透析 session 结束时的回输量：对患者血红蛋白水平的一个潜在影响因素？
Restitution volumes at the end of dialysis sessions: A potential influencing factor on patients' haemoglobin levels?
作者信息
Matos Joao Fazendeiro, Peralta Ricardo, Felix Carla, Pinto Bruno, Goncalves Pedro, Carlos Vera, Rodrigues Ricardo, Parisotto Maria Teresa, Carvalho Maria João, Ponce Pedro
机构信息
NephroCare Portugal Fresenius Medical Care Portugal Porto Portugal.
NECE-UBI Universidade da Beira Interior Covilhã Portugal.
出版信息
Nurs Open. 2019 Sep 6;6(4):1307-1313. doi: 10.1002/nop2.322. eCollection 2019 Oct.
AIM
To evaluate whether haemoglobin (Hb) levels are influenced by the restitution volume (RestVol) at the end of the dialysis session, independently of erythropoiesis-stimulating agents (ESA) and iron doses.
DESIGN
Over 12 months, 4,386 haemodialysis patients from 34 centres were enrolled in this observational descriptive study according to the checklist STrengthening the Reporting of Observational Studies in Epidemiology (STROBE).
METHOD
RestVol, Hb levels, ESA and iron doses of every patient were assessed on a monthly basis. To determine the ideal RestVol, the clinics were classified into three groups according to the restitution volumes at the end of the dialysis sessions.
RESULTS
Mean age was 69 ± 14 years, and 58.9% were men. The evaluation of 665,712 treatments revealed that RestVol of 380 ml seems to be the most efficient, since the clinics in this group managed to reduce ESA consumption with a negligible reduction in Hb levels.
目的
评估透析 session 结束时的回输量（RestVol）是否会独立于促红细胞生成素（ESA）和铁剂剂量而影响血红蛋白（Hb）水平。
设计
在12个月的时间里，根据加强流行病学观察性研究报告（STROBE）清单，来自34个中心的4386名血液透析患者参与了这项观察性描述性研究。
方法
每月评估每位患者的 RestVol、Hb 水平、ESA 和铁剂剂量。为了确定理想的 RestVol，根据透析 session 结束时的回输量将各诊所分为三组。
结果
平均年龄为69±14岁，58.9%为男性。对665712次治疗的评估显示，380毫升的 RestVol 似乎是最有效的，因为该组诊所能够减少 ESA 的用量，同时 Hb 水平的降低可忽略不计。
Zotero 插件