2024-03-29T07:18:15Zhttps://uvadoc.uva.es/oai/requestoai:uvadoc.uva.es:10324/509332022-07-18T09:32:56Zcom_10324_1179com_10324_931com_10324_894col_10324_1306
Impact of targeting Kt instead of Kt/V
Maduell Canals, Francisco
Ramos Sánchez, Rosa
Palomares Sancho, Inés
Martín Malo, Alejandro
Molina Núñez, Manuel
Bustamante Bustamante, Jesús
Perez Garcia, Rafael
Grassmann, Aileen
Merello Godino, José Ignacio
Diálisis
Hemodiálisis
Riñones - Enfermedades
Producción Científica
Background. Patients must receive an adequate dialysis dose in each hemodialysis (HD) session. Ionic dialysance (ID) enables the dialysis dose to be monitored in each session. The aim of this study was to compare the achievement of Kt versus eKt/V values and to analyse the main impediments to reaching
the dialysis dose. Methods. Of 5316 patients from 54 Fresenius Medical Care centers in Spain undergoing their usual HD regime, 3275 received ID and were included in the study.
Results. The minimum prescribed dose of eKt/V was reached in 91.2% of the patients, while the minimum recommended dose of Kt was reached in only 66.8%. Patients not receiving the minimum Kt dose were older, had spent 7 months less on dialysis, had a dialysis duration of 6 min less, had 5.7 kg more
of body weight and Qb was 47 mL/min lower. The target Kt was not reached by 62% of patients with catheters and by 37% of women. With each quintile increase of body weight, eKt/V decreased and Kt increased. Of patients with a body weight >80 kg, 1.4%, mostly men, reached the target Kt but not prescribed eKt/V. Conclusions. The impact of monitoring the dose with Kt instead of Kt/V is that identifies 25.8% of patients who did not reach the minimum Kt while achieving Kt/V. The main impediments
to achieving an adequate dialysis dose were catheter use, female sex, advanced age, greater body weight, shorter dialysis time and lower Qb.
2021-12-13T13:35:36Z
2021-12-13T13:35:36Z
2013
info:eu-repo/semantics/article
Nephrology Dialysis Transplantation, 2013, vol. 28, n. 10, p. 2595–2603
0931-0509
https://uvadoc.uva.es/handle/10324/50933
10.1093/ndt/gft255
2595
10
2603
Nephrology Dialysis Transplantation
28
1460-2385
eng
https://academic.oup.com/ndt/article/28/10/2595/1808268
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
© 2013 Oxford University Press
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Oxford University Press
European Renal Association
SI