Once-per-week haemodialysis in a financial crisis: Predictors of interdialytic weight gain.

IF 1.5 4区 医学 Q3 NURSING
Hemamali M H Jagodage, Charrlotte Seib, Amanda McGuire, Ann Bonner
{"title":"Once-per-week haemodialysis in a financial crisis: Predictors of interdialytic weight gain.","authors":"Hemamali M H Jagodage, Charrlotte Seib, Amanda McGuire, Ann Bonner","doi":"10.1111/jorc.12498","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Several countries are experiencing challenges in maintaining standard haemodialysis services for people with kidney failure.</p><p><strong>Objective: </strong>This study aimed to investigate the health profile of people receiving haemodialysis and to identify factors associated with interdialytic weight gain.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Participants: </strong>A total of 166 adults with kidney failure and receiving haemodialysis for at least 3 months were included.</p><p><strong>Measurements: </strong>A structured chart audit form collected, demographic and haemodialysis treatment characteristics, recent biochemical and haematological results, and prescribed treatment regimens from clinical records. Data were analysed descriptively. Odds ratios (OR) were calculated to identify independent risk factors for interdialytic weight gain.</p><p><strong>Results: </strong>Mean age was 52 years (SD = 12.5), over half were male (60.2%, n = 100), and most were receiving 4 h of haemodialysis once per week (87.3%, n = 145). Approximately half (51.8%, n = 86) had an interdialytic weight gain >2%. Being female (OR = 3.39; 95% CI, 1.51-7.61), increased comorbidities (OR = 1.50; 95% CI, 1.22-1.84) and having BMI outside of the normal range (overweight/obese [OR = 8.49; 95% CI, 3.58-20.13] or underweight [OR = 4.61; 95% CI, 1.39-15.31]) were independent risk factors for increased interdialytic weight gain.</p><p><strong>Conclusion: </strong>Most patients were receiving 4 h of haemodialysis once per week although only modest alterations in potassium, phosphate, and fluid status were observed. Understanding the patient profile and predictors of interdialytic weight gain will inform the development of self-management interventions to optimise clinician support.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of renal care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jorc.12498","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Several countries are experiencing challenges in maintaining standard haemodialysis services for people with kidney failure.

Objective: This study aimed to investigate the health profile of people receiving haemodialysis and to identify factors associated with interdialytic weight gain.

Design: A cross-sectional study.

Participants: A total of 166 adults with kidney failure and receiving haemodialysis for at least 3 months were included.

Measurements: A structured chart audit form collected, demographic and haemodialysis treatment characteristics, recent biochemical and haematological results, and prescribed treatment regimens from clinical records. Data were analysed descriptively. Odds ratios (OR) were calculated to identify independent risk factors for interdialytic weight gain.

Results: Mean age was 52 years (SD = 12.5), over half were male (60.2%, n = 100), and most were receiving 4 h of haemodialysis once per week (87.3%, n = 145). Approximately half (51.8%, n = 86) had an interdialytic weight gain >2%. Being female (OR = 3.39; 95% CI, 1.51-7.61), increased comorbidities (OR = 1.50; 95% CI, 1.22-1.84) and having BMI outside of the normal range (overweight/obese [OR = 8.49; 95% CI, 3.58-20.13] or underweight [OR = 4.61; 95% CI, 1.39-15.31]) were independent risk factors for increased interdialytic weight gain.

Conclusion: Most patients were receiving 4 h of haemodialysis once per week although only modest alterations in potassium, phosphate, and fluid status were observed. Understanding the patient profile and predictors of interdialytic weight gain will inform the development of self-management interventions to optimise clinician support.

金融危机下每周一次的血液透析:透析间期体重增加的预测因素。
背景:一些国家正面临着为肾衰竭患者维持标准血液透析服务的挑战:一些国家在为肾衰竭患者维持标准血液透析服务方面面临挑战:本研究旨在调查血液透析患者的健康状况,并确定与透析间期体重增加相关的因素:设计:横断面研究:共纳入 166 名肾衰竭且接受血液透析至少 3 个月的成年人:通过结构化病历审核表收集临床记录中的人口统计学和血液透析治疗特征、近期生化和血液学结果以及处方治疗方案。对数据进行描述性分析。计算比值比(OR)以确定透析间期体重增加的独立风险因素:平均年龄为 52 岁(SD = 12.5),一半以上为男性(60.2%,n = 100),大多数患者每周接受一次 4 小时血液透析(87.3%,n = 145)。约有一半(51.8%,n = 86)的患者在透析间期体重增加>2%。女性(OR = 3.39;95% CI,1.51-7.61)、合并症增加(OR = 1.50;95% CI,1.22-1.84)和体重指数超出正常范围(超重/肥胖[OR = 8.49;95% CI,3.58-20.13]或体重不足[OR = 4.61;95% CI,1.39-15.31])是导致透析间期体重增加的独立风险因素:结论:大多数患者每周接受一次 4 小时血液透析,尽管钾、磷酸盐和体液状态仅有轻微变化。了解透析间期体重增加的患者情况和预测因素将有助于制定自我管理干预措施,优化临床医生的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信