17. THE FACTORS AFFECTING INTRADIALYTIC HYPERTENSION IN ROUTINE HEMODIALYSIS PATIENT AT BALI HUSADA CIPTA CANTI DENPASAR

Abstract

Background: Intradialytic hypertension (IDH) define as a condition where an increase blood pressure (BP) in hemodialysis patient from pre- to post- hemodialysis. Fluctuations in BP are one of the most common complications among hemodialysis. IDH prevalence was variably reported from 10–15%. IDH has been recently identified as an independent mortality risk factor. Objective: This study was aimed to determine the prevalence and risk factor of IDH among hemodialysis patient in Bali Husada Cipta Canti Clinic (BHCC), Denpasar. Method: This is an analytic cross-sectional study conducted in BHCC, Denpasar. The data collected from medical record from all dialytic patient on December 2020. Patient with inclusion criteria were collected. Patient with incomplete data was excluded. BP measurements perform before and after hemodialysis. Patient defines with IDH if the difference of systolic blood pressure before and after hemodialysis was more than 10 mmHg in 2 times hemodialysis sequentially. Result: Our study involved 100 patients with male patient was 60 (60%) and mean age is 53.66 years (±10.88 SD). The IDH prevalence was 51% (n = 51). We found no significant differences in ages, body mass index (BMI), oral antihypertensive usage, diabetes status, hemoglobin, erythropoietin usage, quick of blood (QB) between IDH and non-IDH group. There was significant different in ultrafiltration between IDH and non IDH group (p = 0.045; OR 0.443; IK95% 0.199–0.987). Conclusion: IDH in BHCC have a higher prevalence (51%) than previous studies. There was significant different in ultrafiltration between IDH and non-IDH group. Patient with higher ultrafiltration have protective risk for IDH.