TY - JOUR. T1 - Stent placement in the superficial femoral artery for patients on chronic hemodialysis with peripheral artery disease. AU - Nishibe, T.. AU - Kondo, Y.. AU - Dardik, A.. AU - Muto, A.. AU - Koizumi, J.. AU - Nishibe, M.. PY - 2009/1/1. Y1 - 2009/1/1. N2 - Aim. Chronic hemodialysis is associated with a high prevalence of peripheral artery disease (PAD), and patients on chronic hemodialysis with PAD have an increased risk of critical limb ischemia. The present study assessed the hemodynamic and clinical outcomes of stent placement in the superficial femoral artery (SFA) for patients on chronic hemodialysis. Methods. Between February 2005 to August 2008, 43 consecutive lower limbs in 42 patients with SFA lesions that were successfully treated by primary stent placement were included in this study. Those were divided into a dialysis group (18 limbs) and a nondialysis group (25 limbs). Outcome measures included primary patency, assisted primary patency, limb salvage, and survival. ...

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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 ...

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PubMed journal article: Oxidized high-density lipoprotein as a risk factor for cardiovascular events in prevalent hemodialysis patients. Download Prime PubMed App to iPhone, iPad, or Android

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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 ...

Blood Dialysis Machine market report has been added to the Market Growth Insight with addition of the recent news and developments taken place in the market. The Blood Dialysis Machine market is anticipated to grow at a CAGR of XX% and is expected to register USD XX billion by the end of 2026. The growing prevalence of chronic diseases and increased risk of infections is expected to boost the demand for Blood Dialysis Machine in the forecast period. In addition to this, government regulations that support the use of Blood Dialysis Machine and associated products are further expected to surge the product demand.. The Blood Dialysis Machine market report delivers thorough information on different key segments of the market including product type, application, end user, and geography. These segments are completely studied by the experts to offer accurate present market scenario to the buyers, business owners, investors, and customers. The marketing personnel, distributors, as well as the suppliers ...

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 ...

BSC renal dialysis technology college in Punjab - Are you searching for BSC renal dialysis technology colleges in Punjab? if your answer is yes then our article probably helps you to find out any best college in Punjab. In the last few years, students are being tempted towards renal dialysis technology due to rapid growth […]. Read More ...

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 ...

TY - JOUR. T1 - Associations of serum and dialysate electrolytes with QT interval and prolongation in incident hemodialysis. T2 - The Predictors of Arrhythmic and Cardiovascular Risk in End-Stage Renal Disease (PACE) study. AU - Kim, Esther D.. AU - Watt, Jacqueline. AU - Tereshchenko, Larisa G.. AU - Jaar, Bernard G.. AU - Sozio, Stephen M.. AU - Kao, W. H.Linda. AU - Estrella, Michelle M.. AU - Parekh, Rulan S.. N1 - Publisher Copyright: © 2019 The Author(s).. PY - 2019/4/18. Y1 - 2019/4/18. N2 - Background: Prolonged QT interval in hemodialysis patients may be associated with sudden cardiac death, however, few studies examined the longitudinal associations of modifiable factors such as serum and dialysate concentrations of calcium, potassium, and magnesium with corrected QT (QTc) prolongation in incident hemodialysis patients. Methods: In 330 in-center hemodialysis participants from the PACE study who were followed up for one year, we examined the associations of predialysis serum ...

Undocumented immigrants with end-stage renal disease treated with emergency-only hemodialysis have higher mortality and spend more days in the hospital than those receiving standard hemodialysis. States and cities should consider offering standard hemodialysis to undocumented immigrants.

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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U.S., Feb. 2 -- ClinicalTrials.gov registry received information related to the study (NCT03038165) titled Hemodynamic Parameters Changes in the Course of Hemodialysis Sessions in Patients With Intradialytic Hypertension on Jan. 25. Brief Summary: While the exact pathogenesis of Intradialytic hypertension remains to be determined, several mechanisms were proposed to be involved. The main factors to determine the arterial blood pressure are the peripheral vascular resistance and cardiac output. The assumption is that the increase of blood pressure is related to the increase in peripheral vascular resistance during the dialysis session, due to fluid removal and fast reduction of the intravascular volume reduction. Using the NICAS device (Non-Invasive Cardiac System), the hemodynamic profile in patients with intradialytic hypertension will be evaluated Study Start Date: Study Type: Observational Condition: Intradialytic Hypertension Intervention: Not Provided Recruitment Status: Recruiting ...

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. ...

The High Court has ordered the cabinet and the Minister of Health to take steps to enable the construction and operation of renal dialysis centers at Eric Williams Medical Sciences Complex and San Fernando General Hospital.. This was revealed by Attorney at Law, Ramesh Lawrence Maharaj, Senior Counsel, in a media release this afternoon.. Mr Lawrence Maharaj said Justice Robin Mohammed, in handing down a 129 page written judgment at a virtual hearing, declare the failure of Health Minister and the cabinet to facilitate the operation of two full renal dialysis centers ...

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. ...

TY - JOUR. T1 - Hepatitis B virus infection in hemodialysis. T2 - Recent discoveries. AU - Fabrizi, Fabrizio. AU - Lunghi, Giovanna. AU - Martin, Paul. PY - 2002/9. Y1 - 2002/9. N2 - Controlling the spread of HBV infection in dialysis units has been one of the major advances in the treatment of patients with ESRD. The frequency of HBsAg carriers on maintenance dialysis is low in developed countries. However, prevalence and incidence rates of HBV infection among dialysis patients in less developed countries remain very high. Patients on maintenance dialysis and chronic HBsAg carriage are typically anicteric and rarely develop symptoms of hepatitis. The relationship between HBsAg and aminotransferase activity in dialysis population is stronger than has so far been recognized. HBsAg positivity is significantly associated with hepatocellular damage in dialysis patients. Aminotransferase activity in dialysis population is usually depressed; this hampers the recognition of HBV-related liver disease ...

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 ...

In a retrospective study, we have assessed the efficacy of oral calcitriol on the evolution of hyperparathyroid bone disease in patients on hemodialysis. 33 patients who had received calcitriol for at least one year and up to 7 years were carefully matched with controls for gender, years on

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 ...

Sakkas, G.K., Karatzaferi, C., Lavdas, E., Giannaki, C.D., Liakopoulos, V., et al. (2009). Insulin resistance and glucose intolerance in patients receiving hemodialysis therapy. In 36th International Congress of Physiological Sciences. Book of abstracts, Kyoto Japan, July 27-August 1st 2009 ...

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 2008K@home™ 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 2008K@home offers the broadest range of dialysis prescription delivery, regardless of patient size or metabolic needs. The 2008K@home 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 2008K@home 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

TY - JOUR. T1 - Role of folate deficiency on erythropoietin resistance in pediatric and adolescent patients on chronic dialysis. AU - Bamgbola, Oluwatoyin Fatai. AU - Kaskel, Frederick. PY - 2005/11/1. Y1 - 2005/11/1. N2 - Unlike iron therapy, folate use is not a standard of care in hemodialysis (HD) patients. Despite iron repletion, poor response to erythropoietin (EPO) treatment is common. Theoretical evidence for folate deficiency (FD) includes chronic blood loss, inflammation, malnutrition, and nutrient loss during dialysis. Due to poor diagnostic standards, early studies failed to establish a role for FD in EPO resistance. Given that hematological response to therapeutic intervention is the gold standard for FD, its diagnosis was therefore based on composite scoring of RBC and/or folate indices. Fifteen subjects (8-20 years) on chronic HD were enrolled in this study. No folate supplement was given in the first six months. Thereafter, 5-mg folic acid was administered orally after HD sessions ...

Background. End-stage renal disease (ESRD) is associated with a broad spectrum of morphological and functional thyroid disorders. Recent studies have shown that low free triiodothyronine (fT3) levels are related to inflammatory status and endothelial activation in ESRD patients on haemodialysis (HD). Limited data exist about a possible relationship between dialysis regimen, namely long nocturnal haemodialysis (LNHD), and thyroid function parameters. The aim of this study was to evaluate the relationship between dialysis regimen and thyroid function, and consequently with the main patient outcomes. Methods. To this purpose, we performed a retrospective, single-centre cohort study including 220 incident chronic HD patients treated during an 8-year period (from January 2010 to December 2017). The main clinical and haematochemical parameters, including thyroid function, were evaluated and related to the main patient outcomes. Results. Patients with low fT3 levels (,3.05 ng/mL) showed significantly ...

TY - JOUR. T1 - Risk factors for infection-related hospitalization in in-center hemodialysis. AU - Dalrymple, Lorien. AU - Mu, Yi. AU - Nguyen, Danh V.. AU - Romano, Patrick S. AU - Chertow, Glenn M.. AU - Grimes, Barbara. AU - Kaysen, George. AU - Johansen, Kirsten L.. PY - 2015/12/7. Y1 - 2015/12/7. N2 - Background and objectives Infection-related hospitalizations have increased dramatically over the last 10 years in patients receiving in-center hemodialysis. Patient and dialysis facility characteristics associated with the rate of infection-related hospitalization were examined, with consideration of the region of care, rural-urban residence, and socioeconomic status. Design, setting, participants, & measurements The US Renal Data System linked to the American Community Survey and Rural-Urban Commuting Area codes was used to examine factors associated with hospitalization for infection among Medicare beneficiaries starting in-center hemodialysis between 2005 and 2008. A Poisson mixed effects ...

The symptoms of end stage renal failure present in every system, such as the nervous system, digestive system and so on. End stage renal failure is the later symptom of all kinds of Kidney Disease. The occurrence of these symptoms seriously threatens patients physical and psychological health. What are symptoms of early End stage renal failure? ...

TY - JOUR. T1 - Pilot Study of the Effects of High-Protein Meals During Hemodialysis on Intradialytic Hypotension in Patients Undergoing Maintenance Hemodialysis. AU - Choi, Mun Sun. AU - Kistler, Brandon. AU - Wiese, Gretchen N.. AU - Stremke, Elizabeth R.. AU - Wright, Amy J.. AU - Moorthi, Ranjani N.. AU - Moe, Sharon M.. AU - Hill Gallant, Kathleen M.. PY - 2019/3. Y1 - 2019/3. N2 - Objective: Patients undergoing hemodialysis (HD) have high protein and energy requirements, and protein-energy wasting is common and associated with poor outcomes. Eating during dialysis may improve nutritional status by counteracting the catabolic effects of HD treatment; but eating during HD may be discouraged because of concerns of postprandial hypotension. However, little data are available to support this practice. In this study, we hypothesized that high-protein meals during HD do not lead to symptomatic intradialytic hypotension events. Design: A 9-week, nonrandomized, parallel-arm study. Setting: A single ...

We read with great interest the nice article by Etemadi and colleagues, in your journal, Revista Portuguesa de Pneumologia, entitled Unexplained pulmonary hypertension in peritoneal dialysis and hemodialysis patients.1 In a retrospective study of chronic hemodialysis and peritoneal dialysis patients, pulmonary hypertension was found in 14 (41.1%) patients of the hemodialysis group and in 6 (18.7%) patients of the peritoneal dialysis group, where pulmonary hypertension was defined as a systolic pulmonary artery pressure (SPAP)≥35mmHg. They concluded that unexplained pulmonary hypertension seems to be more frequent in patients undergoing hemodialysis than with patients in the peritoneal dialysis group. In this context, I would like to make a few points about pulmonary hypertension in dialysis patients. In a study of 102 maintenance hemodialysis patients, we found pulmonary artery pressure of 41.5±12.6mmHg. In our study, 76.5% of hemodialysis patients had SPAP=35mmHg. In this study we can also ...

TY - JOUR. T1 - Effect of ascorbic acid administration in hemodialysis patients on in vitro oxidative stress parameters. T2 - Influence of serum ferritin levels. AU - Chen, Wei Teing. AU - Lin, Yuh Feng. AU - Yu, Fu Chiu. AU - Kao, Woei Yau. AU - Huang, Wen Hsin. AU - Yan, Horng Chin. PY - 2003/7/1. Y1 - 2003/7/1. N2 - Background: Ascorbic acid supplementation has been recommended to circumvent resistance to erythropoietin, which sometimes occurs in iron-overloaded uremic patients. In considering the pro-oxidant effect of ascorbic acid, the authors hypothesize that adjuvant therapy with larger doses of ascorbic acid in hemodialysis patients with iron overload may raise the risk of increasing free radical generation. The oxidative stress of intravenous ascorbic acid supplementation in hemodialysis patients was evaluated in this study. Methods: Six healthy subjects and 29 hemodialysis patients were enrolled. Chemical scavenging activity of various compounds was measured by in vitro ...

BSc Renal Dialysis Technology Colleges in Chandigarh - The allied healthcare sector incorporates mammoth career options for enterprising candidates. In the modern age, students are being tempted towards renal dialysis technology due to impeccable growth and success in the field. Consequently, the blog is to mull over some best BSc renal dialysis technology colleges in […]. Read More ...

in patients on regular dialysis Objective: The target of the study was to search out the frequency of left ventricular hypertrophy in end stage renal disease patients on maintenance hemodialysis Study design: Single center case-series study. Setting: Department of Nephro-Urology, Liaquat University of Medical and Health Sciences Jamshoro Period: Begin from 1 [st] March, 2013 to 30 [th] August 2013 Results: Total numbers of patients were seventy three. Thirty three patients were male and 40 were female. Mean age of the patients was 44.19 years. High blood pressure was the most typical cause of nephropathy that is as certain in twenty 9 [39.7%] cases pursue by Diabetes and Chronic Glomerulonephritis in twenty [27.4%] in each, renal stone in four [5.5%] , unresolved acute renal failure four [5.5%] and Chronic Tubulointerstitial nephritis in two [2.7%] patients. Left ventricular hypertrophy was ascertained in nineteen [26%] patients Conclusion: Our study concedes the high frequency of left ...

TY - JOUR. T1 - Interpretation of serum aluminum values in dialysis patients. AU - McCarthy, J. T.. AU - Milliner, D. S.. AU - Kurtz, S. B.. AU - Johnson, W. J.. AU - Moyer, T. P.. PY - 1986. Y1 - 1986. N2 - To determine the significance of serum aluminum levels in dialysis patients, the authors retrospectively analyzed a series of patients on maintenance hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD). All patients had always been treated with a dialysate containing negligible amounts of aluminum. The serum aluminum levels of hemodialysis and CAPD patients were not significantly different, not related to age or sex, and not affected by the presence of diabetes or vitamin D intake. The most important determinant of serum aluminum level in the hemodialysis patients was the current dose of aluminum-containing phosphate-binding medication. This relationship was most striking in the compliant patients. In hemodialysis patients, after an increase during the first one to two ...

Hypertension and intradialytic hypotension are common complications in patients on chronic maintenance hemodialysis (HD). Sodium balance is important in mediating both processes. Recent evidence shows that individualization of the sodium concentration in the dialysate to match the patients own serum sodium results in less thirst, less interdialytic weight gain, less HD-related symptoms, and better blood pressure control. In this project we plan to evaluate the safety and tolerability of sodium individualization in hypotension-prone patients in order to generate pilot data for a larger study in patients with intradialytic hypotension. In this protocol, we will recruit 7 hypotension-prone subjects. We will use an open-label cross-over design with randomized blocks. After a 3-week baseline period where pre-HD serum sodium will be measured weekly to establish each patients average serum sodium, subjects will be randomized to 2 weeks on standard dialysate sodium (140 mmol/L) or individualized ...

The European Commission (EC) has approved a dosing and administration label update in the EU for AstraZenecas Lokelma (sodium zirconium cyclosilicate) to include patients with hyperkalaemia on stable haemodialysis.. The approval by the EC was based on data from the Phase IIIb DIALIZE trial, the first ever randomised, placebo-controlled trial to evaluate a potassium binder in patients on stable haemodialysis. The trial showed sustained potassium control pre-dialysis for more patients receiving Lokelma, compared with placebo.1. Mene Pangalos, Executive Vice President, BioPharmaceuticals R&D, said: More than 300,000 patients with end-stage renal disease in Europe are undergoing haemodialysis and are at risk of experiencing high potassium levels. This label update provides important guidance to manage hyperkalaemia, a condition which can be life-threatening in these patients if left untreated.. In DIALIZE, 41% of patients receiving Lokelma maintained pre-dialysis potassium levels on at least ...

TY - JOUR. T1 - Alpha-tocopherol supplementation decreases the oxidative susceptibility of LDL in renal failure patients on dialysis therapy. AU - Islam, Kazi Nazrul. AU - OByrne, Dawn. AU - Devaraj, Sridevi. AU - Palmer, Biff. AU - Grundy, Scott M.. AU - Jialal, Ishwarlal. PY - 2000. Y1 - 2000. N2 - Atherosclerotic cardiovascular disease is the leading cause of death in patients with end stage renal disease (ESRD) who have undergone dialysis treatment. The oxidation of low density lipoprotein (LDL) appears to be a crucial step in the pathogenesis of atherosclerosis. The increased oxidative stress and attendant increased oxidizability of lipoproteins, such as LDL could contribute to the accelerated atherosclerosis in dialysis patients. Since α-tocopherol (AT) is the major antioxidant in LDL, the aim of the present study was to test the effectiveness of RRR-AT supplementation (800 I.U. per day) for 12 weeks on the susceptibility of LDL to oxidation. The study subjects comprised patients with ...

Kidney disease is the ninth leading cause of death in the United States (1). Approximately 19 million U.S. adults have chronic kidney disease (2), and an estimated 80,000 persons have chronic kidney failure diagnosed annually (3). Major causes of chronic kidney failure are diabetes mellitus and hypertension, which account for approximately 60% of new cases (3). To assess national and state-specific trends in the prevalence of chronic kidney failure during 1990--2001, CDC analyzed data from the United States Renal Data System (USRDS). This report summarizes the results of that analysis, which indicated that the prevalence of chronic kidney failure in the United States increased 104% during 1990--2001. Treating and controlling risk factors and screening persons at high risk for chronic kidney failure are key steps that health-care providers and public health practitioners can take to reverse the upward trend in this disease. Data from the Renal Data Extraction and Referencing System (RenDER), ...

The efficiency of haemodialysis treatment relies on a functional status of vascular access. A vascular access makes life-saving haemodialysis treatments possible. The efficiency of haemodialysis treatment relies on a functional status of vascular access. The purpose of this review was to discuss the role of haemodialysis and vascular access in end stage kidney disease. Vascular access and its related problems represent the main factors that determine a rise in the rate of incidence of the disease among haemodialysis patients and, consequently, a rise in the healthcare expenses. Vascular access can be divided into three categories: arteriovenous fistula, central venous catheter and arteriovenous graft. Central venous catheter has a number of disadvantages, including a considerable risk of infection and mortality. It also has negative implications for the use of a fistula for dialysis. In contrast, arteriovenous fistula is the most beneficial method, as it has a low risk of infection and mortality, and

The effects of frequent nocturnal home hemodialysis: the Frequent Hemodialysis Network Nocturnal Trial. This trial was launched because it was noticed from small studies that more frequent nocturnal dialysis may help improve outcomes in dialysis patients. A multicenter study headed by Dr. Rocco et al where 87 patients randomized to three times per week conventional hemodialysis or to nocturnal hemodialysis six times per week, all with single-use high-flux dialyzers. The 45 patients in the frequent nocturnal arm had a 1.82-fold higher mean weekly stdKt/V(urea). NO significant effect of nocturnal hemodialysis for either of the two coprimary outcomes (death or left ventricular mass (measured by MRI) was found. Secondary outcomes included cognitive performance, self-reported depression, laboratory markers of nutrition, mineral metabolism and anemia, blood pressure and rates of hospitalization, and vascular access interventions. Patients in the nocturnal arm had improved control of hyperphosphatemia ...

TY - JOUR. T1 - Elderly peritoneal dialysis compared with elderly hemodialysis patients and younger peritoneal dialysis patients. T2 - Competing risk analysis of a Korean prospective cohort study. AU - CRC for ESRD Investigators. AU - Kim, Hyunsuk. AU - An, Jung Nam. AU - Kim, Dong Ki. AU - Kim, Myoung Hee. AU - Kim, Ho. AU - Kim, Yong Lim. AU - Park, Ki Soo. AU - Oh, Yun Kyu. AU - Lim, Chun Soo. AU - Kim, Yon Su. AU - Lee, Jung Pyo. AU - Do, J. Y.. AU - Song, S. H.. AU - Kim, S. E.. AU - Kim, S. H.. AU - Kim, Y. H.. AU - Lee, J. S.. AU - Jin, H. J.. AU - Chang, J. H.. AU - Yoo, T. H.. AU - Park, J. T.. AU - Oh, H. J.. AU - Park, H. C.. AU - Chang, T. I.. AU - Ryu, D. R.. AU - Oh, D. J.. AU - Chang, Y. S.. AU - Kim, Y. O.. AU - Kim, S. H.. AU - Jin, D. C.. AU - Kim, Y. K.. AU - Kim, H. Y.. AU - Kim, W.. AU - Lee, K. W.. AU - Lee, C. S.. PY - 2015/6/29. Y1 - 2015/6/29. N2 - The outcomes of peritoneal dialysis (PD) in elderly patients have not been thoroughly investigated. We aimed to investigate ...

TY - JOUR. T1 - Feasible isolated liver transplantation for a cirrhotic patient on chronic hemodialysis. AU - Morita, Kazutoyo. AU - Shirabe, Ken. AU - Yoshizumi, Tomoharu. AU - Ikegami, Toru. AU - Masuda, Toshiro. AU - Hashimoto, Naotaka. AU - Mano, Yohei. AU - Miyata, Tatsunori. AU - Soejima, Yuji. AU - Maehara, Yoshihiko. PY - 2013/1/1. Y1 - 2013/1/1. N2 - End-stage liver and kidney disease (ELKD) is an indication for deceased donor simultaneous liver-kidney transplantation. Although a few cases of living donor liver-kidney transplantation have been reported, the invasiveness remains to be discussed. Living donor liver transplantation (LDLT) is an alternative choice for ELKD, but has never been reported. Here, we report a case of successful LDLT for a patient with ELKD on hemodialysis. The patient was a 63-year-old male and had decompensated hepatitis C cirrhosis with seronegativity for hepatitis C virus. He had non-diabetic end-stage renal failure and had been on hemodialysis for 3 years. He ...

Hemodialysis patients have higher rates of cardiovascular morbidity and mortality compared to the general population. Mannose-binding lectin (MBL) plays an important role in the development of cardiovascular disease. In addition, hemodialysis alters MBL concentration and functional activity. The present study determines the predictive value of MBL levels for future cardiac events (C-event), cardiovascular events (CV-event) and all-cause mortality in HD patients. We conducted a prospective study of 107 patients on maintenance hemodialysis. Plasma MBL, properdin, C3d and sC5b-9 was measured before and after one dialysis session. The association with future C-events, CV-events, and all-cause mortality was evaluated using Cox regression models. During median follow-up of 27 months, 36 participants developed 21 C-events and 36 CV-events, whereas 37 patients died. The incidence of C-events and CV-events was significantly higher in patients with low MBL levels (|319 ng/mL, lower quartile). In fully adjusted

Downloadable (with restrictions)! Controlling the cost of chronic diseases remains one of the vexing problems of developed and developing nations alike. Taiwan, faced with rapidly escalating healthcare costs associated with End Stage Renal Disease (ESRD) services utilization, imposed an outpatient dialysis global budget (ODBG) on outpatient dialysis care. This study, using a before and after study design with a comparison group, assessed the impact of this policy innovation on outpatient, inpatient and emergency room utilization. Using a difference in difference (DID) strategy and the generalized estimating equation (GEE) approach, this study found providers responded to these changes through cost reduction and revenue enhancement strategies. This study extends our understanding of provider responses to changes in reimbursement policies that target one segment of the continuum of care required by chronic disease patients.

A dialysis catheter is a catheter used for exchanging blood to and from a hemodialysis machine and a patient. The dialysis catheter contains two lumens: venous and arterial. Although both lumens are in the vein, the arterial lumen, like natural arteries, carries blood away from the heart, while the venous lumen returns blood towards the heart. The arterial lumen (typically red) withdraws blood from the patient and carries it to the dialysis machine, while the venous lumen (typically blue) returns blood to the patient (from the dialysis machine). Flow rates of dialysis catheters range between 200 and 500 ml/min. If a patient requires long-term dialysis therapy, a chronic dialysis catheter will be inserted. Chronic catheters contain a dacron cuff that is tunneled beneath the skin approximately 3-8 cm. The tunnel is thought to add a barrier to infection. The most popular dialysis catheter sold on the market today is the split-tip dialysis catheter. This catheter comprises two free floating ...

TY - JOUR. T1 - Reduction in beta2-microglobulin with super-flux versus high-flux dialysis membranes: Results of a 6-week, randomized, double-blind, crossover trial. AU - Pellicano, Rebecca. AU - Polkinghorne, Kevan R. AU - Kerr, Peter. PY - 2008. Y1 - 2008. N2 - Background: Uremic toxicity is a major concern in the dialysis population. There is keen interest in techniques that increase the removal of larger uremic molecules. We examined the short-term impact of a new, more porous, super-flux Helixone membrane (FX-E) versus the conventional high-flux Helixone. AB - Background: Uremic toxicity is a major concern in the dialysis population. There is keen interest in techniques that increase the removal of larger uremic molecules. We examined the short-term impact of a new, more porous, super-flux Helixone membrane (FX-E) versus the conventional high-flux Helixone. UR - http://www.sciencedirect.com/science/article/pii/S0272638608004666. M3 - Article. VL - 52. SP - 93. EP - 101. JO - American ...

TY - JOUR. T1 - Correction to. T2 - Predictors of patency for arteriovenous fistulae and grafts in pediatric hemodialysis patients (Pediatric Nephrology, (2019), 34, 2, (329-339), 10.1007/s00467-018-4082-4). AU - on behalf of the Midwest Pediatric Nephrology Consortium. AU - Onder, Ali Mirza. AU - Flynn, Joseph T.. AU - Billings, Anthony A.. AU - Deng, Fang. AU - DeFreitas, Marissa. AU - Katsoufis, Chryso. AU - Grinsell, Matthew M.. AU - Patterson, Larry T.. AU - Jetton, Jennifer. AU - Fathallah-Shaykh, Sahar. AU - Ranch, Daniel. AU - Aviles, Diego. AU - Copelovitch, Lawrence. AU - Ellis, Eileen. AU - Chadha, Vimal. AU - Elmaghrabi, Ayah. AU - Lin, Jen Jar. AU - Butani, Lavjay. AU - Haddad, Maha. AU - Couloures, Olivera Marsenic. AU - Brakeman, Paul. AU - Quigley, Raymond. AU - Shin, H. Stella. AU - Garro, Rouba. AU - Liu, Hui. AU - Rahimikollu, Javad. AU - Raina, Rupesh. AU - Langman, Craig B.. AU - Wood, Ellen G.. N1 - Publisher Copyright: © 2019, IPNA.. PY - 2019/8/1. Y1 - 2019/8/1. N2 - The ...

Salary ranges, benefits, bonuses, stats, job descriptions and open positions for Renal Dialysis Director in Mississippi. Including Renal Dialysis Director salaries in Biloxi, Columbus, Greenville, Gulfport, Hattiesburg, Jackson, Meridian, Olive Branch, Pascagoula, Southaven, Tupelo

Vanderbilt Dialysis Clinic is a large dialysis clinic with 30 stations based at 1500 21ST Avenue South Suite 3600 in Nashville, TN. The for-profit facility is operated independently from any other parent chain. The center was certified by Medicare in 1994. The facility offers late shift, in-center hemodialysis, hemo hemodialysis training, and in-center peritoneal services. The patient survival category for this clinic is average. ...

TY - JOUR. T1 - Hospital readmission among new dialysis patients associated with young age and poor functional status. AU - Hickson, Latonya J.. AU - Thorsteinsdottir, Bjorg. AU - Ramar, Priya. AU - Reinalda, Megan S.. AU - Crowson, Cynthia S.. AU - Williams, Amy W.. AU - Albright, Robert C.. AU - Onuigbo, Macaulay A.. AU - Rule, Andrew D.. AU - Shah, Nilay D.. PY - 2018/4/1. Y1 - 2018/4/1. N2 - Background/Aims: Over one-Third of hospital discharges among dialysis patients are followed by 30-day readmission. The first year after dialysis start is a high-risk time frame. We examined the rate, causes, timing, and predictors of 30-day readmissions among adult, incident dialysis patients. Methods: Hospital readmissions were assessed from the 91st day to the 15th month after the initiation of dialysis using a Mayo Clinic registry linkage to United States Renal Data System claims during the period January 2001-December 2010. Results: Among 1,727 patients with ≥1 hospitalization, 532 (31%) had ≥1, ...

Malnutrition-inflammation-atherosclerosis syndrome is one of the causes of increased mortality in chronic kidney disease (CKD). The aim of the study was to assess the inflammation and nutritional status of patients in end-stage kidney disease treated with maintenance hemodialysis. The study included a group of 98 hemodialyzed patients with stage 5 CKD (38 women and 60 men). Albumin, prealbumin (PRE), and C-reactive protein (CRP) were measured in serum samples collected before mid-week dialysis. Fruit and vegetables frequency intakes were assessed with a questionnaire. CRP was above the reference limit of 5 mg/L in 53% of patients. Moreover, the Glasgow Prognostic Score (GPS) indicated the co-occurrence of inflammation and protein calorie malnutrition in 11% of patients, and the presence of either inflammation or malnutrition in 25%. The questionnaire revealed that hemodialyzed patients frequently exclude fruit and vegetables from their diets. Nearly 43% of the interviewed patients declared frequently

According to the International Federation of Renal Registries, in 1999 the prevalence of peritoneal dialysis in the United States as approximately 9.5% of patients receiving dialysis (2005 United States Renal Data Systems data indicates a prevalence of around 7.5%). Data from Europe in 1999 to 2000 (not including the United Kingdom, France or Germany) indicated peritoneal dialysis was the mode of dialysis in approximately 11.1% of dialysis patients. 2006 data from the United Kingdom indicates that more than 20% of patients on dialysis are receiving peritoneal dialysis while French and German data indicate rates of 8.1% and 4.8% respectively. More than 90% of patients with chronic renal failure/chronic kidney disease Stage 5 (End Stage Renal Disease) are anemic. The vast majority of patients receiving hemodialysis or peritoneal dialysis receive erythropoiesis-stimulating agent therapy to treat their anemia.. Anemia of chronic renal failure is due to several factors, primarily the inability of the ...

Renal replacement therapy, in the form of dialysis or transplantation, is the cornerstone of management for end-stage renal disease. UK renal registry shows nearly half of those needing renal replacement therapy are treated by dialysis - predominantly by haemodialysis. Patients on renal replacement therapy have increased mortality risk compared to age matched general population. Moreover, some specific subgroups of patients on haemodialysis have increased risk of mortality than expected. The survival benefit seen in women in the general population is attenuated resulting in similar survival for men and women on haemodialysis therapy. In addition, obese individuals and those of non-Caucasian origin have better survival outcome. Though the underlying reason for these findings is not clear and is likely to be multi-factorial, it has been hypothesised that this paradox could be due to the current practice of normalising dialysis dose to total body water. A number of metabolic factors - body surface ...

Hemodialysis is the most frequently renal substitutive therapy used by patients with chronic renalfailure. However, continuation with this kind of treatment had demonstrated to provoke disarrangingand changes on daily routine, affecting patient?s quality of life. Present study main objective wasevaluate the quality of life in chronic renal failure patients receiving hemodialysis treatment, by meansof the instrument called Kidney Disease and Quality of Life Short Form (KDQOL-SF). Wereinterviewed 72 chronic kidney failure patients under hemodialysis treatment in Goiânia / GO, Brazil.For statistical data analysis, a significance level of 5% and a 95% of confidence interval were used.The majority of patients are male, with mean age of 51.1 ± 16,6 years (20 to 80 yr), catholics, andthey just know how to ?read and write? as education level. The time of hemodialysis treatment was 12 -60 months for most of them, as well as the family income is 01 or 02 salaries. The majority doesn?twork and live with ...

COVID-19: Oyo Donates Dialysis Machine To UCH Oyo State Government has donated one new dialysis machine to the University College Hospital, UCH, Ibadan to help the institution to facilitate proper

Headline: Bitcoin & Blockchain Searches Exceed Trump! Blockchain Stocks Are Next!. Hemodialysis Catheters Industry is expected to witness growth of international market with respect to advancements and innovations including development history, competitive analysis and regional development forecast.. The report starts with a basic Hemodialysis Catheters Industry overview. In this introductory section, the research report incorporates analysis of definitions, classifications, applications and industry chain structure. Besides this, the report also consists of development trends, competitive landscape analysis, and key regions development status.. The Hemodialysis Catheters Industry research report shed light on Foremost Regions like:. North America, Europe, China, Japan, Southeast Asia and India. Classification likes Chronic Hemodialysis Catheter, Acute Hemodialysis Catheters and Peritoneal Dialysis Catheter. Application likes Hemodialysis and Peritoneal dialysis. Browse Detailed TOC, Tables, ...

August 23, 2019 - This week NDAC presented to over 100 attendees at the Network 15 Are You Ready? Conference in Albuquerque NM. Provider staff from Fresenius Kidney Care, DaVita, Dialysis Clinics Inc., and independent clinics were represented as well the New Mexico State Survey Agency. Thank you to Network 15 as the conference content was very rich and timely given the proposed rule to encourage pre-emptive transplants and home therapies. The meeting offered many opportunities for Q&A.. One FAQ: Can NDAC assist dialysis providers in adding home services to their certified services? Answer: YES. NDAC provides the fastest route possible in assisting dialysis providers who wish to add home hemodialysis or peritoneal dialysis modalities to their certified service offering. Contact us today!. ...

BACKGROUND: Sodium prescription in patients with intradialytic hypotension remains a challenge for the attending nephrologist, as it increases dialysate conductivity in hypotension-prone patients, thereby adding to dietary sodium levels. METHODS: New sodium prescription strategies are now available, including the use of a mathematical model to compute the sodium mass to be removed during dialysis as a physiological controller. RESULTS: This review describes the sodium load of patients with end-stage renal disease on chronic hemodialysis (HD) and discusses 2 strategies to remove excess sodium in patients prone to intradialytic hypotension, namely, Profiled HD and the hemodiafiltration Aequilibrium System ...

In this systematic review, no evidence was found to suggest that intravenous albumin is superior to normal saline for the treatment of symptomatic hypotension in maintenance haemodialysis patients with intradialytic hypotension ...

Background Restless Leg Syndrome (RLS) is a neurologic disorder characterized by unpleasant sensations in the legs causing an uncontrollable urge to move when at rest in an effort to relieve those feelings. Between 2-15% of the population have RLS, with a peak incidence between 40 and 60 years of age and a 1:2 male:female ratio. It occurs more frequently in end-stage renal disease patients on chronic hemodialysis (up to 60%, depending on the series), and in patients with Parkinsons disease (up to 20%) than in the general public. RLS disrupts sleep, can lead to excessive daytime sleepiness, depression, and a decreased quality of life. This Fast Fact will review its evaluation and management.. Causes The etiology of primary RLS is unknown although it is thought to be a genetic disorder involving either central or peripheral dopaminergic pathways. Common secondary causes of RLS are polyneuropathies; diabetes mellitus; rheumatologic diseases such as rheumatoid arthritis, Sjogrens syndrome, and ...

Cinacalcet Completed Phase 4 Trials for Hemodialysis Treatment / Secondary Hyperparathyroidism (SHPT) / Chronic Kidney Disease (CKD) ...

Gastrointestinal mucosal abnormalities ranging from edema to ulceration occur in two thirds of patients dying of uremia. Early studies suggested that uremic patients on maintenance dialysis treatment were at increased risk of peptic ulceration but more recent data indicate that this is not so. Other gastrointestinal problems reported for uremic subjects on maintenance dialysis treatment include bleeding from telangiectatic lesions, constipation, mucosal deposition of amyloid and acute pancreatitis. Nausea and vomiting are common in the uremic patient but gastric emptying studies have yielded conflicting results. Patients undergoing renal transplantation are at increased risk of development of esophagitis, complicated peptic ulcer, intestinal ulceration, and perforation as well as acute pancreatitis ...

Objective: Cerebrovascular diseases are the most common causes of morbidity and mortality. The ischemic type is the most common and most fatal o among the all cerebrovasculer diseases. In patients having silent cerebral ischemia the incidence of ischemic infarction is ten times greater than in the normal population. The treatment modalities are not efficient after the cerebral infarct has occurred. For this reason academic studies are gaining importance for the determination of risk factors, primary and secondary prophylaxis, early diagnosis, treatment and rehabilitation. Cerebrovascular diseases are also the most common major causes of death in hemodialysis patients. The effect of dialysis treatment and chronic renal failure disease on the development of cerebral ischemia and infarct has not been explained, In this study we analyzed the prevalence of silent cerebral ischemia and infarct in the cronic renal failure patients having hemodialysis and peritoneal dialysis treatment, using magnetic ...

Background/Aims: Dialysis triggers stress reaction, matrix remodeling and endothelial damage, but little is known about the changes it induces on selected heat shock proteins (Hsp90α), adhesion molecules (E-cadherin, sE-selectin), metalloproteinases (MMP-8) and their extracellular inducer (EMMPRIN). The aim of this study was to assess serum concentrations of the above-mentioned parameters in children on chronic dialysis. Methods: 19 patients on hemodialysis (HD), 22 children on peritoneal dialysis (PD) and 30 age-matched controls were examined. Serum concentrations of parameters were assessed by ELISA. Results: Hsp90α, MMP-8, EMMPRIN and E-cadherin concentrations were significantly increased in children on dialysis vs. controls and higher levels were in HD than PD patients. There was no difference in the level of sE-selectin between HD and PD modalities. A single HD session diminished Hsp90α, MMP-8, EMMPRIN and E-cadherin values, but had no impact on sE-selectin levels. Conclusions:

This is an exciting time for the region, as for the first time, a community-based dialysis clinic will be available to patients living in the APY Lands, Ms Paterson said.. Patients will have access to brand new dialysis equipment in a clinic that will provide world-class dialysis treatment, with clinical oversight provided by nephrologists from SA Healths Rural Support Service and the Central Adelaide Local Health Network.. We know that remote patients often have to relocate from home to receive frequent dialysis treatment, and by the opening of this clinic we are hoping this will reduce. We are proud to be working with Purple House having provided funding towards the build and ongoing support for this project, to ensure we can continue to provide better support and care for South Australians living in remote areas.. Director of Dialysis and Senior Staff Nephrologist, Prof Stephen McDonald, said the clinic will provide dialysis patients the opportunity to receive safer care closer to home, ...

Ability to travel. Despite the health benefits that daily, more frequent home hemodialysis may provide to those with chronic kidney disease CKD, this form of therapy is not for everyone. The reported benefits of daily, more frequent home hemodialysis may not be experienced by all patients.. The risks associated with hemodialysis treatments in any environment include, but are not limited to, high blood pressure, fluid overload, low blood pressure, heart-related issues, and vascular access complications. The medical devices used in hemodialysis therapies may add additional risks including air entering the bloodstream, and blood loss due to clotting or accidental disconnection of the blood tubing set.. Certain risks are unique to the home. Treatments at home are done without the presence of medical personnel and on-site technical support.. Patients and their partners must be trained on what to do and how to get medical or technical help if needed.. Based on these benefits of home hemodialysis, we ...

Objective: Cardiovascular disease remains the leading cause of morbidity and mortality in patients on maintenance dialysis. Diabetes mellitus, dyslipidemia, hypertension, inflammation and hyperhomocyteinemia are major cardiovascular risk factors. Aim: to evaluate the effects of Icodextrin and amino acid peritoneal dialysis fluid (AAPDF) on these major cardiovascular risk factors looking for a more biocompatible PDF formula. Methods: 24 adult stable peritoneal dialysis patients were included in the study. 12 patients received 2L Icodextrin and other 12 patients received 2L AAPDF in their dialysis prescription for 8 weeks. Results: Icodextrin decreased fasting plasma glucose (p < 0.001), LDL-C (p = 0.03), SBP (p < 0.01), DBP (p < 0.05) and plasma homocysteine (p = 0.002), and increased HDL-C (p = 0.009), CRP (p = 0.035) and fibrinogen (p = 0.009). AAPDF did _disibledevent= 0.03). Conclusions: A biocompatible PDF should provide not only adequate dialysis and ultrafiltration but should also improve

Hemodialysis vascular access is the lifeline for patients on hemodialysis. Unfortunately, because of its poor patency and significant complication rate, it is also the Achilles heel of hemodialysis. For example, the current unassisted arteriovenous fistula (AVF) maturation rate is only 40% between 6 and 9 months, and the 1-year unassisted patency for polytetrafluoroethylene grafts is 23%. Despite the magnitude of the clinical problem, relatively few new and effective therapies have been introduced into this field over the last two decades, resulting in a stagnation of vascular access care. We believe that an important barrier to developing new and effective therapies is the current lack of consensus among the different vascular access stakeholder groups (information on project structure below) regarding acceptable clinical trial end points for vascular access trials. Achieving such a consensus would result in a better defined product development pathway, which is a critical step to stimulate ...

Wu27 reported that the 2-year cumulative incidence of de novo CHD in ESRD patients undergoing chronic peritoneal (18.0%) and hemodialysis (15.0%) exceeded the 6-year cumulative incidence (12.7%) of de novo CHD among original Framingham Study participants who were also free of CHD at baseline, and by matched frequency to that of dialysis patients for the prevalence of established risk factors. In the present study, we evaluated the association between elevated fasting tHcy levels at a baseline examination and the subsequent development of CVD in a convenience sample of ESRD patients undergoing chronic dialysis therapy. Our findings provide the initial prospective evidence that the markedly elevated tHcy levels characteristically found in dialysis-dependent ESRD patients15 16 17 18 may contribute independently to the excess risk for CVD outcomes in this population. These prospective data strongly suggest that hyperhomocysteinemia warrants further study of its role as an important nontraditional ...

TY - JOUR. T1 - Impact of residual renal function in children on hemodialysis. AU - Erkan, E.. AU - Moritz, M.. AU - Kaskel, F.. PY - 2001/1/1. Y1 - 2001/1/1. N2 - Residual renal function (RRF) contributes to dialysis adequacy as well as lower mortality and morbidity in dialysis patients. Even very small changes in glomerular filtration rate (GFR) account for considerable improvements in complications of dialysis. The purpose of this cross-sectional study is to determine the possible contribution of RRF to hemodialysis clearance and to compare the biochemical markers of this patient group with anuric patients. Ten patients with RRF on chronic hemodialysis for more than 6 months were enrolled in the study. Duration of dialysis was not different between the two patient populations. Average GFR was 3.4 ± 2.6 ml/min in the group with RRF. Cholesterol, albumin, and triglyceride levels were not different between the groups. Residual renal urea clearance enhanced mean Kt/V of patients from 1.29 to ...

Hemodialysis catheters are being extensively used to meet the growing demand of hemodialysis, apheresis, infusion, and monitoring of central venous pressure along with high-pressure contrast injection patients. It is predominantly used for maintaining effective blood flow rate, which is estimated at 400 ml/min for at least 3 hours. The growing number of patients suffering from end-stage renal disease (ESRD) have increased the demand for hemodialysis to avert liver damage. The various types of hemodialysis catheters available in the global market are tunneled and non-tunneled catheters.. Global Hemodialysis Catheter Market: Key Trends. The growing prevalence of chronic kidney disease (CKD) among the global population is expected to be the primary growth driver for the global hemodialysis catheter market. According to the American Kidney Fund, about 31 million people in the U.S. were suffering from kidney diseases, which is about 10% of the overall adult population in the country. The growing pool ...

Hemodialysis catheters are being extensively used to meet the growing demand of hemodialysis, apheresis, infusion, and monitoring of central venous pressure along with high-pressure contrast injection patients. It is predominantly used for maintaining effective blood flow rate, which is estimated at 400 ml/min for at least 3 hours. The growing number of patients suffering from end-stage renal disease (ESRD) have increased the demand for hemodialysis to avert liver damage. The various types of hemodialysis catheters available in the global market are tunneled and non-tunneled catheters.. Global Hemodialysis Catheter Market: Key Trends. The growing prevalence of chronic kidney disease (CKD) among the global population is expected to be the primary growth driver for the global hemodialysis catheter market. According to the American Kidney Fund, about 31 million people in the U.S. were suffering from kidney diseases, which is about 10% of the overall adult population in the country. The growing pool ...