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Iranian Journal of Kidney Diseases، جلد ۵، شماره ۲، صفحات ۱۰۳-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Hemodialysis Adequacy and Treatment in Iranian Patients: a National Multicenter Study |
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| چکیده انگلیسی مقاله |
Introduction. Assessment of the hemodialysis adequacy is one of the key factors in evaluating health service system. This would provide a good background for effective future planning by healthcare authorities. In this study, we aimed to evaluate the hemodialysis adequacy in Iran. Materials and Methods. One hundred and twenty-seven hemodialysis centers affiliated to 30 medical universities in Iran participated in this cross-sectional multicenter national study. All demographic data as well as hemodialysis prescription data, including blood flow rate, length of the hemodialysis session, hemodialysis membrane type, and composition of the dialysis solution were recorded for each patient. In addition, urea reduction ratio and Kt/V were calculated to determine the hemodialysis adequacy. Results. A total of 4004 patients were included in this study, 2345 men (58.6%) and 1659 women (41.4%). Bicarbonate-based solutions and low-flux membranes were prescribed for 77.0% and 97.6% of the patients, respectively. The mean blood flow rate was 242.9 ± 39.2 mL/min. The mean length of hemodialysis session was 229.2 ± 22.2 minutes. The mean urea reduction ratio and Kt/V were calculated to be 61.0 ± 11.8% and 1.2 ± 0.4, respectively. A Kt/V less than 1.2 and a urea reduction ratio less than 65% were found in 56.7%, and 65.2% of the hemodialysis patients, respectively. Conclusions. This study showed a substantial inadequate hemodialysis in Iran as compared with the Kidney Disease Outcomes Quality Initiative guidelines. Considering the impact of dialysis adequacy on quality of life and survival rates, as well as healthcare costs, rigorous attempts to achieve the desired goals are necessary. |
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| کلیدواژه‌های انگلیسی مقاله |
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| نویسندگان مقاله |
منوچهر امینی | manouchehr amini
محمد عقیقی | mohammad aghighi
فرزاد masoudkabir | farzad masoudkabir
مهناز zamyadi | mahnaz zamyadi
شهرام نوروزی | shahram norouzi
حمید رجلانی | hamid rajolani
محمدرضا رسولی | mohammad reza rasouli
الهام پوربختیاران | elham pourbakhtyaran
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| نشانی اینترنتی |
http://www.ijkd.org/index.php/ijkd/article/view/330 |
| فایل مقاله |
فایلی برای مقاله ذخیره نشده است |
| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
ORIGINAL | Dialysis |
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