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Journal Hemodial Int

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The clinical characteristics and course of COVID-19 in hemodialysis patients.

Kubra Aydin Bahat, Ergun Parmaksiz, Serap Sert,

INTRODUCTION:In December 2019, pneumonia cases emerging in China rapidly spread and became a global pandemic. The disease called COVID-19 threatens health and life in patients with comorbid disease, especially in patients with kidney failure. In this study, we aimed to evaluate the clinical findings, laboratory parameters, and prognosis of COVID-19 ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, :]

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Does altitude affect blood gases in hemodialysis patients?

Yasemin Coşkun Yavuz, Eda Altun, Can Sevinc, Ibrahim Guney, Muslu Kazim Korez, Zeynep Biyik, Lutfullah Altintepe,

INTRODUCTION:This study aimed to determine whether predialysis blood gases is affected by altitude differences in hemodialysis patients with arteriovenous fistulas living in Turkey at three different altitudes. METHODS:Patients' predialysis blood gases were compared by standardizing both arterial blood gases collections and working methods for patients undergoing hemodialysis using a dialysate ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):323-329]

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Role of vitamin D in oxidative stress modulation in end-stage renal disease patients: A double-blind randomized clinical trial.

Leila Malekmakan, Zeinab Karimi, Afshin Mansourian, Maryam Pakfetrat, Jamshid Roozbeh, Khojaste Rahimi Jaberi,

INTRODUCTION:Oxidative stress is considered as important actor in uremia-associated morbidity and mortality in hemodialysis (HD) patients. We aimed to evaluate the role of vitamin D supplementation on oxidative stress parameters in this group. METHODS:This double-blind randomized clinical trial was conducted on HD patients who were randomly allocated into intervention (n ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):367-373]

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Effect of long-term use of unfractionated or low-molecular-weight heparin on bone mineral density in maintenance hemodialysis patients.

Shuo Yang, Qingyu Niu, Liangying Gan, Xiaobo Zhang, Lingxue Tu, Li Zuo,

INTRODUCTION:Long-term use of unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) causes bone loss and osteoporosis in patients not receiving hemodialysis. This study aimed to investigate the effect of UFH and LMWH on bone mineral density (BMD) in patients undergoing maintenance hemodialysis (MHD). METHODS:Patients undergoing MHD using UFH or LMWH as ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):374-382]

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Antiphospholipid antibodies in end-stage renal disease: A systematic review and meta-analysis.

Paul R J Ames, Mira Merashli, Tommaso Bucci, Daniele Pastori, Pasquale Pignatelli, Francesco Violi, Vincenzo Bellizzi, Alessia Arcaro, Fabrizio Gentile,

INTRODUCTION:The relationship between autoimmune hemolytic anemia and antiphospholipid antibodies (aPL) and/or antiphospholipid syndrome has never been systematically addressed. METHODS:Systematic review of EMBASE and PubMed databases performed according to PRISMA guidelines from inception to March 2020; meta-analysis performed by Peto's odds ratio for rare events. FINDINGS:Forty-five studies with different outcomes met ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):383-396]

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Dextran deposition in reticuloendothelial organs in hemodialysis patients: A forgotten adverse effect of low-molecular weight dextran.

Toru Yokokawa, Yoshihiro Ikura, Hidetoshi Okabe, Yasuhiro Iwai,

We present two autopsy cases of refractory ascites/hydrothorax associated with systemic deposition of low-molecular weight dextran that had been used in hemodialysis over an extended period. The most striking autopsy findings in both cases were dense accumulation of dextran-laden macrophages in sinusoids of reticuloendothelial organs. These accumulated macrophages seemed to ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):E46-E49]

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Irritable bowel syndrome frequency and related factors in hemodialysis patients.

Durmuş Özkul, İbrahim Güney, Fatih Saçkan, Yasemin Coşkun Yavuz, Nedim Yilmaz Selcuk, Halil Z Tonbul,

INTRODUCTION:Irritable bowel syndrome (IBS) is a functional bowel disease that is common in society, does not threaten life, impairs quality of life, and causes serious economic losses. Gastrointestinal system complaints and especially IBS are common in patients with chronic kidney disease. It has also been shown that psychiatric diseases are ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):359-366]

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A rare case of Actinomyces skin and soft tissue infection in an end-stage kidney disease patient with a review of the literature.

Leon Hsueh, Sumanth Kacharam, Ankur D Shah,

End-stage kidney disease (ESKD) patients are a commonly overlooked immunocompromised population that places them at risk for rare infections. We describe the case of a 78-year-old man with a history of ESKD managed with thrice weekly in-center hemodialysis who had a prolonged episode of left elbow pain and drainage and ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):E40-E45]

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Hemodialysis treatment in patients with severe electrolyte disorders: Management of hyperkalemia and hyponatremia.

Markus Pirklbauer,

Significant deviations of serum potassium and sodium levels are frequently observed in hospitalized patients and are both associated with increased all-cause and cardiovascular mortality. The presence of acute or chronic renal failure facilitates the pathogenesis and complicates the clinical management. In the absence of reliable outcome data in the context ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):282-289]

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Abnormal digital brachial index prior to hemodialysis access construction and cardiovascular mortality.

Reshabh Yadav, Michael W M Gerrickens, Joep A W Teijink, Marc R M Scheltinga,

INTRODUCTION:An abnormal ankle-brachial index indicating presence of peripheral arterial disease (PAD) is known to predict mortality in end-stage renal disease (ESRD). Hand ischemia, reflected by low finger pressures, is also a factor associated with increased mortality in patients undergoing hemodialysis (HD). The Aim of the present study is to determine ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):335-343]

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Pilot feasibility study examining the effects of a comprehensive volume reduction protocol on hydration status and blood pressure in hemodialysis patients.

Luis M Perez, Brett T Burrows, Lauren E Chan, Hsin-Yu Fang, Jennifer L Barnes, Kenneth R Wilund,

INTRODUCTION:Chronic volume overload is a persistent problem in hemodialysis (HD) patients. The purpose of this study was to investigate the impacts of comprehensive volume reduction protocol on HD patient's hydration status and blood pressure (BP). METHODS:Twenty-three HD patients (age = 55.7 ± 13.3 years) completed a 6-month comprehensive volume control protocol consisting of: ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):414-422]

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Role of magnesium in the risk of intradialytic hypotension among maintenance hemodialysis patients.

Xuemei Geng, Jinbo Yu, Jiarui Xu, Shi Jin, Wenqi Shao, Yimei Wang, Man Guo, Xuesen Cao, Jianzhou Zou, Xialian Xu, Xiaoqiang Ding,

INTRODUCTION:Intradialytic hypotension (IDH) is a common complication in end-stage renal disease patients on hemodialysis (HD). It has been documented that several factors contribute to IDH. However, the relationship between serum electrolytes and the occurrence of IDH remains unclear. Our study aims to investigate the role of serum magnesium (Mg) for ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):351-358]

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Effect of high bicarbonate hemodialysis solution on biochemical parameters and anthropometric indices.

Farnaz Hefzollah, Saeid Najafpour Boushehri, Mehdi Mahmudpour,

INTRODUCTION:Protein energy wasting is an adverse consequence of renal failure, which is correlated with increased mortality and morbidity. Metabolic acidosis has a major role in the development of protein energy wasting in hemodialysis patients. Every effort that could ameliorate this catabolic state would be beneficial to stabilize body composition. The ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):317-322]

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Management of COVID-19 in hemodialysis patients: The Genoa experience.

Pasquale Esposito, Rodolfo Russo, Novella Conti, Valeria Falqui, Fabio Massarino, Enzo Moriero, Giancarlo Peloso, Giovanni Battista Traverso, Giacomo Garibotto, Francesca Viazzi,

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):423-427]

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Alirocumab in a high cardiovascular risk patient on hemodialysis with liver abnormalities.

Periklis Dousdampanis, Stelios F Assimakopoulos, Ioulia Syrocosta, Ioannis Ntouvas, Kostas Gkouias, Konstantina Trigka,

We present a male diabetic type 2 patient on hemodialysis (HD) with high cardiovascular (CVD) risk and hyperlipidemia. The patient was under cholesterol-lowering therapy with statin and ezetimibe but he was obligated to discontinue due to chronic hepatitis C virus infection. Statins and ezetimibe may exert a potential hepatotoxic effect ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):E37-E39]

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Reducing the risk of intradialytic hypotension by altering the composition of the dialysate.

Kornchanok Vareesangthip, Andrew Davenport,

Hypotension is the most common complication of outpatient hemodialysis sessions, with a reported prevalence of 4% to 31%, depending on which definition has been used and whether patients are symptomatic and nursing interventions were required. Dialysis centers which mix the dialysate in the dialysis machine have the opportunity to individualize ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):276-281]

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Ventricular ejection fraction over time in patients on intensive home hemodialysis: A retrospective cohort study.

Michael Girsberger, Emilie Trinh, Christopher T Chan,

INTRODUCTION:Intensive hemodialysis has been demonstrated to have several beneficial cardiovascular effects. There is a paucity of studies examining the effect of intensive home hemodialysis (IHHD) on left ventricular ejection fraction (LVEF). METHODS:We conducted a retrospective cohort study at the Toronto General Hospital including all IHHD patients between 1999 and 2017 ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):290-298]

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Comparison of vascular access patency and patient survival between native arteriovenous fistula and synthetic arteriovenous graft according to age group.

Joonsung Choi, Tae Hyun Ban, Bum Soon Choi, Jun Hyun Baik, Byung Soo Kim, Young Ok Kim, Cheol Whee Park, Chul Woo Yang, Dong Chan Jin, Hoon Suk Park,

INTRODUCTION:Arteriovenous fistula (AVF) is historically known to be the ideal option for vascular access (VA) for hemodialysis compared with arteriovenous graft (AVG). However, this approach has been recently questioned in the aging population because of their poor vessel quality and multiple comorbidities. METHODS:Data from a total of 2200 patients from ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):309-316]

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Serum glucose and phosphorus concentrations during continuous renal replacement therapy using commercial replacement solutions with or without phosphorus.

Kaitlin E Crowley, Jeremy R DeGrado, David M Charytan,

INTRODUCTION:Continuous venovenous hemofiltration (CVVH) is a common practice in the intensive care unit often associated with electrolyte derangements. Recently, our institution added a phosphate dialysis solution, Phoxillum®, to our formulary as an option for CVVH fluid in addition to the bicarbonate-based Prismasol® products available. We sought to evaluate the impact ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):330-334]

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Fluid overload is associated with use of a higher number of antihypertensive drugs in hemodialysis patients.

Jyana G Morais, Roberto Pecoits-Filho, Maria E F Canziani, Carlos E Poli-de-Figueiredo, Américo L Cuvello Neto, Ana B Barra, Viviane Calice-Silva, Jochen G Raimann, Fabiana B Nerbass,

INTRODUCTION:Hypertension is multifactorial, highly prevalent in the hemodialysis (HD) population and its adequate control requires, in addition to adequate volume management, often the use of multiple antihypertensive drugs. We aimed to describe the use of antihypertensive agents in a group of HD patients and to evaluate the factors associated with ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):397-405]

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The effect of extended-hours hemodialysis on outcomes: A systematic review and meta-analysis.

Katherine L Hull, Daniel S March, Darren R Churchward, Matthew P M Graham-Brown, James O Burton,

Extended-hours hemodialysis is associated with improvements in quality of life (QoL) and mortality, but it may accelerate the loss of residual kidney function (RKF) and increase vascular access complications. Multiple established databases were systematically searched; randomized and non-randomized studies were pooled separately. QoL outcomes were assessed using standardized mean difference ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(2):133-147]

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Individualized dialysate sodium prescriptions using sodium gradients for high-risk hemodialysis patients lowered interdialytic weight gain and achieved target weights.

Kavitha Ramaswamy, Yasmin Brahmbhatt, Jin Xia, Yiqing Song, Jingjing Zhang,

INTRODUCTION:Large interdialytic weight gain (IDWG) is associated with increased morbidity and mortality in chronic hemodialysis patients. Over 50% of patients at our inner city tertiary academic center dialysis unit had IDWG and target weights (TW) above goal. We conducted an open-label nonrandomized study to explore the effects of an individualized ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):406-413]

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Intestinal parasitoses in patients on hemodialysis in Cape Coast, Ghana: A cross sectional study.

Ganiwu M Dalawi, Richard K D Ephraim, Arti Dhoot, Isaac I Bogoch, Yaw A Awuku,

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(2):264-265]

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Delayed conversion from central venous catheter to non-catheter hemodialysis access associates with an increased risk of death: A retrospective cohort study based on data from a large dialysis provider.

Jochen G Raimann, Fang-I Chu, Sean Kalloo, Hanjie Zhang, Frank Maddux, Yuedong Wang, Peter Kotanko,

BACKGROUND:Hemodialysis initiation using a central venous catheter (CVC) poses an increased risk of death. Conversion to an arterio-venous graft or fistula (AVF, AVG) improves outcomes. The relationship of primary dialysis access and timing of conversion from CVC to either AVF or AVG to all-cause mortality was investigated. METHODS:Two retrospective analyses ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):299-308]

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Feedback control of absolute blood volume: A new technical approach in hemodialysis.

Susanne Kron, Daniel Schneditz, Til Leimbach, Joachim Kron,

INTRODUCTION:The success of automatic feedback control systems to improve hemodynamic stability by preventing relative blood volume from dropping beyond a critical value during dialysis is limited. The aim of this study was to use one of these systems for control of absolute rather than relative blood volume to prevent volume-dependent ... Read more >>

Hemodial Int (Hemodialysis international. International Symposium on Home Hemodialysis)
[2020, 24(3):344-350]

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