Effect of Dialysis Day on Intradialytic Hypotension Risk
Background/Aims: Intradialytic hypotension (IDH) is a serious and frequent complication of hemodialysis (HD). Thus far, data are scarcely available to assess the impact of first versus subsequent HD sessions of the week in IDH. Therefore, the purpose of this work was to evaluate IDH risk in patients on thrice-weekly HD. Methods: We conducted an analysis of all blood pressure (BP) measurements obtained during 492 HD treatments given to 41 prevalent adult patients over a one month period. A logistic regression model for repeated binary observations was used to determine the association between hypotension and patient and dialysis factors. Results: The incidence of IDH was 32.5%. First dialysis session of the week was associated with a 9% higher risk of hypotension relatively to the second one. The risk was even higher from the first to the third session of the week (60%) and from the second to the third (50%). A higher hypotension odds ratio was also associated with age (1.03, 90%CI: 1.01-1.06), higher predialysis BP (1.04, 90%CI: 1.03-1.05) and higher phosphorus level (1.38, 90%CI: 1.07-1.76). The risk decreased 24.4% for each additional antihypertensive drug taken by the patient. Conclusions: The odds of hypotension occurrence decrease throughout dialysis sessions of the week. Minimizing modifiable risk factors may decrease IDH episodes.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Effect of Dialysis Day on Intradialytic Hypotension Risk ; volume:41 ; number:2 ; year:2016 ; pages:168-174 ; extent:7
Kidney & blood pressure research ; 41, Heft 2 (2016), 168-174 (gesamt 7)
- Creator
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Rocha, Ana
Sousa, Clemente
Teles, Paulo
Coelho, Augusto
Xavier, Eva
- DOI
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10.1159/000443418
- URN
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urn:nbn:de:101:1-2024040400192342666856
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:48 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Rocha, Ana
- Sousa, Clemente
- Teles, Paulo
- Coelho, Augusto
- Xavier, Eva
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The effect of relative hypotension on 30-day mortality in older people receiving emergency care
Use of vasopressor for dialysis-related hypotension is a risk factor for death in hemodialysis patients: Nationwide cohort study
Effect of dialysis modalities on risk of hospitalization for gastrointestinal bleeding
Orthostatic hypotension
Ultrasound-based clinical profiles for predicting the risk of intradialytic hypotension in critically ill patients on intermittent dialysis: a prospective observational study
The Effect of Intraoperative Hypotension on Postoperative Renal Function
Post-induction hypotension and intraoperative hypotension as potential separate risk factors for the adverse outcome: a cohort study
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Hypotension Prediction Index versus Pulskonturanalyse und Inzidenz von perioperativer Hypotension
Patient-reported symptoms during dialysis: the effect of pre-dialysis extracellular water and change in extracellular water post-dialysis
Hypotension Prediction Index software for management of hypotension during moderate- to high-risk noncardiac surgery: protocol for a randomized trial
Impacts of dialysis adequacy and intradialytic hypotension on changes in dialysis recovery time
The effect of relative hypotension on 30-day mortality in older people receiving emergency care
Use of vasopressor for dialysis-related hypotension is a risk factor for death in hemodialysis patients: Nationwide cohort study
Effect of dialysis modalities on risk of hospitalization for gastrointestinal bleeding
Orthostatic hypotension
Ultrasound-based clinical profiles for predicting the risk of intradialytic hypotension in critically ill patients on intermittent dialysis: a prospective observational study
The Effect of Intraoperative Hypotension on Postoperative Renal Function
Post-induction hypotension and intraoperative hypotension as potential separate risk factors for the adverse outcome: a cohort study
Prevalence, risk factors and impact on outcomes of 30-day unexpected rehospitalization in incident peritoneal dialysis patients
Hypotension Prediction Index versus Pulskonturanalyse und Inzidenz von perioperativer Hypotension
Patient-reported symptoms during dialysis: the effect of pre-dialysis extracellular water and change in extracellular water post-dialysis