Kidney Failure
Conditions
Keywords
coagulation, haemodialysis
Brief summary
Primary Objective: The purpose of this study is to measure the amount of convection achieved with two different haemodiafilters designed for haemodiafiltration and clotting during haemodiafiltration treatment.
Detailed description
This is a prospective observational cohort pilot study of patients under the care of the Royal Free Hospital with chronic kidney disease who have been established on regular thrice weekly haemodiafiltration treatments in a dialysis centre. Information on the study will be disseminated to the Royal Free consultant nephrologists at the dialysis centre with primary responsibility for the individual patient.
Interventions
comparison of dialyzers
comparison of dialyzers
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients age 18 years and older up to 80 years * Under the care of the Royal Free Hospital with chronic kidney disease and established on regular thrice weekly haemodiafiltration. * Able to provide written informed consent obtained
Exclusion criteria
* Patients scheduled for a kidney transplant * Patients taking concomitant systemic anticoagulants * Patients with known prothrombotic or bleeding disorders * Patients with abnormal platelet counts * Patients unable to provide written informed consent * Patients not fulfilling inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| convective volume exchanged | day 1 | volume of convective exchange achieved during the HDF session |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| platelet and coagulation pathway activation | day 1 | measurement of coagulation pathway proteins and platelet activation markers |
| visual coagulation | day 1 | visual analogue score assessment of clotting in the extracorporeal circuit |
| small and middle sized solute clearances | day 1 | dialyzer clearance of small and middle sized molecules, including urea and beta 2 microglobulin |