Seminars in Dialysis最新文献_第4页

Increase of Hepatitis B Surface Antibody Levels After Inactivated COVID-19 Vaccine in Hemodialysis Patients: An Important Single-Center Observation. 血液透析患者接种 COVID-19 灭活疫苗后乙肝表面抗体水平升高：重要的单中心观察结果

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-11-01 Epub Date: 2024-09-27 DOI: 10.1111/sdi.13229

Fatemeh Yaghoubi, Davood Dalil, Saeid Iranzadeh, Ali Ghahramani

{"title":"Increase of Hepatitis B Surface Antibody Levels After Inactivated COVID-19 Vaccine in Hemodialysis Patients: An Important Single-Center Observation.","authors":"Fatemeh Yaghoubi, Davood Dalil, Saeid Iranzadeh, Ali Ghahramani","doi":"10.1111/sdi.13229","DOIUrl":"10.1111/sdi.13229","url":null,"abstract":"Background: The effects of COVID-19 vaccines on immunocompromised people such as hemodialysis (HD) patients are an important topic that should be addressed. This study reports an observation of the effect of the third dose of the Sinopharm vaccine (SphV3) on the level of hepatitis B surface antibody (anti-HBs) in HD patients, and the differences between anti-HBs titers before and after SphV3 were analytically evaluated.Methods: This single-center observational study involved all HD patients presented to Shariati Hospital, Tehran, Iran, from February 2021 to March 2022. All patients received three doses of the Sinopharm vaccine over 8 months. The anti-HBs level is measured every 6 months as the routine evaluation against HBV infection for all HD patients. Three months before (anti-HBs-B3) and 3 months after (anti-HBs-A3) SphV3 were the routine times to measure the anti-HBs titer during this study.Results: Twenty-five HD patients were enrolled. Overall, the anti-HBs-A3 was significantly higher than anti-HBs-B3 (p = 0.001). The anti-HBs levels before and after SphV3 were not statistically remarkable in patients with diabetes and ischemic heart disease. The patients with a history of kidney transplant and those with a history of COVID-19 had significant differences between anti-HBs-B3 and anti-HBs-A3 (p = 0.002, p = 0.003, respectively).Conclusion: Our findings revealed that inactivated COVID-19 vaccine may be involved in the humoral immune response to hepatitis B in HD patients. It may be novel and have significant implications for the vaccination protocol for immunocompromised patients, including those undergoing HD and transplant recipients.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"445-450"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353073","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

A Case Report of a Hemodialysis Patient With Coagulation Factor XI and Factor XII Deficiencies. 一名血液透析患者凝血因子 XI 和因子 XII 缺乏症的病例报告。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-11-01 Epub Date: 2024-08-18 DOI: 10.1111/sdi.13219

Xueying Li, Yong Wang

引用次数: 0

A Rare Cause of Hypotension in Routine Hemodialysis: Secondary Adrenal Insufficiency. 常规血液透析中低血压的罕见病因：继发性肾上腺功能不全。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2024-11-01 Epub Date: 2024-08-22 DOI: 10.1111/sdi.13225

Murat Altunok, Hüsnü Serdar Kızıltunç, Erdem Çankaya, Can Sevinç, Abdullah Uyanık

{"title":"A Rare Cause of Hypotension in Routine Hemodialysis: Secondary Adrenal Insufficiency.","authors":"Murat Altunok, Hüsnü Serdar Kızıltunç, Erdem Çankaya, Can Sevinç, Abdullah Uyanık","doi":"10.1111/sdi.13225","DOIUrl":"10.1111/sdi.13225","url":null,"abstract":"Hypotension is a common complication during hemodialysis that develops due to high ultrafiltration rate and sometimes requires intravenous fluid replacement. Intradialytic hypotension may reduce the effectiveness of dialysis and contributes to hemodialysis-related morbidity and mortality. Adrenal insufficiency is one of the causes of hypotension in the community. Our case was diagnosed with end-stage renal failure and was undergoing routine hemodialysis with a central venous catheter 3 days a week. Upon the patient's hypotension attacks during the dialysis sessions and hypoglycemia attacks in the follow-ups, the morning cortisol was 6.2 μg/dL. Adrenocorticotropic hormone was 39 pg/mL, and testosterone was 0.0442 ng/mL. Adrenocorticotropic hormone stimulation test was performed on the patient with 250 mcg tetracosactide. The patient did not show adequate cortisol response, was detected to have partial empty sella on pituitary magnetic resonance imaging, and was diagnosed with secondary adrenal insufficiency, and then the hemodialysis hypotension improved with prednisolone treatment. We present a case of adrenal insufficiency, which is a rare cause of hypotension in patients on routine hemodialysis.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"456-460"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036816","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

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