A Study to Determine the Intradialytic Hypotension among Patients on Maintenance Heamodialysis

ABSTRACT

Objective: The aim was to govern the intradialytic hypotension frequency among patients on maintenance dialysis and its relationship with various risk factors. Study design: A Cross-Sectional analytical study. Place and duration In the Nephrology department of Services Hospital Lahore for Six months duration from January 2019 to June 2019. Methods: The intradialytic hypotension frequency was determined and specified as a percentage. All statistical variables such as weight, age, blood flow, dialysate temperature, standard deviation and mean were recorded. The relationship between qualitative risk factors and intradialytic hypotension was paralleled using the Student’s t-test with a z-test for proportional and quantitative risk factors. Results: In total sessions; Symptomatic intradialytic hypotension was recorded in 5.4%. In the hypotensive group the pre-dialysis diastolic, systolic, pulse, blood pressure was higher than the other groups with substantial p-values. In the hypotensive group, diastolic, systolic and low mean blood pressure was lesser than the other groups. However, in pulse rate the mean change between the 2 groups (normotensive group, p=0.8 to -2.4 ± 11.1 and hypotensive group -2.1 ± 14.1) did not significantly change with the drop in B.P. Cardiac events were also higher significantly in the hypotensive group.