Abstract：
BACKGROUND:Increased mortality and morbidity are reported in association with high ultrafiltration rate (UFR) and with long dialysis recovery time (DRT). We studied the association between UFR and DRT. METHODS:This is a cross-sectional, observational study was conducted. Patients on thrice-weekly hemodialysis (HD) with self-reported DRT between August and December 2014 were included. We examined the association of 30-day average UFR with recovery time. RESULTS:The total number of patients included in this study was 2,689. DRT in categories of immediate recovery, >0-≤2, >2-≤6, >6-≤12, and >12 h, were reported in 27, 28, 17, 9, and 20% of the patients respectively. In multivariable analysis, longer DRT was associated with female gender, non-black race, higher body weight, lower serum albumin, chronic heart failure, cerebrovascular disease, missed dialysis sessions, higher pre-dialysis systolic blood pressure, and larger UF volume. Compared to UFR of <10, UFR ≥13 mL/kg/h was associated with longer DRT, OR of 1.16 (95% CI 0.99-1.36), and 1.28 (95% CI 1.06-1.54) in the unadjusted and the adjusted analyses respectively. Intradialytic hypotension was also associated with longer DRT in the unadjusted (per 10% higher frequency, OR 1.04 [95% CI 1.01-1.07]) and adjusted analyses (OR 1.03 [95% CI 1.00-1.07]). CONCLUSION:Long recovery time is common after HD. Rapid fluid removal is associated with longer DRT.
journal_name
Am J Nephroljournal_title
American journal of nephrologyauthors
Hussein WF,Arramreddy R,Sun SJ,Reiterman M,Schiller Bdoi
10.1159/000476076subject
Has Abstractpub_date
2017-01-01 00:00:00pages
3-10issue
1eissn
0250-8095issn
1421-9670pii
000476076journal_volume
46pub_type
杂志文章abstract：:We assessed blood volume (BV) in 20 edematous patients with nephrotic syndrome and in 32 subjects without renal or other disease liable to induce BV variation. Two methods were chosen, one using 131I-albumin and the other 51Cr red blood cells. Among the 20 patients, 11 presented minimal-change lesions, and 9 had histo...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000167967
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:The objective of this study was to investigate the role of bone morphogenetic protein (BMP) signal transduction in the pathogenesis of calciphylaxis. METHODS:Skin biopsy specimens were obtained from 18 patients with, and 12 patients without, calciphylaxis. Tissue sections were stained with antibodies direct...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000484418
更新日期：2017-01-01 00:00:00
abstract：:The use of Dacron cuff double-lumen permanent catheters for hemodialysis has become more common in the dialysis unit as patients await for creation or maturation of a permanent hemoaccess for various reasons. Placement of these catheters is often done by surgeons. Nephrologists skilled in the placement of temporary ce...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000013425
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:Data concerning long-term mortality predictors among large, purely diabetic hemodialysis collectives are scarce. METHODS:We used data from a multicenter, prospective, randomized trial among 1,255 hemodialysis patients with type 2 diabetes mellitus (T2DM) and its observational follow-up study. The associatio...
journal_title：American journal of nephrology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1159/000485842
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Protein-energy wasting (PEW) is common and associated with poor outcome in hemodialysis patients. In hemodialysis patients, geriatric nutritional risk index (GNRI) and decoy receptor 3 (DcR3) have been shown as the nutritional and inflammatory markers, respectively. The present study aimed to assess the pred...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000366457
更新日期：2014-01-01 00:00:00
abstract：:We describe a female renal transplant recipient with cytomegalovirus and Epstein-Barr virus (EBV) infections who developed aggressive polymorphous polyclonal B cell proliferation. She received two courses of OKT3. We found a majority of transformed B cells bearing EBV membrane receptor CR2 and EBV nuclear antigen. Pos...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000168818
更新日期：1995-01-01 00:00:00
abstract：:Both the Old Testament and the Talmud contain a great deal of information on medicine, nephrology, health and disease. The basic premise of early Jewish medicine is based on the notion that disease is due to structural changes in internal organs. This is in contrast to the mythical dogma of humoralism as the basis of ...
journal_title：American journal of nephrology
pub_type： 传,历史文章,杂志文章
doi：10.1159/000169107
更新日期：1997-01-01 00:00:00
abstract：:The purpose of the present investigation was to determine whether dexamethasone, an agent known to preserve the blood-brain barrier, and colchicine, an agent that impairs mobilization of macrophages, can prevent demyelinating lesions associated with rapid correction of hyponatremia in the experimental animal. Hyponatr...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000168071
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND/AIMS:Gastrointestinal (GI) symptoms in renal transplant recipients may be caused due to mycophenolic acid (MPA) toxicity. Using small bowel capsule endoscopy (SBCE) we examined the impact of conversion from Mycophenolate Mofetil (MMF) to enteric-coated formulation of Mycophenolate Sodium (EC-MPS) given to tr...
journal_title：American journal of nephrology
pub_type： 临床试验,杂志文章
doi：10.1159/000365360
更新日期：2014-01-01 00:00:00
abstract：:During the period from April 4, 1988, to April 20, 1988, nine pyrogenic reactions and five gram-negative bacteremias occurred in 11 patients undergoing dialysis. All pyrogenic reactions and gram-negative bacteremias occurred among patients in whom a reprocessed dialyzer was used. The rate of pyrogenic reactions or bac...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000168155
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:Home dialysis patients may be at an increased risk of adverse events after transitional states. The home dialysis virtual ward (HDVW) trial was conducted in Canadian dialysis centers and aimed to evaluate potential care gaps and patient satisfaction during the HDVW. METHODS:The HDVW was a multicenter single...
journal_title：American journal of nephrology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1159/000503439
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND/AIMS:Although HIV-infected persons are at higher risk for acute kidney injury (AKI) during hospitalization compared with their uninfected counterparts, risk factors for AKI are not well-defined. We aimed to describe the evolving incidence of AKI among HIV-infected individuals and to identify important AKI ri...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000337151
更新日期：2012-01-01 00:00:00
abstract：:We report the case of a 42-year-old woman with autosomal dominant polycystic kidney disease complicated by primary aldosteronism. She had a history of hypertension for 12 years and was found to have hypokalemia and polycystic renal and hepatic disease. Endocrinological tests revealed hyporeninemia and hyperaldosterone...
journal_title：American journal of nephrology
pub_type： 杂志文章,评审
doi：10.1159/000168725
更新日期：1994-01-01 00:00:00
abstract：:The effects of cisplatin (5 mg/kg BW given intraperitoneally) on renal concentration mechanism were evaluated initially by clearance studies in rats 5-7 days after cisplatin administration and compared to normal rats. During hypotonic saline infusion, cisplatin rats showed a lower inulin clearance (0.56 +/- 0.07 vs. 1...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000167938
更新日期：1989-01-01 00:00:00
abstract：:We retrospectively reviewed the course of 1,000 renal transplants performed in 835 recipients (758 nondiabetics) to assess the incidence of new onset posttransplant diabetes in former nondiabetics. A total of 119 (15.7%) recipients manifested posttransplant diabetes, of whom 64 (53.8%) became hyperglycemic within 3 we...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000166932
更新日期：1985-01-01 00:00:00
abstract：:Whole plasma from 6 normolipidemic chronic renal failure (CRF) patients undergoing hemodialysis treatment was passed through the anti-apolipoprotein (Apo) AI immunosorbent column connected to the anti-Apo B immunoaffinity column. Apo AI and B containing particles were analyzed for lipid and Apo contents. The results w...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000169011
更新日期：1996-01-01 00:00:00
abstract：:We have recently described that in the erythrocytes from uremic patients on chronic hemodialysis, the pentose-phosphate shunt is defective, the membrane concentrations of malonyldialdehyde, resulting from peroxidation of polyunsaturated fatty acids in the membranes themselves, are increased, and the concentrations of ...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000167061
更新日期：1986-01-01 00:00:00
abstract：BACKGROUND:Pulmonary arterial hypertension (PAH) may lead to right heart failure and subsequently alter glomerular filtration rates (GFR). Chronic kidney disease (CKD, GFR <60 mL/min/1.73 m2) may also adversely affect PAH prognosis. This study aimed to assess how right heart hemodynamics was associated with reduced est...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000487198
更新日期：2018-01-01 00:00:00
abstract：:The removal of phenytoin by plasmapheresis in a patient with compromised renal function is described. The results indicate that plasma concentrations of total phenytoin increase after plasmapheresis, while unbound phenytoin plasma concentrations and free fraction decrease. The amount of phenytoin removed was 36 mg and...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000167179
更新日期：1986-01-01 00:00:00
abstract：:Thymoglobulin (Thymoglobulin®; Genzyme, Cambridge, Mass., USA) is a polyclonal antibody which has been used in the field of transplantation over the last four decades. With an initial hesitancy, it is widely used now in the prevention and treatment of rejection following renal transplantation. Thymoglobulin's lack of ...
journal_title：American journal of nephrology
pub_type： 杂志文章,评审
doi：10.1159/000351643
更新日期：2013-01-01 00:00:00
abstract：:The great Spanish military and orthopedic surgeon J. Trueta gained his field and clinical experience in the Spanish civil war (1936-1939) and in Britain during World War II. As part of his major contribution to traumatology, he searched for the causes of the characteristic oliguria of combat casualties. For this purpo...
journal_title：American journal of nephrology
pub_type： 传,历史文章,杂志文章
doi：10.1159/000013473
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:We determined the familial aggregation of end-stage renal disease (ESRD) in a large, population-based sample of incident ESRD cases to assess the feasibility of developing a targeted screening and prevention program directed at members of families at high risk for kidney disease. METHODS:Between January 1, ...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000088491
更新日期：2005-11-01 00:00:00
abstract：:We have compared the renal effects of ioxitalamate, ioxaglate, and iopamidol in patients with chronic renal failure. Sixty consecutive patients with an estimated creatinine clearance (ECRCl) less than 60 ml/min were randomly assigned to receive either ioxitalamate, iopamidol, or ioxaglate. All patients received 500 cm...
journal_title：American journal of nephrology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1159/000168328
更新日期：1991-01-01 00:00:00
abstract：:Hemolytic-uremic syndrome following quinine ingestion is a newly described phenomenon, with just two previous descriptions of 4 cases in the literature. We describe a 5th case. The reaction may be mediated by the presence of antibodies reactive against platelets in the presence of quinine. Treatment has included use o...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000168444
更新日期：1992-01-01 00:00:00
abstract：:To elucidate the relationship between the renal regulation of sodium and calcium excretion at extremes of sodium intake, we studied 6 normal men ingesting a fixed, 400 mg/day calcium intake and four levels of sodium intake from 10 to 1,500 mEq/day. Serum ionized calcium was not influenced by sodium intake. Blood press...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000166496
更新日期：1981-01-01 00:00:00
abstract：BACKGROUND/AIMS:Although the effect of exercise on health is well established, nephrologists seldom consider physical activity in the treatment of chronic kidney disease (CKD) or CKD in the presence of diabetes mellitus (DM/CKD). The aim of the present study was to analyze the benefits of leisure-time physical activity...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000357133
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Dietary sodium may influence cognitive function through its effects on cerebrovascular function and cerebral blood flow. METHODS:The aim of this study was to evaluate the association of dietary sodium intake with cognitive decline in community-dwelling older adults. We also evaluated the associations of die...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000486580
更新日期：2018-01-01 00:00:00
abstract：:To elucidate the prevalence and clinical implications of antineutrophil cytoplasmic antibody (ANCA) in lupus nephritis (LN), we examined ANCA by indirect immunofluorescence and by ELISA against antilactoferrin (anti-LF) and antimyeloperoxidase (anti-MPO) antibody. To discriminate perinuclear ANCA (pANCA) with antinucl...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000013557
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Henoch-Schönlein purpura (HSP) is a form of systemic vasculitis that can progress to Henoch-Schönlein purpura nephritis (HSPN), and the most effective treatment remains controversial. Our aim was to compare the effects of oral mycophenolate mofetil (MMF) with low-dose prednisone and the full-dose corticoster...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000341914
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Elevated osteoprotegerin (OPG) levels are inversely correlated with creatinine clearance and end-stage renal disease in patients with diabetes, however its role in predicting decline in renal function and progression to a more advanced stage disease in the elderly general population is unknown. METHODS:This...
journal_title：American journal of nephrology
pub_type： 杂志文章
doi：10.1159/000357787
更新日期：2014-01-01 00:00:00
