Chronic kidney disease Urological and Genital Diseases Glomerular diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hypotension-prone patients, i.e. patients showing symptomatic hypotensive episodes in response to fluid removal by dialysis in 25% or more of treatments during 1 month preceding the study 2. Mostly showing an inter-dialytic weight gain of 1.5 kg or more 3. Age between 18 and 75 years 4. On dialysis for at least 3 months, on three dialysis per week schedule
Exclusion criteria
Exclusion criteria: 1. A regular pre-dialysis mean arterial blood pressure in supine position of <90 mmHg 2. Regular blood flow rate for dialysis lower than 200 ml/min 3. Ppre-dialysis hemoglobin level regularly above 13 g/dl 4. Treatment by hemodiafiltration (HDF) 5. Expected need for blood transfusions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Incidence rate of dialysis treatments affected by one or more symptomatic hypotensive episodes, comparing Hemocontrol HD to current best practice HD 2. Hypotensive episodes defined as a decrease in systolic BP >=20 mmHg or a decrease in mean arterial pressure (MAP) by >=10 mmHg that is associated with characteristic symptoms and requires nurse intervention by any type | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pre- and post-dialysis systolic and diastolic blood pressure (alternatively mean arterial blood pressure) 2. Post-dialysis body weight (dry weight) 3. Inter-dialytic weight gain 4. Symptoms during dialysis that appear without hypotension: muscular cramps, dizziness, nausea 5. Patients? subjective assessment of tiredness after dialysis 6. Dialysis dose delivered ? Urea Reduction Ratio (URR) 7. Blood biochemistry data for sodium, calcium, phosphorus, potassium, hemoglobin, and albumin 8. 48hrs blood pressure (BP) monitoring (describe BP medications during monitoring) | — |
Countries
Korea, South