The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients
Background and Objective: Patients with ESRD need adequate dialysis. According to DOQI guidelines, minimum dialysis dose by KT/V in patients under hemodialysis (HD) is 1.2 or greater. Subjects and Methods: In a cross- sectional study, we evaluated the value of KT/V among HD patients in shahid Behesh...
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Ahvaz Jundishapur University of Medical Sciences
2012-03-01
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| Series: | Majalah-i ̒ilmī pizishkī-i jundī/shapūr |
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| Online Access: | http://journals.ajums.ac.ir/components4.php?rQV=8BEMApDdyFGdz9lZ8BUNApDZJRnblJXYw9lZ8B0M1YDQ6QWStVGdp9lZ8BEOApDZJxWY0J3bQxWYuJXdvp2XmxHQyATNApDZJ52bpR3Yh9lZ |
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| author | Seyed Seifollah Beladi Mousavi Khojaste Hosaini Nejad Abbas Ali Zeraati |
| author_facet | Seyed Seifollah Beladi Mousavi Khojaste Hosaini Nejad Abbas Ali Zeraati |
| author_sort | Seyed Seifollah Beladi Mousavi |
| collection | DOAJ |
| description | Background and Objective: Patients with ESRD need adequate dialysis. According to DOQI guidelines, minimum dialysis dose by KT/V in patients under hemodialysis (HD) is 1.2 or greater. Subjects and Methods: In a cross- sectional study, we evaluated the value of KT/V among HD patients in shahid Beheshti Hospital of Abadan, Iran. HD was performed for 3 to 4 hours, using synthetic dialyzer and the bicarbonate- based dialysate. Blood flow rate, dialysate flow rate and ultrafiltration rate were 250 to 300 cc /min, 500cc/min and zero or 1 to 3 liters, respectively. Blood sampling for BUN was done immediately before and after the dialysis session. We used the following equation to estimate the KT/V from the percent reduction in urea (PRU). KT/V = (0.026 ×PRU) – 0.460Results: 54 HD patients (28 females and 26 males) with the mean age of 39 ± 14.2 years were enrolled in the study. The most common cause of ESRD was hypertension (24.07%) followed by, unknown (22.22%), DM (18.51%), Chronic Glomerulonephritis (14.81%), urinary tract abstraction (12.96%) and poly cystic kidney disease (7.40%). KT/V was less than 1.2 in 87.03 patients (n=47). There was no significant difference in the valve of KT/V in men and women (P= 0.54) and in different hemoglobin concentration (p=0.58). Conclusion: The results of the study show that the most of our HD patients have not received minimum dialysis dose and we should evaluate and correct its causes. |
| format | Article |
| id | doaj-art-3b9aaa59cc9a40f1b31fc3c1ff483d0e |
| institution | Kabale University |
| issn | 2252-052X 2252-0619 |
| language | fas |
| publishDate | 2012-03-01 |
| publisher | Ahvaz Jundishapur University of Medical Sciences |
| record_format | Article |
| series | Majalah-i ̒ilmī pizishkī-i jundī/shapūr |
| spelling | doaj-art-3b9aaa59cc9a40f1b31fc3c1ff483d0e2025-08-20T03:58:22ZfasAhvaz Jundishapur University of Medical SciencesMajalah-i ̒ilmī pizishkī-i jundī/shapūr2252-052X2252-06192012-03-011114348The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis PatientsSeyed Seifollah Beladi MousaviKhojaste Hosaini NejadAbbas Ali ZeraatiBackground and Objective: Patients with ESRD need adequate dialysis. According to DOQI guidelines, minimum dialysis dose by KT/V in patients under hemodialysis (HD) is 1.2 or greater. Subjects and Methods: In a cross- sectional study, we evaluated the value of KT/V among HD patients in shahid Beheshti Hospital of Abadan, Iran. HD was performed for 3 to 4 hours, using synthetic dialyzer and the bicarbonate- based dialysate. Blood flow rate, dialysate flow rate and ultrafiltration rate were 250 to 300 cc /min, 500cc/min and zero or 1 to 3 liters, respectively. Blood sampling for BUN was done immediately before and after the dialysis session. We used the following equation to estimate the KT/V from the percent reduction in urea (PRU). KT/V = (0.026 ×PRU) – 0.460Results: 54 HD patients (28 females and 26 males) with the mean age of 39 ± 14.2 years were enrolled in the study. The most common cause of ESRD was hypertension (24.07%) followed by, unknown (22.22%), DM (18.51%), Chronic Glomerulonephritis (14.81%), urinary tract abstraction (12.96%) and poly cystic kidney disease (7.40%). KT/V was less than 1.2 in 87.03 patients (n=47). There was no significant difference in the valve of KT/V in men and women (P= 0.54) and in different hemoglobin concentration (p=0.58). Conclusion: The results of the study show that the most of our HD patients have not received minimum dialysis dose and we should evaluate and correct its causes.http://journals.ajums.ac.ir/components4.php?rQV=8BEMApDdyFGdz9lZ8BUNApDZJRnblJXYw9lZ8B0M1YDQ6QWStVGdp9lZ8BEOApDZJxWY0J3bQxWYuJXdvp2XmxHQyATNApDZJ52bpR3Yh9lZHemodialysisDialysis AdequacyKT/V |
| spellingShingle | Seyed Seifollah Beladi Mousavi Khojaste Hosaini Nejad Abbas Ali Zeraati The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients Majalah-i ̒ilmī pizishkī-i jundī/shapūr Hemodialysis Dialysis Adequacy KT/V |
| title | The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients |
| title_full | The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients |
| title_fullStr | The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients |
| title_full_unstemmed | The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients |
| title_short | The Evaluation of Dialysis Adequacy by KT/V in Hemodialysis Patients |
| title_sort | evaluation of dialysis adequacy by kt v in hemodialysis patients |
| topic | Hemodialysis Dialysis Adequacy KT/V |
| url | http://journals.ajums.ac.ir/components4.php?rQV=8BEMApDdyFGdz9lZ8BUNApDZJRnblJXYw9lZ8B0M1YDQ6QWStVGdp9lZ8BEOApDZJxWY0J3bQxWYuJXdvp2XmxHQyATNApDZJ52bpR3Yh9lZ |
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