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Dialysis

Dialyses Renal


Presentation

  • PARTICIPANTS: All patients presenting to an ED in any of 9 emergency departments in Manitoba, Canada. EXPOSURE: Dialysis status. MAIN OUTCOMES: Presentation to the ED.[ncbi.nlm.nih.gov]
  • However, neurological complications such as spinal cord or radicular symptoms have been rarely reported and, when present in dialyzed patients, are symptoms that are often attributed to other causes.[ncbi.nlm.nih.gov]
  • Arteriovenous (AV) fistula thrombosis is a serious complication in patients undergoing hemodialysis, often presenting with symptoms of venous hypertension, failure to dialysis and uremic symptoms.[ncbi.nlm.nih.gov]
  • , cardiac function gains 11 of 23 working-age but unemployed patients returned to full-time work while on therapy Ting (Mountain View, CA; 96-present) 30 patients Short (2 hours) Center-based 30% 55% (hematocrit levels increased by 7.5%) 50% 21 of 30[web.archive.org]
  • CASE PRESENTATION: A 44-year-old Polish woman experienced a traumatic cyclodialysis cleft in her left eye, complicated by persistent hypotony, maculopathy, lens subluxation, and pupillary sphincter injury.[ncbi.nlm.nih.gov]
Intermittent Fever
  • A 64-year-old man on hemodialysis for 30 years was admitted because of intermittent fever, polyarthritis, and elevated serum C-reactive protein (CRP) level, which was continuous for 2 years.[ncbi.nlm.nih.gov]
Aspiration
  • PURPOSE: To prospectively analyze technical and clinical outcome of percutaneous thrombectomy aspiration using a vacuum-assisted thrombectomy catheter in acutely thrombosed dialysis arteriovenous fistula (AVF) and/or arteriovenous graft (AVG).[ncbi.nlm.nih.gov]
Failure to Thrive
  • A 3-month-old boy with failure to thrive was referred to a nephrology clinic after a diagnostic workup for failure to thrive revealed a serum urea nitrogen level of 95 mg/dL and creatinine level of 3.6 mg/dL.[ncbi.nlm.nih.gov]

Workup

  • A 3-month-old boy with failure to thrive was referred to a nephrology clinic after a diagnostic workup for failure to thrive revealed a serum urea nitrogen level of 95 mg/dL and creatinine level of 3.6 mg/dL.[ncbi.nlm.nih.gov]

Treatment

  •    .000; n   10) treatment groups.[ncbi.nlm.nih.gov]
  • Each of the above treatments was continued for three consecutive months. Blood samples were collected from each subject before treatment and twice per month “pre-dialysis” for 3 months.[doi.org]
  • Endovascular treatment was tried but we could not succeed. However, we found endovascular treatment safe and effective in treating AV fistula failures.[ncbi.nlm.nih.gov]
  • Overhydration occurred in a total of 103 (4.4%) of all treatments, and involved 17 patients.[ncbi.nlm.nih.gov]
  • While the water in your home might be safe to drink, it is not safe to use for your home hemodialysis treatments.[davita.com]

Prognosis

  • As mentioned in the introduction, PD is characterized by a better initial prognosis, and an equal or worse late prognosis.[doi.org]
  • This case demonstrates that proactive combination therapy can be extremely useful for preserving both RRF and peritoneal function, indicating a good prognosis.[ncbi.nlm.nih.gov]
  • KEYWORDS: Rogers v Whitaker; decision-making; disclosure; haemodialysis; informed consent; prognosis[ncbi.nlm.nih.gov]
  • Also mortality rates are higher, with a worse prognosis for T1DM. Diabetes poses a barrier to allotransplantation, and efforts should be made to overcome this limitation.[ncbi.nlm.nih.gov]
  • Understanding the causes of this disease and the efforts to prevent and treat it would help improve the prognosis and quality of life of affected patients.[ncbi.nlm.nih.gov]

Etiology

  • KEYWORDS: Clinical features; Diagnosis; Dialysis encephalopathy; Etiology; Examination; Treatment[ncbi.nlm.nih.gov]
  • It can be a result of diverse etiologies, such as malignancy. In this case, bisphosphonates can serve as an effective therapeutic option. However, bisphosphonates are not safe to use in patients with end stage renal disease.[ncbi.nlm.nih.gov]
  • The presence of albuminuria and occasional granular casturia has made difficulty in excluding chronic glomerulonephritis as the possible etiologic factor.[doi.org]

Epidemiology

  • We recommend that the clinical relevance of these epidemiological associations be tested using randomized controlled trials of multifaceted interventions. 2018 The Author(s). Published by S. Karger AG, Basel.[ncbi.nlm.nih.gov]
  • Devereaux, research fellow in the departments of Medicine and Clinical Epidemiology and Biostatistics at McMaster University and lead author on the study. "Private for-profit facilities have to generate profits to satisfy shareholders and pay taxes.[buffalo.edu]
  • Heaf, Sonja Wehberg x Published: March 10, 2014 Abstract Introduction Epidemiological studies consistently show an initial survival advantage for PD patients compared to HD.[doi.org]
  • Epidemiology, contributors to, and clinical trials of mortality risk in chronic kidney failure. Lancet. 2014;383(9931):1831–43. View Article PubMed Google Scholar Foley RN, Parfrey PS, Sarnak MJ.[doi.org]
  • Clinical epidemiology of cardiovascular disease in chronic renal disease. AmJ Kidney Dis. 1998; 32 (5 Suppl 3):S112–S119. doi: 10.1053/ajkd.1998.v32.pm9820470. [ PubMed ] [ CrossRef ] [ Google Scholar ] 7.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Woorwood, M: Estimation of body iron stores; in Anderson GM, McLaren GD (eds): Iron Physiology and Pathophysiology in Humans. New York, Springer, 2012, pp 499–528.[doi.org]

Prevention

  • Understanding the causes of this disease and the efforts to prevent and treat it would help improve the prognosis and quality of life of affected patients.[ncbi.nlm.nih.gov]
  • Although cinacalcet can control parathyroid function and bone turnover, preventing ectopic calcification remains challenging.[ncbi.nlm.nih.gov]
  • Potential solutions to cope with the heavy burden on dialysis include the prevention and retardation of the progression of CKD; wider use of home-based dialysis therapy, particularly PD; promotion of kidney transplantation; and the use of renal palliative[ncbi.nlm.nih.gov]
  • Kuhlmann, MD 3 Hemodialysis solute transport and assessment of adequacy Brent Miller 4 PD Prescription Modeling Maria DeVita 5 Peritoneal Dialysis Adequacy Suzanne Watnick 6 Volume Management in PD Ali Abu-Alfa Infection Prevention 1 Infection Prevention[asn-online.org]
  • If confirmed by further prospective studies, preventive measure should be considered when planning AVF in diabetic patients.[ncbi.nlm.nih.gov]

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