CKD on Hemodialysis Patients, Metabolic Acidosis
Conditions
Brief summary
The primary goal of this single centre observational study is to look at factors that affect serum bicarbonate levels in patients on maintenance dialysis. This will be done by collecting demographic information, relevant medical history, dialysis history, potential renal acid load from diet by recording different foods consumed over 2 days in a food diary and bicarbonate levels at 3 intervals, pre and post dialysis session 1 and pre dialysis session 2. Bicarbonate levels are of significant interest as an indicator of metabolic acidosis in CKD dialysis patients. This study will allow us to understand the efficacy of different dialysis modalities in controlling bicarbonate levels. It will also enable us to understand the idea of individualizing dialysis for patients in terms of not using a standard concentration of dialysate for all patient undergoing dialysis in this center.
Detailed description
Cross sectional study
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years and above. * Ability to give informed consent. * End Stage Renal Disease established on maintenance dialysis for at least 3 months. * Patients on dialysis 3 times a week
Exclusion criteria
* Inability to give informed consent * Patients with acute kidney injury * Patients with severe COPD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in serum bicarbonate levels in patients on haemodialysis | 3 months | Serum bicarbonate concentration measured across two dialysis sessions (HD1 and HD2) measured as Pre HD1, Post HD2 and Pre HD2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dietary Acid Load | ~ 3 months | Potential renal acid load |
| Volume of Haemodiafiltration | 3 months | Haemodiafiltration volume delivered |
| Indicators of dialysis dose | 3 months | Pre HD1 and Post HD1 serum urea |
Countries
United Kingdom