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Irish Journal of Medical Science (1971 -)

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01-11-2020 | Hypotension | Original Article

Intradialytic hypotension prevalence, influencing factors, and nursing interventions: prospective results of 744 hemodialysis sessions

Authors: Nurten Ozen, Tugba Cepken

Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2020

Abstract

Introduction

The aim of this study was to evaluate intradialytic hypotension (IDH) prevalence, influencing factors, and nursing interventions in hemodialysis (HD) patients.

Methods

This descriptive and cross-sectional study was conducted at a private dialysis center. The patients were followed-up in terms of IDH development based on the European Best Practice Guidelines criteria during six consecutive HD sessions. The study followed the STROBE checklist.

Results

A total of 744 hemodialysis sessions of 124 patients were monitored. IDH developed in 51.6% of the patients and the prevalence was 17.60%. The most common nursing interventions were stopping ultrafiltration and isotonic saline solution administration. White blood cell (WBC) (p = 0.017) and creatinine (p = 0.005) values were statistically significantly higher in patients developing IDH. WBC was found to increase IDH development risk 0.796 times (95% CI [0.657–0.996], p = 0.021).

Conclusion

Nursing staff awareness regarding the frequency of IDH in hemodialysis patients and the related symptoms needs to be increased.

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Title: Intradialytic hypotension prevalence, influencing factors, and nursing interventions: prospective results of 744 hemodialysis sessions
Authors: Nurten Ozen
Tugba Cepken
Publication date: 01-11-2020
Publisher: Springer London
Keywords: Hypotension
Care
Hypotension
Published in: Irish Journal of Medical Science (1971 -) / Issue 4/2020
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-020-02249-9

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Abstract

Introduction

Methods

Results

Conclusion

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