Chronic Kidney Failure
Conditions
Keywords
hemodialysis, hemodiafiltration, end-stage renal disease
Brief summary
This study evaluates the effect of high-flux hemodialysis compared to hemodiafiltration on small and moderate molecule substances clearance. Meanwhile, this study evaluates the effect of high-flux hemodialysis compared to hemodiafiltration on cardiac function. In this self matching study, participants will receive high-flux hemodialysis compared to hemodiafiltration.
Detailed description
Hemodialysis using diffusion, ultrafiltration and convection principle to remove harmful substances in the blood and excessive water, is one of the most commonly replacement therapy. Hemodiafiltration is a combination of hemodialysis and hemofiltration with two modes of treatment advantages, both by diffusion and convection principle to remove harmful substances in the blood.
Interventions
High-flux hemodialysis using diffusion, ultrafiltration and convection principle to remove harmful substances in the blood and excessive water.
Hemodiafiltration is a combination of hemodialysis and hemofiltration with two modes of treatment advantages, both by diffusion and convection principle to remove harmful substances in the blood.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subject has end-stage renal disease. 2. Subject has been on regular dialysis treatment for at least 6 months. 3. Subject has autologous vascular access. 4. Subject is offered thrice weekly hemodialysis. 5. Subject is offered 4 hours duration hemodialysis.
Exclusion criteria
1. Infectious disease 2. Poor echocardiographic window that was unsuitable for interpretation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clearance of moderate molecule substance | 4 hours after dialysis | Clearance rate of b2-microglobulin for one dialysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular ejection fraction | 4 hours after dialysis | Left ventricular ejection fraction is calculated by dividing the volume of blood pumped from the left ventricle per beat, also known as stroke volume, by the end-diastolic volume. |
Countries
China