Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study
INTRODUCTION: Haemodialysis (HD) which is a form of renal replacement therapy is usually a treatment modality for patients with chronic kidney disease. However, it is not without deleterious haemodynamic responses which may occur either during or immediately after the termination of the procedure. T...
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The Pan African Medical Journal
2019-06-01
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https://www.panafrican-med-journal.com/content/article/33/91/pdf/91.pdf
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| author | Henry Ohem Okpa Emmanuel Edet Effa Sidney Kelechi Oparah John Austin Chikezie Elvis Mbu Bisong Patrick Ntui Mbu Daniel Emmanuel Otokpa |
| author_facet | Henry Ohem Okpa Emmanuel Edet Effa Sidney Kelechi Oparah John Austin Chikezie Elvis Mbu Bisong Patrick Ntui Mbu Daniel Emmanuel Otokpa |
| author_sort | Henry Ohem Okpa |
| collection | DOAJ |
| description | INTRODUCTION: Haemodialysis (HD) which is a form of renal replacement therapy is usually a treatment modality for patients with chronic kidney disease. However, it is not without deleterious haemodynamic responses which may occur either during or immediately after the termination of the procedure. These may include hypotension or hypertension. METHODS: This was a retrospective study on 64 chronic kidney disease (CKD) patients on maintenance haemodialysis at the renal unit of University of Calabar Teaching Hospital, Calabar, Nigeria and aims to determine the predictors of blood pressure changes during haemodialysis. Clinical and biochemical data were obtained from the records in the dialysis unit. RESULTS: There were more males (59.4%) than females (40.6%) in the study. The mean age was 51.71,15.43 years and 43.04,14.03years for males and females respectively. The prevalence of intradialysis hypertension (45.3%) is higher than that of intradialysis hypotension (31.3%) and the commonest cause of CKD requiring haemodialysis was diabetes mellitus nephropathy. CONCLUSION: The predictors of intradialysis hypotension were lower postdialysis systolic blood pressure (PDSBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and less number of antihypertensive medications; while the predictors of intradialysis hypertension were higher postdialysis SBP, MAP, greater number of antihypertensive medications and longer duration of haemodialysis. |
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| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-10T20:17:40Z |
| publishDate | 2019-06-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-8e1ad2f846044864964399a94a469dd32022-12-22T01:35:09ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882019-06-01339110.11604/pamj.2019.33.91.1700017000Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective studyHenry Ohem Okpa0Emmanuel Edet Effa1Sidney Kelechi Oparah2John Austin Chikezie3Elvis Mbu Bisong4Patrick Ntui Mbu5Daniel Emmanuel Otokpa6 Department of Internal Medicine, Renal Unit, University of Calabar Teaching Hospital, Calabar, Nigeria Department of Internal Medicine, Renal Unit, University of Calabar Teaching Hospital, Calabar, Nigeria Department of Internal Medicine, University of Calabar, Calabar, Nigeria Department of Internal Medicine, Abia State University, Uturu, Nigeria Department of Family Medicine, University of Calabar, Calabar, Nigeria Department of Internal Medicine, Renal Unit, University of Calabar Teaching Hospital, Calabar, Nigeria Department of Internal Medicine, Renal Unit, University of Calabar Teaching Hospital, Calabar, Nigeria INTRODUCTION: Haemodialysis (HD) which is a form of renal replacement therapy is usually a treatment modality for patients with chronic kidney disease. However, it is not without deleterious haemodynamic responses which may occur either during or immediately after the termination of the procedure. These may include hypotension or hypertension. METHODS: This was a retrospective study on 64 chronic kidney disease (CKD) patients on maintenance haemodialysis at the renal unit of University of Calabar Teaching Hospital, Calabar, Nigeria and aims to determine the predictors of blood pressure changes during haemodialysis. Clinical and biochemical data were obtained from the records in the dialysis unit. RESULTS: There were more males (59.4%) than females (40.6%) in the study. The mean age was 51.71,15.43 years and 43.04,14.03years for males and females respectively. The prevalence of intradialysis hypertension (45.3%) is higher than that of intradialysis hypotension (31.3%) and the commonest cause of CKD requiring haemodialysis was diabetes mellitus nephropathy. CONCLUSION: The predictors of intradialysis hypotension were lower postdialysis systolic blood pressure (PDSBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and less number of antihypertensive medications; while the predictors of intradialysis hypertension were higher postdialysis SBP, MAP, greater number of antihypertensive medications and longer duration of haemodialysis. https://www.panafrican-med-journal.com/content/article/33/91/pdf/91.pdf chronic kidney diseasehaemodialysisintradialysis hypertensionintradialysis hypotension |
| spellingShingle | Henry Ohem Okpa Emmanuel Edet Effa Sidney Kelechi Oparah John Austin Chikezie Elvis Mbu Bisong Patrick Ntui Mbu Daniel Emmanuel Otokpa Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study The Pan African Medical Journal chronic kidney disease haemodialysis intradialysis hypertension intradialysis hypotension |
| title | Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study |
| title_full | Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study |
| title_fullStr | Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study |
| title_full_unstemmed | Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study |
| title_short | Intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south - south Nigeria: a 2 year retrospective study |
| title_sort | intradialysis blood pressure changes among chronic kidney disease patients on maintenance haemodialysis in a tertiary hospital south south nigeria a 2 year retrospective study |
| topic | chronic kidney disease haemodialysis intradialysis hypertension intradialysis hypotension |
| url |
https://www.panafrican-med-journal.com/content/article/33/91/pdf/91.pdf
|
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