Faktor-faktor yang berhubungan dengan hipertensi intradialitik pada populasi hemodialisis di rumah sakit sanglah denpasar

Abstract

Fluctuations in blood pressure (BP) are one of the most common complication among hemodialysis (HD) patient. Hypotension is the most common complication, but intradialytic hypertension (IDH) can also occur during HD. Several factors such as ages, diabetes, URR, BMI, plasma albumin, hemoglobin level, electrolytes and medication may associate with this condition. The aim of the study was to determine which factor may associate with IDH among HD patients. We performed a cross sectional study including 81 HD. Subjects without and with IDH (an increase in systolic BP pre to postdialysis ≥10 mmHg, in 2 consecutive HD sessions), were assessed for ages, diabetes, urea reduction ratio (URR), BMI, plasma albumin, hemoglobin level, natrium (Na), Na gradient (NaG), kalium (K), and the use of antihypertensive and erythropoetin. Among 81 patients (69% male), there were 14 subject (17,3%) with IDH. Ages were 47.2 ± 13.1 years, HD length were 24 (3-180) months, BMI were 21.9 ± 3.1 kg/m2, dry body weight were 58 ± 10 kg, hemoglobin were 9.9 ± 1.8 g/dL, albumin were 4.1 ± 0.3 g/dL, Na, NaG and K were 138 ± 3.3, 2.1 ± 3.4, and 5.1 ± 0.7 respectively. URR were 0,67 ± 0.13, Kt/V were 1.44 ± 0.4. We found a significant association between albumin with IDH among HD patients, p <0.05, OR 0.25 (CI 0.076-0.850).Conclusions: Among HD patients, there was a significant association between albumin with IDH. Â