Predicting Mortality in Hemodialysis PatientsPredicting Mortality in Hemodialysis Patients
Could lung ultrasonography help clinicians predict mortality in their hemodialysis patients, and how does it compare with other approaches? Nephrology Dialysis Transplantation
We report on the prespecified secondary outcome, echocardiographic indexes of LV function, from a previously reported study of the effect of lung ultrasound (US)-guided dry weight reduction on systolic blood pressure.Study DesignSingle-blind randomized trial.Settings &Participants71 clinically euvolemic hypertensive hemodialysis patients in Greece and Slovenia.InterventionThe active intervention group’s (n = 35) volume removal was guided by the total number of lung US B-lines observed every week before a midweek dialysis session. The usual-care group (n = 36) was treated using standard-of-care...
BY ANDRZEJ KIELTYKA, PA; PARDEEP THANDI, MD; &ANUMEHA SINGH, MDA 56-year-old man presented to the emergency department with shortness of breath for one month and pleural effusions on an outpatient chest x-ray. He had been taking adalimumab, methotrexate, and steroids for arthritis and Sjogren's syndrome.A right pleural effusion in a patient with nephrotic syndrome.His monoclonal gammopathy of undetermined significance (MGUS) was monitored annually, but no medical intervention beyond surveillance was required. He had excessive thirst but normal urine output. He noted face and hand swelling in the morning that gave wa...
This study was performed among 20 patients on regular HD and 20 controls. Participants were subjected to clinical examination, and pulmonary function evaluation was performed using spirometry. The following parameters were obtained as follows: forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), Tüffenau index (FEV1/%FVC), (FEF25%-75%), and peak expiratory flow. Spirometry was carried out before and after HD sessions, and at the same time of clinical assessments, blood samples were taken to measure arterial-blood gas (ABG) and NO levels. There was the statistically significant difference between patien...
Patients (pts) undergoing total artificial heart (TAH) implantation experience a high frequency of acute renal failure requiring hemodialysis (HD). We sought to determine the predictors of HD after TAH implantation.
CONCLUSION: Peritoneal dialysis appears to be an effective replacement therapy for patients with a previous history of solid-organ transplantation. PMID: 29162679 [PubMed - as supplied by publisher]
CONCLUSIONS: The management of antifungal prophylaxis in solid organ transplant recipients requires the application of knowledge and skills that are detailed in our recommendations and the algorithm developed therein. These recommendations, based on the DELPHI methodology, may help to identify potential patients, standardize their management and improve overall prognosis. PMID: 27067875 [PubMed - as supplied by publisher]
LVAD as destination therapy (LVAD DT) is on the rise for pts with end-stage heart failure (HF). Hemodialysis (HD) is considered an absolute contraindication to LVAD DT but not to bridge to transplant (BTT). The purpose of this study was to evaluate the impact of HD on outcome in LVAD BTT pts.
Authors: Guru P, Prakash R, Sheth H, Bender F, Burr R, Piraino B PMID: 25700463 [PubMed - as supplied by publisher]