Seminars in Dialysis最新文献_第2页

Successful Application of a Hemoperfusion Machine in Separated System CRRT: Evaluating Effectiveness and Safety in Critically Ill Patients With AKI in Resource-Limited Settings. 血液灌流机在分离式系统 CRRT 中的成功应用：评估在资源有限的环境中对 AKI 重症患者的有效性和安全性。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13210

Atthaphong Phongphithakchai, Thiti Sirisuksan, Sirihatai Konwai, Suntornwit Praditau-Krit, Ussanee Boonsrirat

{"title":"Successful Application of a Hemoperfusion Machine in Separated System CRRT: Evaluating Effectiveness and Safety in Critically Ill Patients With AKI in Resource-Limited Settings.","authors":"Atthaphong Phongphithakchai, Thiti Sirisuksan, Sirihatai Konwai, Suntornwit Praditau-Krit, Ussanee Boonsrirat","doi":"10.1111/sdi.13210","DOIUrl":"10.1111/sdi.13210","url":null,"abstract":"Background: It is imperative to note that integrated system continuous renal replacement therapy (CRRT) necessitates a sophisticated and costly apparatus, potentially limiting its availability within resource-limited settings. The introduction of a separated system for continuous veno-venous hemofiltration (CVVH), characterized by uncomplicated setup procedures with a hemoperfusion machine, holds promise as a feasible alternative to CRRT for critically ill patients with acute kidney injury (AKI).Methods: We aimed to retrospectively analyze the effectiveness and safety of separated CRRT applied from a hemoperfusion machine in critically ill patients with AKI during the January 2015 to December 2021 period. We also examine the in-hospital mortality rate and multivariate logistic regression analysis to uncover the factors that affect mortality.Results: We included a total of 129 critically ill patients who received separated system CRRT. The SOFA score at CRRT initiation was 12.6 ± 3.8. The fluid accumulation at the day of CRRT initiation was 3900 mL (622-8172 mL) All patients received pre- and postdilution CVVH. The mean prescribed CRRT dose was 22.4 ± 3.1 mL/kg/h. We found no serious complications including circuit explosion and air embolism. The in-hospital mortality rate was 68.9%. High SOFA score and positive fluid accumulation at CRRT initiation serve as predictors of survival.Conclusions: Separated system CRRT using a hemoperfusion machine provides a simplified system to operate and is proven to be effective and safe in real-life practice, especially in resource-limited areas.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"380-385"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Risk Factors of Cognitive Frailty in Patients Undergoing Maintenance Hemodialysis: A Systematic Review and Meta-Analysis. 维持性血液透析患者认知功能衰弱的发生率和风险因素：系统回顾与元分析》。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1111/sdi.13220

Min Cheng, Qin Liu, Haoyue Gan, Hangcheng Liu, Mei He

{"title":"Prevalence and Risk Factors of Cognitive Frailty in Patients Undergoing Maintenance Hemodialysis: A Systematic Review and Meta-Analysis.","authors":"Min Cheng, Qin Liu, Haoyue Gan, Hangcheng Liu, Mei He","doi":"10.1111/sdi.13220","DOIUrl":"10.1111/sdi.13220","url":null,"abstract":"Background: The purpose of this study is to investigate the prevalence and risk factor of cognitive frailty in patients undergoing maintenance hemodialysis.Methods: Systematically searched PubMed, EmBase, Web of Science, Cochrane Library, SinoMed, China Knowledge Resource Integrated Database, Wanfang Database, and Weipu Database from inception until January 1, 2024. Two researchers were independently screened and cross-checked. Stata 15.1 software was used to perform the meta-analysis.Results: A total of 15 articles were included, including 5398 patients. The results showed that the prevalence of cognitive frailty in patients undergoing maintenance hemodialysis was 24%. Among them, age (odds ratio [OR] = 1.33, 95% CI [1.16, 1.53]), waist circumference (OR = 1.05, 95% CI [1.03, 1.08]), malnutrition (OR = 2.91, 95% CI [1.94, 4.35]), comorbidities (OR = 1.93, 95% CI [1.47, 2.54]), stroke history (OR = 2.94, 95% CI [1.72, 5.03]), and depression (OR = 3.26, 95% CI [1.91, 5.57]) were the main risk factors for cognitive frailty in patients undergoing maintenance hemodialysis. Education level (OR = 0.48, 95% CI [0.31, 0.73]) was protective factors for cognitive frailty in patients undergoing maintenance hemodialysis.Conclusions: Current evidence showed that the prevalence of cognitive frailty in patients undergoing maintenance hemodialysis was high, and there were many risk factors. Therefore, early identification and intervention of cognitive frailty in maintenance hemodialysis patients should be carried out, which may be helpful to reduce the prevalence rate and occurrence of adverse events and improve the prognosis of patients.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"363-372"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Green Dialysate. 绿色透析液

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13208

Héctor Raúl Ibarra-Sifuentes, Gustavo Abraham Canales-Azcona

引用次数: 0

Proximalization of Arterial Inflow for the Treatment of Limb Ischemia in a Transposed Femoral Arteriovenous Fistula-A Case Report. 为治疗经股动静脉瘘的肢体缺血而进行动脉导流近端化--病例报告。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13209

Carlos Filipe Pinho Veterano, Paulo Jorge Carvalho de Almeida, Duarte Nuno Cunha Rego, Luís Pedro Martins Macedo Alvarenga Loureiro, Pedro Jorge Sá Pinto, Rui Manuel Vieira Mota Machado

{"title":"Proximalization of Arterial Inflow for the Treatment of Limb Ischemia in a Transposed Femoral Arteriovenous Fistula-A Case Report.","authors":"Carlos Filipe Pinho Veterano, Paulo Jorge Carvalho de Almeida, Duarte Nuno Cunha Rego, Luís Pedro Martins Macedo Alvarenga Loureiro, Pedro Jorge Sá Pinto, Rui Manuel Vieira Mota Machado","doi":"10.1111/sdi.13209","DOIUrl":"10.1111/sdi.13209","url":null,"abstract":"Introduction: Femoral vein transposition is one of the final resorts for vascular access in patients with exhaustion of upper limb venous patrimony and central venous occlusive disease. Its major pitfalls include hemodialysis access-induced distal ischemia and infection. Surgical procedures may be warranted to preserve vascular access if ischemia develops. Several techniques are reported in the literature for femoral vein transposition.Case report: We expose an endoscopic femoral vein harvesting as an alternative to the single thigh incision in order to avoid its associated complications. In the setting of ischemia, proximalization of arterial inflow was used to manage femoral vein transposition associated limb ischemia.Conclusion: This case report aims to expose the aforementioned unreported surgical techniques for lower limb arteriovenous fistula, its advantages, and pitfalls, as well as considerations on its future use.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"399-403"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Correlation Between Major Adverse Cardiovascular and Cerebrovascular Events (MACCE) and miR-142-3p in Maintenance Hemodialysis Patients With End-Stage Renal Disease. 终末期肾病维持性血液透析患者的主要心脑血管不良事件 (MACCE) 与 miR-142-3p 之间的相关性。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI: 10.1111/sdi.13221

Jiaxiang Jiang, Meiling Zhou, Qiong Zhang, Huajuan Shen, Yanqing Jia, Yanfang Chen, Xiujun Xu, Hongfang Jiang

{"title":"The Correlation Between Major Adverse Cardiovascular and Cerebrovascular Events (MACCE) and miR-142-3p in Maintenance Hemodialysis Patients With End-Stage Renal Disease.","authors":"Jiaxiang Jiang, Meiling Zhou, Qiong Zhang, Huajuan Shen, Yanqing Jia, Yanfang Chen, Xiujun Xu, Hongfang Jiang","doi":"10.1111/sdi.13221","DOIUrl":"10.1111/sdi.13221","url":null,"abstract":"Background: Patients with end-stage renal disease (ESRD) on maintenance hemodialysis (MHD) are at high risk for major adverse cardiovascular and cerebrovascular events (MACCE), which are prone to be detrimental to patients' lives. Identifying risk factors for MACCE can help target measures to prevent or reduce the occurrence of MACCE.Objective: The aim was to investigate the correlation between miR-142-3p and MACCE in ESRD patients on MHD and to provide a new predictor for MACCE occurrence.Methods: Blood samples were collected from subjects to detect the expression of miR-142-3p using RT-qPCR. The correlation of miR-142-3p with HDL-C and hs-CRP was assessed by the Pearson method. The occurrence of MACCE in patients during the 36-month follow-up period was recorded. The clinical value of miR-142-3p in MACCE occurrence was analyzed by the Kaplan-Meier curve, multivariate logistic regression, and ROC curve.Results: In ESRD patients on MHD, miR-142-3p was downregulated, and it showed a positive correlation with HDL-C but a negative correlation with hs-CRP. The cumulative incidence of MACCE at 1, 2, and 3 years was 8.9%, 20.0%, and 30.4%, respectively. miR-142-3p levels were reduced in patients who developed MACCE and were associated with the cumulative incidence of MACCE. miR-142-3p was a risk factor for MACCE and showed a predictive value with specificity and sensitivity of 89.36% and 56.10%, respectively.Conclusions: miR-142-3p was a risk factor of MACCE in ESRD patients undergoing MHD.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"373-379"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choosing the Right Question is as Crucial as Timing for Urgent-Start Peritoneal Dialysis. 选择正确的问题与紧急启动腹膜透析的时机同样关键。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-06-07 DOI: 10.1111/sdi.13211

Tuncay Sahutoglu

引用次数: 0

Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) Syndrome to Hemodialysis Polysulfone Membrane. 血液透析聚砜膜引起的嗜酸性粒细胞增多症和全身症状（DRESS）药物反应综合征。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1111/sdi.13207

Masatoshi Inoue, Momoko Sasamoto, Ryosuke Ichihara

引用次数: 0

Resolution of Peritoneal Dialysis-Associated Peritonitis From Weissella confusa Combined Gastric Hookworm Disease: A Case Report and Literature Review. 腹膜透析相关腹膜炎（由魏氏梭菌合并胃钩虫病引起）的缓解：病例报告与文献综述

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1111/sdi.13218

Xiujuan Wu, Shaorui Wu, Juanping Shan, Shuijuan Shen, Xuan Deng

引用次数: 0

Feeling gutted in chronic kidney disease (CKD): Gastrointestinal disorders and therapies to improve gastrointestinal health in individuals CKD, including those undergoing dialysis. 慢性肾脏病（CKD）患者的肠胃不适：慢性肾脏病（CKD）患者（包括透析患者）的胃肠功能紊乱和改善胃肠道健康的疗法。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2021-10-27 DOI: 10.1111/sdi.13030

Annabel Biruete, Andrea Shin, Brandon M Kistler, Sharon M Moe

{"title":"Feeling gutted in chronic kidney disease (CKD): Gastrointestinal disorders and therapies to improve gastrointestinal health in individuals CKD, including those undergoing dialysis.","authors":"Annabel Biruete, Andrea Shin, Brandon M Kistler, Sharon M Moe","doi":"10.1111/sdi.13030","DOIUrl":"10.1111/sdi.13030","url":null,"abstract":"Chronic kidney disease (CKD) affects 9.1% of the population worldwide. CKD may lead to structural and functional gastrointestinal alterations, including impairment in the intestinal barrier, digestion and absorption of nutrients, motility, and changes to the gut microbiome. These changes can lead to increased gastrointestinal symptoms in people with CKD, even in early grades of kidney dysfunction. Gastrointestinal symptoms have been associated with lower quality of life and reduced nutritional status. Therefore, there has been considerable interest in improving gastrointestinal health in this clinical population. Gastrointestinal health can be influenced by lifestyle and medications, particularly in advanced grades of kidney dysfunction. Therapies focused on gastrointestinal health have been studied, including the use of probiotics, prebiotics, and synbiotics, yielding limited and conflicting results. This review summarizes the alterations in the gastrointestinal tract structure and function and provides an overview of potential nutritional interventions that kidney disease professionals can provide to improve gastrointestinal health in individuals with CKD.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"334-349"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043041/pdf/nihms-1779482.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9410093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment. 纵观全局：评估全谷物对接受透析治疗的肾衰竭患者体内磷暴露的影响。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2024-02-28 DOI: 10.1111/sdi.13195

Dillon Winkelman, Kathleen Hill Gallant, Sharon Moe, David E St-Jules

{"title":"Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment.","authors":"Dillon Winkelman, Kathleen Hill Gallant, Sharon Moe, David E St-Jules","doi":"10.1111/sdi.13195","DOIUrl":"10.1111/sdi.13195","url":null,"abstract":"Excessive dietary phosphorus is a concern among patients with kidney failure undergoing dialysis treatment because it may contribute to hyperparathyroidism and hyperphosphatemia. A long-standing but untested component of the low-phosphorus diet is the promotion of refined grains over whole grains. This paper reviews the scientific premise for restricting whole grains in the dialysis population and estimates phosphorus exposure from grain products based on three grain intake patterns modeled from reported intakes in the general US population, adjusting for the presence of phosphorus additives and phosphorus bioavailability: (1) standard grain intake, (2) 100% refined grain intake, and (3) mixed (50/50 whole and refined grain) intake. Although estimated phosphorus exposure from grains was higher with the mixed grain pattern (231 mg/day) compared to the 100% refined grain pattern (127 mg/day), the amount of additional phosphorus from grains was relatively low. Given the lack of strong evidence for restricting whole grains in people with CKD, as well as the potential health benefits of whole grains, clinical trials are warranted to address the efficacy and health impact of this practice.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"326-333"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0