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Survival hemodialysis

E Gallitto, G L Faggioli, R Pini, C Mascoli, A Freyrie, V Vento, S Ancetti, A Stella, M Gargiulo
OBJECTIVE: To report perioperative and 1-year results of total endovascular repair of contained ruptured thoracoabdominal aortic aneurysms (TAAAs). METHODS: Between 2015 and 2017, pre-operative, procedural and post-operative data of patients with radiographic evidence of contained ruptured TAAAs treated by endovascular repair, were prospectively collected. Only patients with stable hemodynamic parameters were enclosed. Primary endpoints were: 30-day / in-hospital mortality, spinal cord ischemia (SCI), post-operative cardio-pulmonary complications and new onset of hemodialysis...
February 11, 2019: Annals of Vascular Surgery
Helena Rydell, Kerstin Ivarsson, Martin Almquist, Mårten Segelmark, Naomi Clyne
BACKGROUND: The survival rate for dialysis patients is poor. Previous studies have shown improved survival with home hemodialysis (HHD), but this could be due to patient selection, since HHD patients tend to be younger and healthier. The aim of the present study is to analyse the long-term effects of HHD on patient survival and on subsequent renal transplantation, compared with institutional hemodialysis (IHD) and peritoneal dialysis (PD), taking age and comorbidity into account. METHODS: Patients starting HHD as initial renal replacement therapy (RRT) were matched with patients on IHD or PD, according to gender, age, Charlson Comorbidity Index and start date of RRT, using the Swedish Renal Registry from 1991 to 2012...
February 13, 2019: BMC Nephrology
Takahiro Yajima, Maiko Arao, Kumiko Yajima, Hiroshi Takahashi, Keigo Yasuda
Protein-energy wasting, which involves loss of fat and muscle mass, is prevalent and is associated with mortality in hemodialysis (HD) patients. We investigated the associations of fat tissue and muscle mass indices with all-cause mortality in HD patients. The study included 162 patients undergoing HD. The fat tissue index (FTI) and skeletal muscle mass index (SMI), which represent respective tissue masses normalized to height squared, were measured by bioimpedance analysis after dialysis. Patients were divided into the following four groups according to the medians of FTI and SMI values: group 1 (G1), lower FTI and lower SMI; G2, higher FTI and lower SMI; G3, lower FTI and higher SMI; and G4, higher FTI and higher SMI...
2019: PloS One
Han-Tao Li, Chih-Hong Lee, Tony Wu, Mei-Yun Cheng, Wei-En Johnny Tseng, Chun-Wei Chang, Hsiang-Yao Hsieh, Hsing-I Chiang, Chih-Yin Lin, Bao-Luen Chang, Wey-Ran Lin, Siew-Na Lim
BACKGROUND: The incidence of cefepime-induced neurotoxicity (CIN) has been previously underestimated, and there have only been sporadic reports from critical neurological settings. The present study aimed to investigate the potential factors associated with disease development, electroencephalography (EEG) sub-classification, and outcome measures. METHODS: The 10-year medical records of patients who underwent EEG between 2007 and 2016 at a tertiary medical center in Taiwan, and developed encephalopathy after cefepime therapy were retrospectively reviewed...
February 12, 2019: Neurocritical Care
Asher Weisberg, Hassan Nemeh, Loay Kabbani, Alexander Shepard, Meredith van Harn, Jeffrey Morgan, Jamil Borgi
BACKGROUND: Type A aortic dissection is a surgical emergency with a high morbidity and mortality. Strokes occur in up to 25% and are among the most feared complications. This study aims to evaluate factors linked to stroke development and the implications of strokes on outcomes. METHODS: Patients from 2000-2014 were stratified based on the development of stroke. Factors were compared between the groups using chi-square or Fisher's exact tests for categorical variables, and independent two-group t-tests for continuous variables...
February 11, 2019: Journal of Cardiovascular Surgery
James B Wetmore, Nicholas S Roetker, David T Gilbertson, Jiannong Liu
INTRODUCTION: Whether and how factors associated with elective hemodialysis withdrawal differ from those associated with non-withdrawal death soon after maintenance hemodialysis initiation have not been well studied. METHODS: A retrospective cohort analysis was performed using USRDS data from 2011 to 2014. Patients were randomly categorized 2:1 into training and validation samples. Elective withdrawal deaths were identified using the Death Notification form. Multinomial logistic regression was used to fit a prediction model for three outcome categories (withdrawal, non-withdrawal death, survival at 6 months) as a function of demographic, comorbidity, and functional status...
February 11, 2019: Hemodialysis International
Ourania Preventza, Matt D Price, Hiruni S Amarasekara, Vicente Orozco-Sevilla, Subhasis Chatterjee, Qianzi Zhang, Kim I de la Cruz, Joseph S Coselli
OBJECTIVE: The data supporting performing elective aortic arch surgery in patients aged 75 years or older are equivocal. We evaluated short- and long-term outcomes after elective arch surgery in patients aged ≥75 years to determine whether complex arch operations are justified in such patients. METHODS: Over a 10-year period, 805 patients aged 50 to 89 years underwent elective proximal or total arch surgery. Composite adverse outcome was defined as operative mortality, persistent (ie, present at discharge) neurologic event, or persistent hemodialysis...
December 19, 2018: Journal of Thoracic and Cardiovascular Surgery
Patrick H Pun, Matthew E Dupre, Monique A Starks, Clark Tyson, Kimberly Vellano, Laura P Svetkey, Steen Hansen, Brian G Frizzelle, Bryan McNally, James G Jollis, Sana M Al-Khatib, Christopher B Granger
BACKGROUND: Out-of-hospital cardiac arrest, the leading cause of death among patients on hemodialysis, occurs frequently within outpatient dialysis centers. Practice guidelines recommend resuscitation training for all dialysis clinic staff and on-site defibrillator availability, but the extent of staff involvement in cardiopulmonary resuscitation (CPR) efforts and its association with outcomes is unknown. METHODS: We used data from the Cardiac Arrest Registry to Enhance Survival and the Centers for Medicare & Medicaid Services dialysis facility database to identify patients who had cardiac arrest within outpatient dialysis clinics between 2010 and 2016 in the southeastern United States...
February 7, 2019: Journal of the American Society of Nephrology: JASN
Bayhakki, Urai Hatthakit, Pleonpit Thaniwatthananon
OBJECTIVE: Culture and religion may influence self-caring of persons with End Stage Renal Disease on hemodialysis therefore the study aimed to explore self-caring in an Islamic culture of Muslim persons living with End Stage Renal Disease undergoing hemodialysis. METHOD: This study is a qualitative ethnographic study. Purposive sample of 4 females and 8 males of Muslims on hemodialysis aged between 31 and 62 years old and length of undergoing hemodialysis between 11 months and 9 years 3 months were recruited by using several inclusion criteria...
February 4, 2019: Enfermería Clínica
Amrita Ayer, Claire Mills, Catherine Donovan, Robert H Christenson, Peter Ganz, Ruth F Dubin
INTRODUCTION: Patients with end-stage renal disease (ESRD) have reduced endothelial function, but whether macro- and microvascular endothelial function correlate with baseline risk factors and cardiovascular outcomes in this population is not well understood. METHODS: Among 146 participants of the Cardiac, Endothelial Function and Arterial Stiffness in ESRD (CERES) study, we evaluated macro- and microvascular endothelial dysfunction as flow-mediated dilation (FMD) and velocity time integral (VTI), respectively...
February 6, 2019: Hemodialysis International
Andrew Davenport
No abstract text is available yet for this article.
February 5, 2019: Clinical Journal of the American Society of Nephrology: CJASN
Sanne Steyaert, Els Holvoet, Evi Nagler, Simon Malfait, Wim Van Biesen
BACKGROUND: Clinical trials are most informative for evidence-based decision-making when they consistently measure and report outcomes of relevance to stakeholders, especially patients, clinicians, and policy makers. However, sometimes terminology used is interpreted differently by different stakeholders, which might lead to confusion during shared decision making. The construct dialysis adequacy is frequently used, suggesting it is an important outcome both for health care professionals as for patients...
2019: PloS One
Mabel Aoun, Randa Tabbah
Beta-blockers have numerous indications in the general population and are strongly recommended in heart failure, post-myocardial infarction and arrhythmias. In hemodialysis patients, their use is based on weak evidence because of the lack of a sufficient number of randomized clinical trials. The strongest evidence is based on two trials. The first showed better survival with carvedilol in hemodialysis patients with four sessions per week and systolic heart failure. The second found reduced cardiovascular morbidity with atenolol compared to lisinopril in mostly black hypertensive hemodialysis patients...
February 1, 2019: Néphrologie & Thérapeutique
Carla Leal Moreira, Ana Castro, Fernanda Silva, Paulo Almeida, António Nórton de Matos, Clemente Neves Sousa, Rui Almeida, António Cabrita, José Alexandre Queirós
The vascular access is the mainstay of hemodialysis. Arteriovenous fistula has been prioritized as the first choice of long-term vascular access for its inferior rate of complications and improved patient survival. Rope ladder and buttonhole venipuncture are the most common techniques for arteriovenous fistulae cannulation. Much of the concern regarding buttonhole cannulation is the increased risk for potentially severe systemic infections. Increased risk for stenosis and thrombosis has been addressed but not confirmed...
February 1, 2019: Hemodialysis International
Satoshi Kato, Ken-Ichi Otake, Haoyuan Chen, Isil Akpinar, Cassandra T Buru, Timur Islamoglu, Randall Q Snurr, Omar K Farha
Uremic toxins often accumulate in patients with compromised kidney function, like those with chronic kidney disease (CKD), leading to major clinical complications including serious illness and death. Sufficient removal of these toxins from the blood increases the efficacy of hemodialysis, as well as the survival rate, in CKD patients. Understanding the interactions between an adsorbent and the uremic toxins is critical for designing effective materials to remove these toxic compounds. Herein, we study the adsorption behavior of the uremic toxins, p-cresyl sulfate, indoxyl sulfate, and hippuric acid, in a series of zirconium-based metal-organic frameworks (MOFs)...
February 1, 2019: Journal of the American Chemical Society
Kenji Tomizawa, Katsuaki Sato, Shuta Ohara, Toshio Fujino, Takamasa Koga, Masaya Nishino, Yoshihisa Kobayashi, Masato Chiba, Masaki Shimoji, Kenichi Suda, Toshiki Takemoto, Tetsuya Mitsudomi
PURPOSE: The morbidity and mortality associated with lung cancer surgery in patients on chronic hemodialysis (CHD) is high; however, the relationship between the severity of postoperative complications and clinicopathological features is unclear. METHODS: Among 1214 consecutive patients who underwent pulmonary resection for primary lung cancer in our institute between 2004 and 2015, we identified 21 patients on CHD, who were the subjects of this study. Life-threatening postoperative complications were defined as grade 4 and 5 per the Clavien-Dindo classification...
January 31, 2019: Surgery Today
Deepika Jain, Danny B Haddad, Narender Goel
The population of patients with end stage renal disease (ESRD) is increasing, lengthening waiting lists for kidney transplantation. Majority of the patients are not able to receive a kidney transplant in timely manner even though it is well established that patient survival and quality of life after kidney transplantation is far better when compared to being on dialysis. A large number of patients who desire a kidney transplant ultimately end up needing some form of dialysis therapy. Most of incident ESRD patients choose hemodialysis (HD) over peritoneal dialysis (PD) as the modality of choice in the United States, even though studies have favored PD as a better choice of pre-transplant dialysis modality than HD...
January 21, 2019: World Journal of Nephrology
Zhixiang Bian, Huiyi Gu, Peihua Chen, Shijian Zhu
BACKGROUND: The survival rate of patients undergoing hemodialysis and other renal replacement therapies has been extensively studied, but comparative studies of emergency and scheduled hemodialysis are limited. METHODS: This study included 312 patients who underwent emergency hemodialysis and 274 who received scheduled hemodialysis. We investigated the prognostic differences between these two groups of patients, including the short-term and long-term survival rates...
January 31, 2019: Journal of International Medical Research
Jian Wang, Jie Li, Jinhong Sun, Jun Xin, W-H Lei
RATIONALE: As survival prospects improve for long-term patients with hemodialysis, it is common for patients to exhaust all upper extremity access options before other avenues need exploration. The purpose of this case report was to describe our experience in creating a prosthetic graft between left femoral artery and right femoral vein in a patient with history of central venous occlusion and bilateral femoral neck fracture. PATIENT CONCERNS: A female patient with hemodialysis exhausted all upper extremity access options along with bilateral femoral neck fracture...
February 2019: Medicine (Baltimore)
Seonjeong Jeong, Hyunwook Kwon, Jai Won Chang, Min-Ju Kim, Khaliun Ganbold, Youngjin Han, Tae-Won Kwon, Yong-Pil Cho
In an incident hemodialysis (HD) population, we aimed to investigate whether arteriovenous fistula (AVF) creation before HD initiation was associated with improved AVF patency compared with AVF creation from a central venous catheter (CVC), and also to compare patient survival between these patients. Between January 2011 and December 2013, 524 incident HD patients with identified first predialysis vascular access with an AVF (pre-HD group, n = 191) or an AVF from a CVC (on-HD group, n = 333) were included and analyzed retrospectively...
2019: PloS One
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