Comparison of intradialytic blood pressure metrics as predictors of all-cause mortality
DC Field | Value | Language |
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dc.contributor.author | Kim, Ka Young | - |
dc.contributor.author | Park, Hae Sang | - |
dc.contributor.author | Kim, Jin Sun | - |
dc.contributor.author | Ahn, Shin Young | - |
dc.contributor.author | Ko, Gang Jee | - |
dc.contributor.author | Kwon, Young Joo | - |
dc.contributor.author | Kim, Ji Eun | - |
dc.date.accessioned | 2022-01-17T08:40:40Z | - |
dc.date.available | 2022-01-17T08:40:40Z | - |
dc.date.issued | 2021-12 | - |
dc.identifier.issn | 2048-8505 | - |
dc.identifier.issn | 2048-8513 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/55078 | - |
dc.description.abstract | Background Intradialytic hypotension (IDH) has been reported to be an important prognostic factor in hemodialysis patients. However, a standard definition of IDH has not yet been determined. Methods We retrospectively analyzed blood pressure (BP) metrics obtained during serial dialysis sessions over a 90-day period from a single dialysis center from 2016 to 2017. The mean values and the frequency of specific values of BP were analyzed as predictors of 3-year mortality. Results A total of 430 patients who underwent maintenance dialysis were included. The mean age was 63.3 ± 12.4 years and 58.6% were male. A low minimum systolic blood pressure (SBP) <110 mmHg during dialysis was significantly associated with increased all-cause mortality. The frequency of a minimum SBP <100 mmHg was the most significant predictor of 3-year mortality, with an area under the curve (AUC) of 0.722. Furthermore, the frequency of a minimum SBP <100 mmHg significantly increased the predictability of mortality when combined with the presence of other clinical factors including age, body mass index and vascular access type (AUC 0.786 vs. 0.835; p = 0.005). Conclusion Among the various intradialytic BP metrics, the frequency of a minimum SBP <100 mmHg is the most significant factor related to all-cause mortality. The guidelines for the management of blood pressure in dialysis patients should consider including a minimum SBP <100 mmHg as a definition for IDH. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Oxford University Press | - |
dc.title | Comparison of intradialytic blood pressure metrics as predictors of all-cause mortality | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1093/ckj/sfab124 | - |
dc.identifier.wosid | 000736068200016 | - |
dc.identifier.bibliographicCitation | CKJ: Clinical Kidney Journal, v.14, no.12, pp 2600 - 2605 | - |
dc.citation.title | CKJ: Clinical Kidney Journal | - |
dc.citation.volume | 14 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 2600 | - |
dc.citation.endPage | 2605 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.subject.keywordPlus | CARDIOVASCULAR-DISEASE | - |
dc.subject.keywordPlus | HYPOTENSION | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | PATHOPHYSIOLOGY | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordAuthor | blood pressure | - |
dc.subject.keywordAuthor | end-stage renal disease | - |
dc.subject.keywordAuthor | hemodialysis | - |
dc.subject.keywordAuthor | intradialytic hypotension | - |
dc.subject.keywordAuthor | mortality | - |
dc.subject.keywordAuthor | prediction | - |
dc.subject.keywordAuthor | receiver operating characteristics | - |
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