Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis
Abstract Background Intradialytic plasma volume change (IPVC) owing to ultrafiltration is a dominant cause of intradialytic hypotension (IDH). Lower occurrence of IDH in hemodiafiltration (HDF) than in standard hemodialysis (std-HD) indicates that HDF has preventive effect on IPVC. This study examin...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-11-01
|
| Series: | Renal Replacement Therapy |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41100-018-0188-1 |
| _version_ | 1818843050109042688 |
|---|---|
| author | Masayuki Tanemoto Yu Ishimoto Yukio Kosako Yukio Okazaki |
| author_facet | Masayuki Tanemoto Yu Ishimoto Yukio Kosako Yukio Okazaki |
| author_sort | Masayuki Tanemoto |
| collection | DOAJ |
| description | Abstract Background Intradialytic plasma volume change (IPVC) owing to ultrafiltration is a dominant cause of intradialytic hypotension (IDH). Lower occurrence of IDH in hemodiafiltration (HDF) than in standard hemodialysis (std-HD) indicates that HDF has preventive effect on IPVC. This study examined whether online HDF (ol-HDF) prevented IPVC compared with std-HD. Methods In 115 std-HD, 59 push-pull ol-HDF (pp-ol-HDF), 39 pre-dilution ol-HDF (pre-ol-HDF), and 33 post-dilution ol-HDF (post-ol-HDF) sessions, we calculated IPVC using intradialytic change of hemoglobin (IPVCHb) and also using the change of hematocrit (IPVCHt), and compared them in association with intradialytic body weight loss (IBWL) between the dialysis modes. Results Both IPVCHb and IPVCHt were not different between the modes; in std-HD, pp-ol-HDF, pre-ol-HDF, and post-ol-HDF, IPVCHb were 0.10 ± 0.06, 0.11 ± 0.07, 0.10 ± 0.05, and 0.10 ± 0.06, respectively, and IPVCHt were 0.10 ± 0.07, 0.11 ± 0.07, 0.10 ± 0.06, and 0.10 ± 0.06, respectively. IPVCs divided by relative IBWL to DW (IBWL/DW) were also not different between the modes; in std-HD, pp-ol-HDF, pre-ol-HDF, and post-ol-HDF, IPVCHb/IBWL/DW were 1.9 ± 2.0, 1.7 ± 4.6, 2.1 ± 0.9, and 2.1 ± 1.8, respectively, and IPVCHt/IBWL/DW were 1.9 ± 2.2, 1.9 ± 3.7, 2.1 ± 1.1, and 2.1 ± 2.0, respectively. Conclusion Irrespective of the modes, ol-HDF has the same level of IPVC as std-HD. |
| first_indexed | 2024-12-19T04:51:42Z |
| format | Article |
| id | doaj.art-698d75a4702a47b29cec6fd812cc4368 |
| institution | Directory Open Access Journal |
| issn | 2059-1381 |
| language | English |
| last_indexed | 2024-12-19T04:51:42Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj.art-698d75a4702a47b29cec6fd812cc43682022-12-21T20:35:21ZengBMCRenal Replacement Therapy2059-13812018-11-01411610.1186/s41100-018-0188-1Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysisMasayuki Tanemoto0Yu Ishimoto1Yukio Kosako2Yukio Okazaki3Division of Nephrology, Department of Internal MedicineDialysis Unit, Shin-Kuki General HospitalDialysis Unit, Shin-Kuki General HospitalDialysis Unit, Shin-Kuki General HospitalAbstract Background Intradialytic plasma volume change (IPVC) owing to ultrafiltration is a dominant cause of intradialytic hypotension (IDH). Lower occurrence of IDH in hemodiafiltration (HDF) than in standard hemodialysis (std-HD) indicates that HDF has preventive effect on IPVC. This study examined whether online HDF (ol-HDF) prevented IPVC compared with std-HD. Methods In 115 std-HD, 59 push-pull ol-HDF (pp-ol-HDF), 39 pre-dilution ol-HDF (pre-ol-HDF), and 33 post-dilution ol-HDF (post-ol-HDF) sessions, we calculated IPVC using intradialytic change of hemoglobin (IPVCHb) and also using the change of hematocrit (IPVCHt), and compared them in association with intradialytic body weight loss (IBWL) between the dialysis modes. Results Both IPVCHb and IPVCHt were not different between the modes; in std-HD, pp-ol-HDF, pre-ol-HDF, and post-ol-HDF, IPVCHb were 0.10 ± 0.06, 0.11 ± 0.07, 0.10 ± 0.05, and 0.10 ± 0.06, respectively, and IPVCHt were 0.10 ± 0.07, 0.11 ± 0.07, 0.10 ± 0.06, and 0.10 ± 0.06, respectively. IPVCs divided by relative IBWL to DW (IBWL/DW) were also not different between the modes; in std-HD, pp-ol-HDF, pre-ol-HDF, and post-ol-HDF, IPVCHb/IBWL/DW were 1.9 ± 2.0, 1.7 ± 4.6, 2.1 ± 0.9, and 2.1 ± 1.8, respectively, and IPVCHt/IBWL/DW were 1.9 ± 2.2, 1.9 ± 3.7, 2.1 ± 1.1, and 2.1 ± 2.0, respectively. Conclusion Irrespective of the modes, ol-HDF has the same level of IPVC as std-HD.http://link.springer.com/article/10.1186/s41100-018-0188-1HemodiafiltrationHemodialysisHypotensionPlasma volumeUltrafiltration |
| spellingShingle | Masayuki Tanemoto Yu Ishimoto Yukio Kosako Yukio Okazaki Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis Renal Replacement Therapy Hemodiafiltration Hemodialysis Hypotension Plasma volume Ultrafiltration |
| title | Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| title_full | Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| title_fullStr | Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| title_full_unstemmed | Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| title_short | Comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| title_sort | comparison of intradialytic plasma volume change between online hemodiafiltration and standard hemodialysis |
| topic | Hemodiafiltration Hemodialysis Hypotension Plasma volume Ultrafiltration |
| url | http://link.springer.com/article/10.1186/s41100-018-0188-1 |
| work_keys_str_mv | AT masayukitanemoto comparisonofintradialyticplasmavolumechangebetweenonlinehemodiafiltrationandstandardhemodialysis AT yuishimoto comparisonofintradialyticplasmavolumechangebetweenonlinehemodiafiltrationandstandardhemodialysis AT yukiokosako comparisonofintradialyticplasmavolumechangebetweenonlinehemodiafiltrationandstandardhemodialysis AT yukiookazaki comparisonofintradialyticplasmavolumechangebetweenonlinehemodiafiltrationandstandardhemodialysis |