Abuelfotouh, M., Tawfik, G., Salem, A., Zaki, H. (2023). Evaluation of Risk Factors of Intradialytic Hypotension Among Egyptian End-Stage Renal Disease Patients: A Hospital-based study. Suez Canal University Medical Journal, 26(4), 1-8. doi: 10.21608/scumj.2023.305473
Mona M. Abuelfotouh; Gamal A. Tawfik; Ahmed S. Salem; Heba M. Zaki. "Evaluation of Risk Factors of Intradialytic Hypotension Among Egyptian End-Stage Renal Disease Patients: A Hospital-based study". Suez Canal University Medical Journal, 26, 4, 2023, 1-8. doi: 10.21608/scumj.2023.305473
Abuelfotouh, M., Tawfik, G., Salem, A., Zaki, H. (2023). 'Evaluation of Risk Factors of Intradialytic Hypotension Among Egyptian End-Stage Renal Disease Patients: A Hospital-based study', Suez Canal University Medical Journal, 26(4), pp. 1-8. doi: 10.21608/scumj.2023.305473
Abuelfotouh, M., Tawfik, G., Salem, A., Zaki, H. Evaluation of Risk Factors of Intradialytic Hypotension Among Egyptian End-Stage Renal Disease Patients: A Hospital-based study. Suez Canal University Medical Journal, 2023; 26(4): 1-8. doi: 10.21608/scumj.2023.305473
Evaluation of Risk Factors of Intradialytic Hypotension Among Egyptian End-Stage Renal Disease Patients: A Hospital-based study
1Department of Internal Medicine, Faculty of Medicine, Suez Canal University, Egypt
2Department of Cardiology, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background: Haemodialysis is the most common and essential method for patients with End Stage Renal Disease; and is a critically important treatment that prolongs the survival time and improves the quality of life, Dialysis-induced hypotension remains a major problem. Aim: Toassess the prevalence of Intradialytic Hypotension and its risk factors.Patients and Methods:The study was performed as a cross-sectional study including 387 ESRD patients on HDattending to Suez Canal University Hospitals, data collected included sociodemographic characteristics, general examinations, blood pressure measurement changes during hemodialysis, laboratory investigations, and Echocardiography. Results:Study results revealed that (82.4%)of the participants had (IDH) and the significant predictors for IDH were Inter Dialytic Weight Gain, serum urea, sodium, albumin, and hemoglobin level in laboratory investigations. In echocardiography, left ventricular septal thickness and left ventricular mass were significant predictors for IDH while ejection fraction and left ventricular fractional shortening were negative significant predictors for IDH. Conclusion: IDH is common. serum urea, sodium, albumin, and hemoglobin level are significant predictors for IDH besides measurements of Echo including (LVST, LVM, EF, and LVFS).