Seminars in Dialysis最新文献_第7页

Risk factors and prognosis for latent tuberculosis infection in dialysis patients: A retrospective cohort study at a single tertiary care center. 透析患者潜伏结核感染的风险因素和预后：一家三级医疗中心的回顾性队列研究。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2024-01-01 Epub Date: 2023-02-23 DOI: 10.1111/sdi.13150

Yun Xia, Qiuxia Fan, Jieyun Zhang, Li Jiang, Xiaoyan Huang, Zuying Xiong, Zibo Xiong

{"title":"Risk factors and prognosis for latent tuberculosis infection in dialysis patients: A retrospective cohort study at a single tertiary care center.","authors":"Yun Xia, Qiuxia Fan, Jieyun Zhang, Li Jiang, Xiaoyan Huang, Zuying Xiong, Zibo Xiong","doi":"10.1111/sdi.13150","DOIUrl":"10.1111/sdi.13150","url":null,"abstract":"Introduction: Recent studies report that latent tuberculosis infection (LTBI) may lead to an increased risk of cardiovascular disease (CVD) that led us to hypothesize that LTBI may play an important role in major adverse cardiovascular events (MACE) in dialysis patients.Methods: A single-center retrospective cohort study was conducted. A total of 270 patients undergoing hemodialysis or peritoneal dialysis more than 3 months were included. The interferon enzyme-linked immunospot (IFN-γ ELISPOT) assay was used for the diagnosis of LTBI. Primary endpoints were MACE, including all-cause death and acute coronary syndrome (ACS). The association between LTBI and MACE was examined using multivariate Cox proportional hazards regression after adjusting for covariates and Kaplan-Meier survival analysis.Results: In our study, the patients were classified into LTBI (n = 47) or non-LTBI (n = 223) groups. Independent risk factors for LTBI in dialysis population were prior tuberculosis (TB) history (odds ratio [OR] 4.817 [1.064-22.306]), tobacco use (OR 2.903 [1.155-7.299]), and older age (OR 1.027 [1.002-1.053]). After a median follow-up of 39 months, the incidence of active TB was 6.4% versus 0% in dialysis patients with and without LTBI, respectively (p = 0.005). Multivariate Cox analysis showed that LTBI was significantly associated with MACE (hazard ratio [HR] 2.540 [1.490-4.350]) after adjustment for potential confounders.Conclusions: Prior TB history, tobacco use, and the elderly can be used to select cost-effective LTBI screening target groups in dialysis patients. LTBI is not only closely related to active TB but also an independent risk factor for higher incidence of MACE in dialysis population.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"59-64"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317545","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

Incidence of major cardiovascular events at 1, 2, and 5 years and mortality in incident patients on peritoneal dialysis regarding their nutritional status by bioimpedanciometry: A multicenter study in Colombia 腹膜透析患者 1 年、2 年和 5 年的主要心血管事件发生率和死亡率，通过生物量表了解他们的营养状况：哥伦比亚的一项多中心研究

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-12-15 DOI: 10.1111/sdi.13190

Rodolfo Torres, Maricely Reina, Orlando Olivares, Carlos Rosselli, María Montoya, Marginis Reales, David Andrade, Carlos Centeno, Robert Briceño, David Buitrago, Leonardo Hernández, Jesús Morales, Caterin Delgado, Ella Gresott, Gerardo Gutiérrez, Carolina Molina

引用次数: 0

A potential approach toward the management of sepsis: The extracorporeal cytokine hemadsorption therapy 治疗败血症的潜在方法：体外细胞因子吸血疗法

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-12-12 DOI: 10.1111/sdi.13188

Abdullah Burak Yildiz, Sidar Copur, Cem Tanriover, Furkan Yavuz, Sezan Vehbi, Nuri Baris Hasbal, Mehmet Kanbay

引用次数: 0

Feedback control in hemodialysis. 血液透析中的反馈控制。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-23 DOI: 10.1111/sdi.13185

Ashveer Randhay, Mohamed Tarek Eldehni, Nicholas M Selby

引用次数: 0

Comparison of puncture methods in patients with hemodialysis: A randomized controlled trial. 血液透析患者穿刺方法的比较:一项随机对照试验。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-02-01 DOI: 10.1111/sdi.13142

Pei-Ching Chen, Jia-Ling Sun, Hsiu-Chuang Hsu, Yao-Hui Lai, Yu-Chien Liao, Pei-Ying Chen, Hui-Chen Chang

{"title":"Comparison of puncture methods in patients with hemodialysis: A randomized controlled trial.","authors":"Pei-Ching Chen, Jia-Ling Sun, Hsiu-Chuang Hsu, Yao-Hui Lai, Yu-Chien Liao, Pei-Ying Chen, Hui-Chen Chang","doi":"10.1111/sdi.13142","DOIUrl":"10.1111/sdi.13142","url":null,"abstract":"Introduction: Arteriovenous fistula or arteriovenous graft is essential to long-term survival and quality of life in patients receiving hemodialysis. To date, no research has examined the clinical impacts of different puncture methods. This study compared the rope ladder and area puncture techniques in terms of vascular patency, pain, and quality of life among patients receiving hemodialysis.Methods: A prospective longitudinal study was performed with 6-month follow-up. A total of 98 participants recruited from a hemodialysis center in Taiwan were randomly assigned to receive the rope ladder technique (experimental group) or the area puncture technique (control group). Vascular patency was assessed by examining access flow and percutaneous transluminal angioplasty rate. Pain and quality of life were measured using the Numerical Pain Rating Scale (NPRS) and Kidney Disease Quality of Life Instrument (KDQOL-36™), respectively. All outcome variables were measured repeatedly and analyzed using a generalized estimating equation.Results: Overall, quality of life was significantly better for the experimental group than for the control group (β = 47.23, p < 0.001). The percutaneous transluminal angioplasty rate was lower for the experimental group than for the control group (12.0% vs. 18.8%). However, no significant differences were found in access flow and pain level between the two groups over time.Conclusion: Hemodialysis patients who received the rope ladder puncture technique had a lower percutaneous angioplasty rate and better quality of life than patients who received the area puncture technique, suggesting that the rope ladder technique could be implemented as a routine cannulation method in hemodialysis clinics.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"454-461"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9170664","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

Frequent vascular access thrombosis in a patient with end stage kidney disease on hemodialysis. 终末期肾病血液透析患者血管通路血栓的发生率。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-08-28 DOI: 10.1111/sdi.13172

David Kearney, Amanda Leonberg-Yoo, Raphael Cohen

引用次数: 0

Health inequities in dialysis care: A scoping review. 透析护理中的健康不公平现象：范围界定综述。

IF 1.4 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-09-21 DOI: 10.1111/sdi.13176

Lindsey Kay Purcell, Joseph William Schnitker, Ty Michael Moore, Andriana Mercedes Peña, Mitchell Faris Love, Alicia Ito Ford, Benjamin Matt Vassar

{"title":"Health inequities in dialysis care: A scoping review.","authors":"Lindsey Kay Purcell, Joseph William Schnitker, Ty Michael Moore, Andriana Mercedes Peña, Mitchell Faris Love, Alicia Ito Ford, Benjamin Matt Vassar","doi":"10.1111/sdi.13176","DOIUrl":"10.1111/sdi.13176","url":null,"abstract":"Main problem: We aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute to more equitable care.Methods: Following guidelines from the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic reviews and Meta Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a scoping review of health inequities in dialysis. PubMed and Ovid Embase were searched in July 2022 for articles published between 2016 and 2022 that examined at least one of the following NIH defined health inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, and occupation status. Frequencies of each health inequity as well as trends over time of the four most examined inequities were analyzed.Results: In our sample of 69 included studies, gaps were identified in LGBTQ+ identity and patient education. Inequities pertaining to race/ethnicity, sex/gender, underserved rural populations, and income were sufficiently reported. No trends between inequities investigated over time were identified.Conclusions: Our scoping review examined current literature on health inequities pertaining to dialysis and found gaps concerning LGBTQ+ and patients with lower levels of education. To help fill these gaps, and possibly alleviate additional burden to these patients, we recommend cultural competency training for providers and dialysis center staff as well as community-based educational programs to improve dialysis patients' health literacy.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"430-447"},"PeriodicalIF":1.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150489","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

3D printed hemodialysis access and subcutaneous volume model as a guide for cannulation: A proof of concept training tool. 3D打印血液透析通道和皮下体积模型作为插管指南:概念培训工具的证明。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-01-29 DOI: 10.1111/sdi.13141

Yi Li, Kevin Qi, Jiahua Li, Andrew Siedlecki

{"title":"3D printed hemodialysis access and subcutaneous volume model as a guide for cannulation: A proof of concept training tool.","authors":"Yi Li, Kevin Qi, Jiahua Li, Andrew Siedlecki","doi":"10.1111/sdi.13141","DOIUrl":"10.1111/sdi.13141","url":null,"abstract":"A 54-year-old underwent brachiocephalic arteriovenous fistula placement. Following maturation of the access, consistent cannulation for routine hemodialysis was challenging for clinical specialists. A three-dimensional intraluminal access model was generated, but clinical specialists adept at cannulation had difficulty orienting the model to the patient's anatomy without repeat supervision. When provided the model prima facie, 50% (4/8) clinical specialists were not able to spatially orient the model appropriately in the x-axis with respect to the coronal plane (2/8) or in the z-axis with respect to the transverse plane (2/8). Spatial renderings of the subcutaneous volume available for cannulation were then printed and physically applied to the vascular access model resulting in appropriate spatial orientation among all clinical specialists (n = 12) that were presented the models for the first time. Mean Kt/V increased during the 3-month period directly following model introduction. This case demonstrates the potential utility of 3D-modeling to readily visualize the subcutaneous volume of a hemodialysis vascular access and reduce cannulation error.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"486-488"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10688215","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

Piperacillin-tazobactam dosing in anuric acute kidney injury patients receiving continuous renal replacement therapy. 哌拉西林-他唑巴坦在接受持续肾替代治疗的无尿急性肾损伤患者中的剂量。

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-02-20 DOI: 10.1111/sdi.13148

Dhakrit Rungkitwattanakul, Taniya Charoensareerat, Ekanong Chaichoke, Thanakorn Rakamthong, Pitchaya Srisang, Sutthiporn Pattharachayakul, Nattachai Srisawat, Weerachai Chaijamorn

{"title":"Piperacillin-tazobactam dosing in anuric acute kidney injury patients receiving continuous renal replacement therapy.","authors":"Dhakrit Rungkitwattanakul, Taniya Charoensareerat, Ekanong Chaichoke, Thanakorn Rakamthong, Pitchaya Srisang, Sutthiporn Pattharachayakul, Nattachai Srisawat, Weerachai Chaijamorn","doi":"10.1111/sdi.13148","DOIUrl":"10.1111/sdi.13148","url":null,"abstract":"Introduction: To determine appropriate dosing of piperacillin-tazobactam in critically ill patients receiving continuous renal replacement therapy (CRRT).Methods: The databases of PubMed, Embase, and ScienceDirect were searched. We used the Medical Subject Headings of \"piperacillin-tazobactam,\" \"CRRT,\" and \"pharmacokinetics\" or related terms or synonym to identify the studies for reviews. A one-compartment pharmacokinetic model was conducted to predict piperacillin levels for the initial 48 h of therapy. The pharmacodynamic target was 50% of free drug level above the minimum inhibitory concentration (MIC) and 4 times of the MIC. The dose that achieved at least 90% of the probability of target attainment was defined as an optimal dose.Results: Our simulation study reveals that the dosing regimen of piperacillin-tazobactam 12 g/day is appropriate for treating Pseudomonal infection with KDIGO recommended effluent rate of 25-35 mL/kg/h. The MIC values of each setting were an important factor to design piperacillin-tazobactam dosing regimens.Conclusion: The Monte Carlo simulation can be a useful tool to evaluate drug dosing in critically ill acute kidney injury patients receiving CRRT when limited pharmacokinetic data are a concern. Clinical validation of these results is needed.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"468-476"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10758337","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

Antibody response to ChAdOx1 nCoV-19 (Covishield®) vaccine in people on maintenance hemodialysis. 维持性血液透析患者对ChAdOx1 nCoV-19 (Covishield®)疫苗的抗体反应

IF 1.6 4区医学

Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-02-26 DOI: 10.1111/sdi.13149

Dharmendra Singh Bhadauria, Prachi Tiwari, Amit Goel, Harshita Katiyar, Anupma Kaul, Mayank, Amita Aggarwal, Alka Verma, Dhiraj Khetan, Monika Yachha, Manas Ranjan Behera, Brijesh Yadav, Kartik Agarwal, Narayan Prasad

{"title":"Antibody response to ChAdOx1 nCoV-19 (Covishield®) vaccine in people on maintenance hemodialysis.","authors":"Dharmendra Singh Bhadauria, Prachi Tiwari, Amit Goel, Harshita Katiyar, Anupma Kaul, Mayank, Amita Aggarwal, Alka Verma, Dhiraj Khetan, Monika Yachha, Manas Ranjan Behera, Brijesh Yadav, Kartik Agarwal, Narayan Prasad","doi":"10.1111/sdi.13149","DOIUrl":"10.1111/sdi.13149","url":null,"abstract":"Introduction: People on renal replacement therapy (RRT) have a high risk of COVID-19 infection and subsequent death. COVID-19 vaccination is strongly recommended for those on RRT. Data are limited on the immune response of the ChAdOx1 nCoV-19/AZD1222 (Covishield®) vaccine in patients on RRT.Methods: A prospective cohort of adult (age > 18 years), on RRT in the form of hemodialysis were included and received two intramuscular doses of Covishield®. A blood specimen of 5.0 mL was collected at two time points, within a few days before administering the first dose of the vaccine and at 4-16 weeks after the second dose. According to their prior COVID-19 infection status, the participants were grouped as (i) prior symptomatic COVID-19 infection, (ii) prior asymptomatic COVID-19 infection, and (iii) no prior COVID-19 infection.Results: A large proportion (81%) of participants had anti-spike antibodies (ASAb) before vaccination, and a reasonable proportion (30%) also had neutralizing antibodies (NAb). The titer of ASAb was relatively low (207 U/mL) before vaccination. The ASAb titer (9405 [1635-25,000] U/mL) and percentage of NAb (96.4% [59.6-98.1%]) were markedly increased following the administration of two doses of the vaccine. The participants' prior COVID-19 exposure status did not influence the rise in ASAb titer and NAb percentage. Further, administering two doses of the Covishield vaccine helps them achieve a high ASAb titer.Conclusion: Two doses of ChAdOx1 nCoV-19/AZD1222 (Covishield®) vaccine, given 12 weeks apart, achieve a high titer of ASAb and a high percentage of NAb in people on hemodialysis.","PeriodicalId":21675,"journal":{"name":"Seminars in Dialysis","volume":" ","pages":"477-482"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768905","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