Comparision of Kt/V in Haemodialysis By Daugirdas Method And By Online Clearance Monitoring
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Introduction: The measurement of the dialysis dose is a vital element in themanagement of chronic kidney disease patients on maintenance haemodialysis (HD). The dose of haemodialysis is expressed as (K urea x Td)/Vurea (abbreviated as Kt/V).Single-pool variable volume spKt/V is the most widely used at present is the following formulafor calculating Kt/V. Aim: To compare the Kt/V ratio obtained with theDaugirdas formula (D) with the results measured by an Online Clearance Monitor (OCM). Materials and methods: Our study is a cross sectional study of 50 patients on maintenance hemodialysis . Patients dry weight, weight gain between sessions, height, age, sex, blood flow , hematocrit, pre and post blood urea nitrogen were obtained for calculating Kt/V by Daugirdas formula (D). Kt/V results were obtained from the same Fresenius 4008S HD machine equipped with an OCM on the same dialysis session. Results: 50 patients were studied. Out of which 33 were male patients (66%). Mean age of our study patients were 38.74 ± 11.18 years. The duration of hemodialysis didn’t have any statistical significance with Kt/V measured by Kt/V (D) and Kt/V(OCM) by anova test . Independent sample t test showed that delivered Kt/V by brachio cephalic fistula was higher than radio cephalic fistula and p value was 0.01. The Kt/V (D) measured by daugirdas formulae was 1.53 ± 0.22. The Kt/V(OCM) measured by online Clearance Monitor was 1.51 ± 0.21. Intra class correlation co efficient showed a strong agreement between both methods, r = 0.964. Conclusions: In our study, there is good correlation between Kt/V (D) and Kt/V (OCM). Online Clearance Monitor is a practical instrument for daily use, to complement the other formulas, helping to adequate the dialysis dose delivered to reach excellent patient’s benefit.
Authors and Affiliations
S. Sujit, R. Vivek Praveen, J. Jaya Nivash, N. D. Srinivasa Prasad, M. Edwin Fernando
Keywords
Related Articles
- EP ID EP596844
- DOI 10.9790/0853-160502134137.
- Views 61
- Downloads 0
The Relationship between Adolescent Risk Behaviors and Family Structural and Process Factors: The Impact of Gender.
Family factors are important protective variables for adolescent development, risk behavior and outcome. Gender influences impact family interactions, rules and relationships. Adolescent cognitive, social and psycho emot...
Analysis on Reliability Evaluation in Power System
Assessment of reliability performance in each power systems has to be performed in a cost-benefit structure. The model, yet, a time-consuming task, particularly for the systems which includes a huge count of feasible con...
Prophylactic Gabapentin for Prevention of Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Surgery
Context: Prevention and treatment of postoperative nausea and vomiting continues to be a major challenge in postoperative care. Gabapentin is an antiepileptic drug .Its antiepileptic action is demonstrated in chemotherap...
A Comparitive Study of Alvarado Score And Ripasa Score in the Diagnosis Of Acute Appendicitis
Acute Appendicitis is one of the most common surgical emergencies in clinical practice with estimated life time prevalence approximately 1 in 7.[1] The incidence is 1.5 to 1.9 per 1000 and is approximately 1.4 times grea...
Role of CBCT in Detection of Osteomyelitis of Mandible: A Case Report
Osteomyelitis is a true infection of the bone induced by pyogenic microorganisms. Other than chronic cases, conventional imaging modalities do not offer much radiographic details. Computed tomography is considered the be...