renal Dialysis Equipment Market, India, Volume (Units), 2009-2016 19. 3.4 Renal Dialysis Equipment Market, India, Volume (Units), 2016-2023 21. 3.4.1 Dialysis Accessories Market, India, Volume (Units), by Segment, 2009-2016 23. 3.4.2 ...
The main purposes of this thesis were to use ESR to study the levels of NTBI and oxidative stress after intravenous (IV) iron injection and to compare two commercially available IV iron formulations, low-molecular weight iron-dextran (ID) and iron-sucrose (IS), regarding this topic. In addition, the impact of two different hemodialysis modalities on iron homeostasis and the effect of modifying the ESA administration praxis on ESA requirement, were studied. Sixty-four patients on chronic hemodialysis treatment participated in these studies. To investigate the appearance of NTBI and induction of oxidative stress, blood samples were collected before and after IV iron injections. To compare two different hemodialysis modalities, a prospective, randomized, patient-blinded study, with conventional hemodialysis (HD) and on-line hemodiafiltration (HDF), in a 2x2 months design, was conducted. Finally, a retrospective register study was performed on 18 patients, comparing periods with two different ...
TY - JOUR. T1 - Serum Phosphate and Calcium Should Be Primarily and Consistently Controlled in Prevalent Hemodialysis Patients. AU - Taniguchi, Masatomo. AU - Fukagawa, Masafumi. AU - Fujii, Naohiko. AU - Hamano, Takayuki. AU - Shoji, Tetsuo. AU - Yokoyama, Keitaro. AU - Nakai, Shigeru. AU - Shigematsu, Takashi. AU - Iseki, Kunitoshi. AU - Tsubakihara, Yoshiharu. PY - 2013/4. Y1 - 2013/4. N2 - Mineral metabolism affects mortality in hemodialysis patients and is identified by imbalances in serum phosphate (P), calcium (Ca), and parathyroid hormone (PTH). We examined associations between annual mineral values (P, Ca, PTH) and mortality in a 3-year cohort (Dec 2006-2009) of 128125 hemodialysis patients using three models, that is, baseline, time-dependent and time-average Cox models. We also examined associations between achieved Japanese guideline targets (P: 3.5-6.0mg/dL, corrected Ca 8.4-10.0mg/dL, intact PTH 60-180mg/dL) and all-cause survival to elucidate which parameter should be controlled ...
Soejima A, Matsuzawa N, Miyake N, Karube M, Fukuoka K, Nakabayashi K, Kitamoto K, Nagasawa T.. Clin Nephrol 1999 Feb;51(2):92-7. BACKGROUND: Persistent hypoalbuminemia is a long-term poor prognostic factor in chronic hemodialysis patients. PATIENTS AND METHODS: We investigated the correlation between the degree of peroxidation of erythrocyte membrane lipids, erythrocyte alpha tocopherol content, erythrocyte glutathione peroxidase activity and serum albumin concentration in twelve patients with uremia not undergoing hemodialysis and fifteen patients on maintenance hemodialysis. RESULTS: The glutathione peroxidase activity in erythrocytes was higher in patients of uremia not undergoing hemodialysis than in chronic hemodialysis patients. A significant negative correlation was observed between the erythrocyte alpha tocopherol content and the degree of erythrocyte membrane lipid peroxidation in chronic hemodialysis patients. There was a statistically significant difference in the degree of ...
TY - JOUR. T1 - Relationship between history of coronary heart disease at dialysis initiation and onset of events associated with heart disease. T2 - A propensity-matched analysis of a prospective cohort study. AU - Inaguma, Daijo. AU - Koide, Shigehisa. AU - Takahashi, Kazuo. AU - Hayashi, Hiroki. AU - Hasegawa, Midori. AU - Yuzawa, Yukio. PY - 2017/2/28. Y1 - 2017/2/28. N2 - Background: Chronic kidney disease (CKD) is an independent risk factor for cardiovascular disease (CVD) events, and a number of reports have shown a relationship between CKD and CVD in pre-dialysis or maintenance dialysis patients. However, few studies have reported serial observations during dialysis initiation and maintenance. Therefore, we examined whether the incidence of heart disease events differed between CKD patients with and without a history of coronary heart disease (CHD) at dialysis initiation. Methods: The subjects were patients in the 17 centers participating in the Aichi Cohort Study of Prognosis in ...
TY - JOUR. T1 - The nutritional assessment in hemodialyzed patients, related to dietary protein intake. AU - Kinoshita, Yuko. AU - Watanabe, Yuzo. AU - Yuzawa, Yukio. AU - Yosiiida, Futoshi. AU - Sekiyama, Satoshi. AU - Fukatsu, Atsusiii. AU - Matsuo, Seiichi. AU - Sakamoto, Nobuo. AU - Ito, Akira. AU - Yamazaki, Chikao. PY - 1988/2/1. Y1 - 1988/2/1. UR - http://www.scopus.com/inward/record.url?scp=0023994156&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0023994156&partnerID=8YFLogxK. U2 - 10.14842/jpnjnephrol1959.30.361. DO - 10.14842/jpnjnephrol1959.30.361. M3 - Article. C2 - 3230689. AN - SCOPUS:0023994156. VL - 30. SP - 361. EP - 368. JO - Japanese Journal of Nephrology. JF - Japanese Journal of Nephrology. SN - 0385-2385. IS - 4. ER - ...
Introduction: End Stage Renal Disease (ESRD) is associated with accelerated vascular disease of the cerebral circulation. Several studies have established that patients with ESRD on hemodialysis (HD) are at much higher risk of ischemic stroke than general population.. Objective: To compare the outcomes of in-hospital stroke vs out of hospital stroke in maintenance hemodialysis and identify predictors of mortality.. Methods: Patients ,18 years admitted between 2005-2014 were screened using ICD-CM-9 codes 39.9 for Hemodialysis and 430-438 for stroke. Of the 620 patients with stroke and HD, 135 patients who had "in-hospital" acute ischemic stroke were identified. Patient demographics, comorbidities, type of stroke, and outcomes including discharge disposition and mortality were compared between the two groups. Logistics regression analysis was performed to identify independent predictors of mortality in these patients.. Results: Rate of in hospital stroke was 28.8 % (135/468) and overall prevalence ...
This study is investigating the safety and efficacy of daclatasvir and asunaprevir combination therapy for hemodialyzed patients with chronic hepatitis C.
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Mild cognitive impairment in maintenance hemodialysis patients: a cross-sectional survey and cohort study Xiaohua Pei,1,* Shuyuan Lai,1,* Xianglan He,1 Nakimera Pearl Masembe,1 Haichuan Yuan,1 Zhenzhu Yong,1 Bei Zhu,1 Jianqing Wu,2 Weihong Zhao1 1Department of Geriatric Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China; 2Department of Geriatric Respiration, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China *These authors contributed equally to this work Introduction: Few studies focused on mild cognitive impairment (MCI) in maintenance hemodialysis (MHD) patients. This study was conducted to survey the prevalence, the potent risk factors of MCI in MHD patients, and further observe the progress of MCI in a period of 6 months. Methodology: Mini-Mental State Examination, and Montreal Cognitive Assessment were used to assess cognitive condition. MHD patients were enrolled from The First Affiliated Hospital of Nanjing
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Results: Among 25 children with abnormal spirometry on regular hemodialysis, there was a decrease in spirometric indices in patients on hemodialysis with a tendency to the restrictive pattern (19 patients; 76%). The following HRCT findings were detected: bilateral mild lower-lobe air trapping (centrilobular emphysema) in 14 patients (56%), diffuse bilateral ground-glass appearance in 2 patients (8%), mild hilar and perihilar bronchiectasis in 5 patients (20%), and cardiomegaly in 3 patients (12 ...
ZUNIGA SM, Carlos et al. Health related quality of life among patients on chronic hemodialysis. Rev. méd. Chile [online]. 2009, vol.137, n.2, pp.200-207. ISSN 0034-9887. http://dx.doi.org/10.4067/S0034-98872009000200003.. Background: Health-related quality of life (HRQOL) among patients on chronic hemodialysis (CHD), is associated with mortality, complications and compliance to treatment. Aim: To assess HRQOL in a group of patients on CHD. Patients and methods: A cross-sectional multicenter study was carried out, involving 224 patients from five CHD units (3 prívate and 2 public) in Bio Bio Región, using the Kidney Disease Quality of Life -36 items (KDQOL-36) questionnaire and Karnofsky scale. Scores range from 0 to 100, with higher values representing a better HRQOL. Results: Physical and Mental scales and subscales of symptoms, effect and the burden of kidney disease subscales rendered scores below 50 (the referential valué), in 80%, 61%, 8%, 43% and 80% of evaluations, respectively. The ...
Press Release. Fresenius Medical Care, the worlds largest provider of dialysis products and services, today announced the launch of its 4008A dialysis machine, which was especially designed to meet the needs of emerging markets. With the launch of the 4008A, the company is aiming to improve accessibility to life-sustaining dialysis treatment for patients in these countries who are living with end-stage renal disease (ESRD).. The 4008A dialysis machine incorporates Fresenius Medical Cares high therapy standards while minimizing costs for health care systems. It has primarily been deployed in India, with other countries across the Asia-Pacific region to follow. Worldwide, there is an urgent and growing need for patients with ESRD to receive access to dialysis. A systematic review of worldwide access to treatment estimated that almost two million people in Asia with ESRD who needed dialysis were not receiving it - a treatment gap that is double the number of patients actively being treated. ...
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Vascular access choices in end-stage renal disease (ESRD) patients depend on a number of factors. A recent update was published in AJKD from the US DOPPS Practice Monitor with international comparisons. Corresponding author Dr Ronald Pisoni (RP) discusses this paper with Dr. Sean Kalloo (AJKDblog), AJKD Blog Contributor.. AJKDblog: Despite significant improvement in vascular access use for prevalent hemodialysis patients in the United States over the past 17 years, there has been no improvement in vascular access use for new hemodialysis starts, with nearly 80% initiating hemodialysis therapy with a central venous catheter (CVC). What are some of the factors involved with such a high rate of CVC use in the US?. RP: The Fistula First program recently transitioned to the Fistula First Catheter Last initiative to focus on the development of tools and resources to help dialysis facilities and clinicians reduce catheters and increase AV fistula rates in hemodialysis patients. The crux of this latter ...
The El Ghazala Dialysis Clinic is perfectly located only a few miles away from the popular and highly touristic destinations of Gammarth and Catharge. The dialysis clinic is operating for over 15 years, having acquired great experience in the field of Holiday Dialysis offering the highest standards to visiting patients. At the El Ghazala Dialysis Clinic we do our best to make you feel right at home and make your stay as pleasant as possible by providing a variety of facilities and amenities: • 26 Fresenius 4008S dialysis machines. • Multilingual medical staff. • Head nephrologist always attending during dialysis treatments. • Light snack. • TV Sets.
Dialysis machines help patients with reduced kidney function or kidney failure to filter the blood and remove excess waste and water. Dialysis is required by millions of patients around the world who are dependent upon the dialysis machines for survival unless kidney function is restored or a kidney is transplanted. SMI offers a variety of pressure sensors that are used throughout the dialysis machine to ensure the proper operation. ...
Vascular access-related infections and septicemia are the main causes of infections among hemodialysis patients, the majority of them caused by Staphylococcus species. Acetylsalicylic acid (ASA) has recently been reported with a probable antistaphylococcal activity. This study aimed to evaluate the effect of ASA on the risk of dialysis-related infection and septicemia among incident chronic hemodialysis patients. In a nested case-control study, we identified 449 cases of vascular access-related infections and septicemia, and 4156 controls between 2001 and 2007 from our incident chronic hemodialysis patients cohort. Cases were defined as patients hospitalized with a main diagnosis of vascular access-related infection or septicemia on the discharge sheet (ICD-9 codes). Up to ten controls per case were selected by incidence density sampling and matched to cases on age, sex and follow-up time. ASA exposure was measured at the admission and categorized as: no use, low dose (80-324 mg/d), high dose (≥325
P Patrick Basu, MD, MRCP, FACG, AGAF, Niraj J Shah, MD, Md Ashfique, MD, Sakina Farhat, MD, Ravi Siriki, MD. 1. Columbia University College of Physicians and Surgeons, NY 2. NSLIJHS/ Hofstra North Shore LIJ School of Medicine, NY 3. James J. Peters VA Medical Center, Mount Sinai School of Medicine, NY.. Objective: The prevalence of Chronic hepatitis C (CHC) in Hemodialysis population is 3%. Standard of care (SOC) offers reduced dose of Peg IFN Alfa (p-IFNα) and reduced Ribavirin (RBV) doses eliciting sub optimal SVR of 27%. Morbidity and mortality of CHC has impact on liver kidney transplant and graft failure. Triple therapy is SOC in CHC patients. Telaprevir is not cleared renally and hence is safe in the hemo-dialysis population. This study evaluated the efficacy of triple therapy with Telaprevir, adjusted dose of RBV and p-IFNα in naïve CHC-G1(CHC Genotype 1) individuals on hemodialysis as a Respond Guided Therapy (RGT). Methods: Total of thirty five (n=35) naïve CHC-G1 were recruited and ...
Natalia Istrate(1), E. Mota(2), Daniela Cana-Ruiu(2) (1) Hemodialysis Center, Emergency University Hospital Craiova; (2) Nephrology Department, Emergency University Hospital Craiova Abstract Venous catheters are used for patients with chronic renal failure who need urgent haemodialysis (HD), but without available mature access ,and patients on maintenance HD who have lost their permanent access function. The aim of this retrospective clinical study was to determine the incidence of venous catheter complications in chronic HD patients
Headache is one of the most frequently encountered neurological symptoms during hemodialysis. According to International Classification of Headache criteria dialysis-related headache was defined as the headache occurring during hemodialysis with no specific characteristic. It resolves spontaneously within 72 hours after the hemodialysis session ends. There are few studies in the literature investigating the clinical features of dialysis headache. The pathophysiology of hemodialysis-related headache is not known, but various triggering factors have been identified, including changes in blood pressure, serum sodium and magnesium levels during hemodialysis sessions, caffeine deprivation and stress. The aim of this article is to evaluate and analyze features of headache in patients undergoing hemodialysis. ...
in Acta Gastro-Enterologica Belgica (1999), 62(1), 13-15. Background : Recently, a novel blood-borne virus has been identified and named hepatitis G virus. Transfusion is the main route of transmission. It is known that patients on maintenance dialysis are more ... [more ▼]. Background : Recently, a novel blood-borne virus has been identified and named hepatitis G virus. Transfusion is the main route of transmission. It is known that patients on maintenance dialysis are more susceptible to infections with parenterally-transmitted viruses than the general population. The aim of the present study was to determine the prevalence of hepatitis G infection in a Belgian dialysis unit. Methods: The entire population of our dialysis unit (82 patients) was tested for the presence of hepatitis G virus (HGV) by reverse transcriptase polymerase chain reaction. History of transfusion or renal transplantation coinfections with hepatitis B and C viruses, and serum aminotransferase levels were also tested. ...
Dialysis services are provided to patients admitted to Wheeling Hospital with acute and chronic kidney failure and related conditions. Hemodialysis care is provided by staff from the Wheeling Dialysis Center, a division of Wheeling Renal Care. Peritoneal dialysis treatments are performed by specially trained Wheeling Hospital nursing staff. The full complement of dialysis-related care is available. Wheeling Renal Care was established in 1997 as a joint venture between Wheeling Hospital and LDK Associates. Creation of this entity allowed for expansion of the programs of Wheeling Dialysis Center, which had been a division of Wheeling Hospital for nearly 20 years. Wheeling Renal Care currently owns and operates three free-standing outpatient dialysis facilities serving patients from the upper Ohio Valley. In addition to providing outpatient hemodialysis and home peritoneal dialysis training and support for patients with chronic kidney failure, WRC also provides hemodialysis treatments for patients ...
Background: Sudden cardiac death is common and accounts largely for the excess mortality of patients on maintenance dialysis. It is unknown whether aldosterone and cortisol increase the incidence of sudden cardiac death in dialysis patients. Methods and results: We analysed data from 1255 diabetic haemodialysis patients participating in the German Diabetes and Dialysis Study (4D Study). Categories of aldosterone and cortisol were determined at baseline and patients were followed for a median of 4 years. By Cox regression analyses, hazard ratios (HRs) were determined for the effect of aldosterone, cortisol, and their combination on sudden death and other adjudicated cardiovascular outcomes. The mean age of the patients was 66 ± 8 years (54% male). Median aldosterone was ,15 pg/mL (detection limit) and cortisol 16.8 µg/dL. Patients with aldosterone levels ,200 pg/mL had a significantly higher risk of sudden death (HR: 1.69; 95% CI: 1.06-2.69) compared with those with an aldosterone ,15 pg/mL. ...
Background. A standardized practical method of post-dialysis blood sampling is required to improve the precision of using urea kinetics in the evaluation of haemodialysis dose and to permit comparative audit. The methods recommended in the Renal Association and Dialysis Outcomes Quality Initiative (DOQI) guidelines reduce the blood pump speed to a low rate at the end of haemodialysis before blood sampling after 10 and 15 s respectively. However, these `low flow methods compensate only partially for cardiopulmonary recirculation and may be impractical in routine practice because they involve sequential steps and require accurate timing of sampling. Therefore we have evaluated an alternative method of stopping only the dialysate flow at the end of the haemodialysis session before performing post-dialysis blood sampling.. Methods. The study was performed in three phases. Serial measurements of blood urea were obtained from arterial and venous samples taken at times 0, 30, 60, 120, 180, 240, 300 ...
October 19, 2017-A study that aimed to describe the temporal trends and outcomes of endovascular and surgical revascularization in a large, nationally representative sample of patients with end-stage renal disease on hemodialysis who were hospitalized for peripheral artery disease (PAD), was published by Pranav S. Garimella, MD, et al in Journal of the American College of Cardiology (JACC): Cardiovascular Interventions (2017;10:2101-2110).. The background of the study is that although PAD is prevalent among patients with end-stage renal disease on hemodialysis and is associated with significant morbidity and mortality, there is a paucity of information on trends in endovascular and surgical revascularization and postprocedure outcomes in this population.. As summarized in JACC: Cardiovascular Interventions, the Nationwide Inpatient Sample (2002 to 2012) was used to identify hemodialysis patients undergoing endovascular or surgical procedures for PAD using diagnostic and procedural codes. The ...
The bacteria within our gut appear to have an effect on nearly every aspect of our health. Little is known about how hemodialysis treatment and kidney failure influence the bacterial composition in our gut and in turn how this influences our health. Emerging evidence suggests that perhaps some of these bacteria are a major source of molecules that may build up and cause harm to the health of hemodialysis patients. This study helped us understand more about the relationship between gut bacteria and clinical risk factors in hemodialysis patients. In addition, it will shape future interventional studies to improve health in this population.. Methods: In this cross-sectional study, ten MHD patients (7M, 50 ± 4years, 80% African American) were assessed on a non-dialysis day. Assessment included: bone and body composition by DEXA; arterial function by applanation tonometry; and dietary intake through dietary recalls over the 48h prior to the fecal sample collection. Participants were asked to collect ...
WALTHAM, Mass.-(BUSINESS WIRE)-Fresenius Medical Care (NYSE: FMS), the worlds leading company devoted to patient-oriented renal therapy, announced today that the U.S. Food and Drug Administration (FDA) cleared its [email protected]™ dialysis machine. Specifically designed to facilitate hemodialysis treatment in the home environment, the newly approved device offers many patients more options for achieving adequate dialysis in the comfort of their own home.. "The [email protected] offers the broadest range of dialysis prescription delivery, regardless of patient size or metabolic needs". "The [email protected] offers the broadest range of dialysis prescription delivery, regardless of patient size or metabolic needs," said Chief Medical and Regulatory Affairs Officer Jose Diaz-Buxo, MD, FACP. "It offers versatility and the reliability of many years of experience with this platform." The [email protected] combines the known safety, efficacy and reliability of the 2008® series hemodialysis machines with a simpler user ...
Background. C‐reactive protein (CRP) levels, an acute phase response index, predict cardiovascular outcome and are inversely related to visceral proteins, including albuminaemia in haemodialysis patients. Less definite is the relationship between inflammation and markers of somatic proteins such as serum creatinine in such patients. To explore these questions, a cross‐sectional analysis of potential predictors of serum creatinine was performed.. Methods. One hundred and seventy‐nine prevalent haemodialysis patients as of June 2001 were included in the cohort. Midweek pre‐dialysis blood samples were collected during the months of June, September through to December 2001 inclusive, and determinations of serum urea (urease method), creatinine (alkaline picrate method) and CRP levels by means of a high sensitivity immunonephelometric method were performed. Furthermore, pre‐ and post‐dialysis body weights were recorded and 2 min post‐dialysis serum urea levels were determined three ...
Hepatitis C virus (HCV) infection is common and associated with significant morbidity and mortality among dialysis patients.This topic reviews HCV infection among dialysis patients, including epidemiology, screening, and prevention.The treatment of H
Clinical Trials - clinicaltrials.gov Low molecular weight heparin (LMWH) provides a safe and effective alternative to UFH for hemodialysis anticoagulation. Whil...
Discussion. The annual chronic dialysis survey has become a traditional event among Brazilian renal centers for the last 15 years,3,4 and this year 38% of centers joined the survey, representing a significant voluntary participation. The South and Southeast regions had response rates above the national average (40 and 44 %).. In the last 15 years, the number of end-stage renal disease patients on dialysis increased 4.2 times more than the number of active dialysis centers, increasing to 167 the average number of patients per center. Nonetheless, the average occupation rate is 85%. The average number of nephrologists per center was 6.. The growth rate of the number of patients on dialysis in Brazil is reducing. Although the annual increase of the estimated absolute number varies around 4,000 to 6,000 per year, the relative growth of dialysis population is decreasing as demonstrated when we compared percentage growth every five years.. The overall estimated prevalence increased 22.2% in 5 years, ...
Risk factors for an early dialysis start in patients with diabetic nephropathy end-stage renal disease Tomohiro Mizuno,1,2,* Takahiro Hayashi,3,* Rina Kato,1 Ayaka Noguchi,1 Hiroki Hayashi,2 Yukio Yuzawa,2 Shigeki Yamada,3 Tadashi Nagamatsu1 1Department of Analytical Pharmacology, Meijo University Faculty of Pharmacy, Nagoya; 2Department of Nephrology, 3Department of Clinical Pharmacy, School of Medicine, Fujita Health University, Toyoake, Japan *These authors contributed equally to this work Background: Patients with end-stage renal disease (ESRD) have symptoms related to severe anemia, edema, and heart failure. Although dialysis improves ESRD syndromes, the optimum timing for initiation of dialysis is unclear. Recent observational studies have suggested that early commencement of dialysis can be harmful. Given that early dialysis may increase the risk of death, avoiding an early start to dialysis is recommended. Patients with diabetic nephropathy (DN) may have risk factors for early dialysis. However
Lewisville Dialysis Clinic is a large dialysis clinic with 30 stations based at 1600 Waters Ridge Drive Suite B in Lewisville, TX. The for-profit facility is operated independently from any other parent chain. The center was certified by Medicare in 1992. The facility offers late shift, in-center hemodialysis, and in-center peritoneal services. The patient survival category for this clinic is average. Staff is made up of the full time equivalent of 0.97 doctors, 5.58 registered nurses, 2.68 licensed practical nurses, 10.17 nursing aides, 3.95 technicians, 0.90 social workers, 0.74 dietitians, 3.65 administrators, and 1.14 managers ...
Antihypertensive medications are commonly prescribed to hemodialysis patients but the optimal regimens to prevent morbidity and mortality are unknown. The goal of our study was to compare the association of routinely prescribed antihypertensive regimens with outcomes in US hemodialysis patients.We used 2 datasets for our analysis. Our primary cohort (US Renal Data System [USRDS]) included adult patients initiating in-center hemodialysis from July 1, 2006 to June 30, 2008 (n = 33,005) with follow-up through December 31, 2009. Our secondary cohort included adult patients from Dialysis Clinic, Inc. (DCI), a national not-for-profit dialysis provider, initiating in-center hemodialysis from January 1, 2003 to June 30, 2008 (n = 11,291) with follow-up through December 31, 2008. We linked the USRDS cohort with Medicare part D prescriptions-fill data and the DCI cohort with USRDS data. Unique aspect of USRDS cohort was pharmacy prescription-fill data and for DCI cohort was detailed clinical data, ...
For patients with severe chronic kidney disease, regular dialysis to remove toxins and waste products from the blood is essential to maintain life. The adequacy of dialysis is quantified by the removal of these toxic solutes and is an important parameter in the assessment of the therapy.. Previous efforts to enhance urea clearance have centered around factors such as increasing dialysis dose by increasing dialysis time or carrying out more frequent dialysis sessions. However this concept is confronted with the barriers of patient compliance and cost implications. Many patients are resilient to increasing their dialysis time, presenting a major challenge for enhancing the efficacy of dialysis therapy. Therefore, alternative methods of improving dialysis adequacy, with interventions aimed at enhancing solute clearance, are highly warranted.. One such intervention could be exercising during haemodialysis (HD). 85% of the body is comprised of lean tissue, of which 73% is water. As many toxic solutes ...
After screening all of 280 patients under regular HD in Faghihi Hospital Hemodialysis Center, 80 stable patients in the age range of 18-80 years old were found to be eligible for enrollment and give their informed consent to participate in this trial.The Ethics Committee of Shiraz University of Medical Sciences reviewed and approved the protocol of this study.These patients are randomly assigned in a 1:1 ratio into 2 groups of selenium(200µg) or placebo and followed for 12 weeks.Before the onset of the treatment and after the end of the treatment phase of the study, 10cc blood samples were taken from each patient. The blood was taken from the patients arm used for hemodialysis cannulae just before the beginning of the HD session. The serum was separated by centrifugation at 3000 g/min for 5 min and stored at -70°C. Serum levels of adiponectin,high sensitive C-reactive protein (HSCRP), ferritin, transferrin, homocysteine, calcium, phosphate, albumin, blood urea nitrogen (BUN), and creatinine ...
For patients suffering from acute renal failure, for the intermittent procedures, intermittent hemodialysis is currently the standard of care in both the I
Renal Dialysis Center (RDC), Nigerias leading dialysis network with a strong commitment to quality care was founded on October 1st 2012 as a standalone outpatient heamodialysis centre in Ikeja, Lagos, Nigeria. RDC is the Winner of the Nigerian Healthcare Excellence Award (NHEA) for the best dialysis service provider for the year 2017 & 2018 respectively. RDC is spearheading change in the way dialysis is done in Nigeria. Her mission is "Providing accessible, affordable, quality dialysis to people with kidney disease through individualized care to improve quality of life".. ...
TY - JOUR. T1 - Cardiovascular problems in dialysis patients. T2 - impact on survival.. AU - Sidhu, Manavjot S.. AU - Dellsperger, Kevin C. PY - 2010/12/1. Y1 - 2010/12/1. N2 - Cardiovascular diseases, in their broad spectrum, are collectively the major cause of death in patients on dialysis. The population of patients treated with peritoneal and hemodialysis are not only subject to the traditional risk factors for heart disease, but also to certain uremia-associated risk factors that are unique in this population. Limited data are available on the effectiveness of routine interventions on cardiovascular outcomes in dialysis patients. Because most dialysis patients are excluded from clinical trials, data from randomized controlled trials regarding outcomes in patients undergoing peritoneal dialysis are almost absent. The present review discusses some of the major cardiovascular problems in the dialysis population, the impact of those problems on survival, and the available therapeutic ...
Introduction: Percutaneously inserted double-lumen central venous hemodialysis catheters provide the nephrologist with an excellent temporary access for an immediate hemodialysis treatment and preserve the peripheral veins for the future creation of a permanent arteriovenous vascular access. Unfortunately catheterrelated infections are usually common. In this study, the impact of intra luminal vancomycin administration on catheter-related infections in a group of hemodialyzed patients has been investigated. Method: A total of 100 patients with renal failure requiring hemodialysis by way of double-lumen central venous catheters inserted into the internal jugular or subclavian vein in 6 months period, were randomly divided into two groups of receiving a single intravenous dose of 1000 mg of vancomycin during catheter insertion and no antibiotics. The rate of infection, in situ duration of the initial catheter, number of dialysis sessions per week, site of catheter, length of the catheter which was outside
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The records of 320 hemodialysis patients at risk for developing ischemic heart disease (IHD) were examined to determine the influence of the established risk factors of blood pressure, smoking, serum triglycerides, and age on the incidence of IHD and to develop coronary risk profiles for the hemodialysis population. The role of packed red blood cell volume, race, sex, and cause of renal failure on the development of IHD were also examined. None of these risk factors alone, with the exception of age and chronic pyelonephritis, were found to contribute significantly to the incidence of dialysis-acquired IHD. When the joint contribution of these variables was analyzed using Cox regression analysis, race and diastolic hypertension also were discovered to contribute significantly to IHD. However, smoking and serum triglycerides were not found to be significant risk factors. From these data, it is concluded that older patients are at a greater risk than younger patients, that white patients are at a ...
Five percent (5%) of the patients responding to a safety survey reported that they had experienced their needles becoming dislodged during the prior three months. Are you surprised? Whats more, "about 1 in 5 Dialysis patients die every year in US, and many of these deaths are preventable," suggested Personal Injury Lawyer, Mike Ferrara (The Ferrara Law Firm), which was reported in KidneyBuzz.coms article, "1 in 5 Dialysis Patients Die Yearly. Needle Dislodgement Turning Deadly Contributes To Statistic.". Recommended Reading: Dialysis Patient Developed Dialysis App that Tracks Your BP and Weight During Treatment. Although needle dislodgement can be prevented, it is an unfortunate fact that some Dialysis patients quality of life is severely reduced or even lost due to unnoticed needle leaks which may result in excessive blood loss. You may ask, "What can I do to protect myself?" If so you are not alone, many Chronic Kidney Disease patients on Dialysis do not know what they can exactly do to ...
Fresenius Medical Care North America celebrates Earth Day 2019 by sharing the ways the many parts of life-sustaining dialysis machines are reused and recycled. Dialysis machines are disassembled, allowing the recycling of various materials and components, including bulbs, plastics and circuit boards. Read through this infographic to learn more about how Fresenius Medical Care supports a cleaner environment through recycling and repurposing.. ...
Abstract:. BACKGROUND: Infection is second only to cardiovascular disease as a cause of death in the haemodialysis population.. AIM: To assess the effect of introducing catheter lock solution taurolidine-citrate-heparin to all tunnelled central venous catheters (TCVCs) on staphylococcal bloodstream infection rates in patients on chronic haemodialysis.. DESIGN: Observational, prospective analysis of the incidence rates of staphylococcal bacteraemic events in NHS Greater Glasgow & Clyde and NHS Forth Valley between April 2011 to June 2013, with taurolidine-citrate-heparin catheter lock solution introduced July 2012.. METHODS: Data were collected each calendar quarter through a structured query language interrogation of the renal unit electronic patient record, with staphylococcal bacteraemic events expressed per 1000 vascular access exposed days. Comparison between pre- and post-intervention periods was made by students t-testing.. RESULTS: 239 staphylococcal bacteraemic events occurred over a ...