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Associates of Cardiopulmonary Arrest in the Perihemodialytic Period
Joint Authors
Flythe, Jennifer E.
Li, Nien-Chen
Lin, Shu-Fang
Brunelli, Steven M.
Hymes, Jeffrey
Lacson, Eduardo
Source
International Journal of Nephrology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-03
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Cardiopulmonary arrest during and proximate to hemodialysis is rare but highly fatal.
Studies have examined peridialytic sudden cardiac event risk factors, but no study has considered associates of cardiopulmonary arrests (fatal and nonfatal events including cardiac and respiratory causes).
This study was designed to elucidate patient and procedural factors associated with peridialytic cardiopulmonary arrest.
Data for this case-control study were taken from the hemodialysis population at Fresenius Medical Care, North America.
924 in-center cardiopulmonary events (cases) and 75,538 controls were identified.
Cases and controls were 1 : 5 matched on age, sex, race, and diabetes.
Predictors of cardiopulmonary arrest were considered for logistic model inclusion.
Missed treatments due to hospitalization, lower body mass, coronary artery disease, heart failure, lower albumin and hemoglobin, lower dialysate potassium, higher serum calcium, greater erythropoietin stimulating agent dose, and normalized protein catabolic rate (J-shaped) were associated with peridialytic cardiopulmonary arrest.
Of these, lower albumin, hemoglobin, and body mass index; higher erythropoietin stimulating agent dose; and greater missed sessions had the strongest associations with outcome.
Patient health markers and procedural factors are associated with peridialytic cardiopulmonary arrest.
In addition to optimizing nutritional status, it may be prudent to limit exposure to low dialysate potassium (<2 K bath) and to use the lowest effective erythropoietin stimulating agent dose.
American Psychological Association (APA)
Flythe, Jennifer E.& Li, Nien-Chen& Lin, Shu-Fang& Brunelli, Steven M.& Hymes, Jeffrey& Lacson, Eduardo. 2014. Associates of Cardiopulmonary Arrest in the Perihemodialytic Period. International Journal of Nephrology،Vol. 2014, no. 2014, pp.1-12.
https://search.emarefa.net/detail/BIM-1036756
Modern Language Association (MLA)
Flythe, Jennifer E.…[et al.]. Associates of Cardiopulmonary Arrest in the Perihemodialytic Period. International Journal of Nephrology No. 2014 (2014), pp.1-12.
https://search.emarefa.net/detail/BIM-1036756
American Medical Association (AMA)
Flythe, Jennifer E.& Li, Nien-Chen& Lin, Shu-Fang& Brunelli, Steven M.& Hymes, Jeffrey& Lacson, Eduardo. Associates of Cardiopulmonary Arrest in the Perihemodialytic Period. International Journal of Nephrology. 2014. Vol. 2014, no. 2014, pp.1-12.
https://search.emarefa.net/detail/BIM-1036756
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1036756