SURVEY OF INTRADIALYTIC HYPOTENSION IN THE END-STAGE RENAL DISEASE PATIENTS ON THEIR FIRST HEMODIALYSIS SESSION

Các tác giả

  • Nguyen Dinh Kinh Thanh Hoa General Hospital
  • Quach Anh Tuan Thanh Hoa General Hospital
  • Le Dang Phu Thanh Hoa General Hospital
  • Nguyen Thi Hien Thanh Hoa General Hospital
  • Le Ngoc Thanh Thanh Hoa General Hospital

DOI:

https://doi.org/10.59459/1859-1655/JMM.1106

Từ khóa:

Intradialytic hypotension, end-stage renal disease, first-time hemodialysis

Tóm tắt

Objective: To determine the rate of intradialytic hypotension and identify several related factors in patients with end-stage renal disease undergoing their first hemodialysis session.

Methods: A descriptive cross-sectional study was conducted on 54 patients diagnosed with end-stage renal disease who underwent their first hemodialysis session at the Hemodialysis Center, Thanh Hoa General Hospital, from January 2025 to October 2025.

Results: The prevalence of intradialytic hypotension among first-time hemodialysis patients with end-stage renal disease was 14.8%, of which 75% of hypotensive episodes occurred during the second half of the dialysis session. Patients aged > 60years, blood glucose ≥ 10 mmol/l, serum albumin ≤ 30 g/l, and ultrafiltration rate > 750 ml/h had a significantly higher risk of developing intradialytic hypotension compared with the remaining groups (p < 0.05).

Conclusion: The prevalence of intradialytic hypotension in first-time hemodialysis patients with end-stage renal disease was relatively high (14.8%), occurring predominantly during the latter half of the dialysis session. Advanced age (> 60 years), hyperglycemia (≥ 10 mmol/l), hypoalbuminemia (≤ 30 g/l), and high ultrafiltration rate (> 750 ml/h) were significant risk factors associated with intradialytic hypotension.

Tài liệu tham khảo

1. Csaba P. Kovesdy, “Epidemiology of chronic kidney disease: an update 2022”, Kidney International Supplements, 12 (1): p. 7-11, 2022.

2. T. Liyanage, T. Ninomiya, and e.a. V. Jha, “Worldwide access to treatment for end-stage kidney disease: a systematic review”, Lancet, 385(9981): p. 1975-82, 2015.

3. Inrig, J.K., “Intradialytic Hypertension: A Less-Recognized Cardiovascular Complication of Hemodialysis” American Journal of Kidney Diseases, 55 (3): p. 580-589, 2010.

4. Jason A Chou, et al, “Intradialytic hypotension, blood pressure changes and mortality risk in incident hemodialysis patients”, Nephrology Dialysis Transplantation, 33 (1): p. 149-159, 2018.

5. Jeffrey J Sands, Jeffrey J Usvyat, and e.a. Terry Sullivan, “Intradialytic hypotension: Frequency, sources of variation and correlation with clinical outcome”, Hemodialysis International, 18(2): p. 415-422, 2014.

6. Khuc Thi Thuy Nga, “Changes in blood pressure during the first hemodialysis session in patients with end-stage renal disease” Master’s thesis, Hanoi Medical University; 2020.

7. Nguyen Huu Dung, Do Gia Tuyen, “Renal replacement therapy with maintenance hemodialysis”, In: Lectures on Internal Medicine: Nephrology-Urology, Vol. 2. Hanoi: Medical Publishing House, 2021.

8. Vietnamese Ministry of Health, Guidelines for Hemodialysis Technical Procedures, Decision No. 2482/QĐ-BYT issued April 13, 2018. Hanoi: Ministry of Health; 2018.

9. Levy J and et al, “The first dialysis session in chronic and acute kidney disease”, Oxford Handbook of Dialysis, 4th ed, 2016.

10. Organization, W.H., “Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity”, World Health Organization, 2011.

11. “K/DOQI Clinical Practice Guidelines for Cardiovascular Disease in Dialysis Patients”, American Journal of Kidney Diseases, 45: p. 16-153, 2005.

12. Jennifer E. Flythe, e.a., “Association of Mortality Risk with Various Definitions of Intradialytic Hypotension”, Journal of the American Society of Nephrology, 26 (3): p. 724-734, 2015.

13. Nguyen Thi Thu Hai, “Common complications within 24 hours after first-time hemodialysis in patients with chronic renal failure”, Master’s thesis, Hanoi Medical University; 2002.

14. Nguyen Van Tuan and et al, “Changes in blood pressure during hemodialysis in maintenance hemodialysis patients”, Vietnam Medical Journal; 500 (1). doi:10.51298/vmj.v500i1.288. 2021.

Tải xuống

Đã Xuất bản

31.05.2026

Cách trích dẫn

Nguyen Dinh Kinh, Quach Anh Tuan, Le Dang Phu, Nguyen Thi Hien, & Le Ngoc Thanh. (2026). SURVEY OF INTRADIALYTIC HYPOTENSION IN THE END-STAGE RENAL DISEASE PATIENTS ON THEIR FIRST HEMODIALYSIS SESSION. Tạp Chí Y học Quân sự, (384), 84–89. https://doi.org/10.59459/1859-1655/JMM.1106

Số

Chuyên mục

NGHIÊN CỨU - TRAO ĐỔI
 Ngày nhận bài      12-05-2026
 Ngày xuất bản      31-05-2026

Các bài báo tương tự

1 2 3 4 5 6 7 8 9 10 > >> 

Bạn cũng có thể bắt đầu một tìm kiếm tương tự nâng cao cho bài báo này.