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Cited 6 time in webofscience Cited 6 time in scopus
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Efficacy of Hemocontrol Biofeedback System in Intradialytic Hypotension-Prone Hemodialysis Patientsopen access

Authors
Gil, Hyo-WookBang, KitaeLee, So YoungHan, Byoung GeunKim, Jin KukKim, Young OkSong, Ho CheolKwon, Young JooKim, Yong-Soo
Issue Date
Jun-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Hypotension; Renal Dialysis; Clinical Trial; Dialysis Volume
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.6, pp.805 - 810
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
6
Start Page
805
End Page
810
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9254
DOI
10.3346/jkms.2014.29.6.805
ISSN
1011-8934
Abstract
We conducted a study to determine whether the hemocontrol biofeedback system (HBS) can improve intradialytic hypotension (IDH) in hypotension-prone hemodialysis (HD) patients compared with conventional HD. In this multicenter prospective crossover study, 60 hypotension-prone patients were serially treated by conventional HD for 8 weeks (period A), by HD with hemoscan blood volume monitoring for 2 weeks (period B0), and by HBS HD for 8 weeks (period B1). The number of sessions complicated by symptomatic IDH during 24 HD sessions (14.9 +/- 5.8 sessions, 62.1% in period A vs 9.2 +/- 7.2 sessions, 38.4% in period B1, P < 0.001) and the number of IDH-related nursing interventions in a session (0.96 +/- 0.66 in period A vs 0.56 +/- 0.54 in period B1, P < 0.001) significantly decreased in period B1 than in period A. Recovery time from fatigue after dialysis was significantly shorter in period B1 than in period A. The patients with higher post-dialysis blood pressure, lower difference between pre- and post-dialysis blood pressure, less frequent IDH, and higher pre- and post-dialysis body weight in period A responded better to HBS in period B1 in regard to the reduction of IDH. In conclusion, HBS may improve the patient tolerability to HD by reducing the IDH frequency and promoting faster recovery from fatigue after dialysis.
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Kwon, Young Joo
구로병원 (Department of Nephrology and Hypertension, Guro Hospital)
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