Meu SciELO
Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Revista de la Sociedad Española de Enfermería Nefrológica
versão impressa ISSN 1139-1375
Resumo
RODRIGUEZ CABRERA, MJ. et al. Assessment of the average dose of dialysis with the On line Clarification Monitor (OCM) and the Daugirdas 93 Kt/v: Its practical application in a hemodialysis unit. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.1, pp.50-54. ISSN 1139-1375.
Introduction: The morbimortality rate of patients undergoing hemodialysis treatment depends on, among other things, age, base illness and the quality of treatment. The Kt/V index is the reference parameter for the measurement of the dose of dialysis. The method of ionic dialysis (OCM, FMC) determines the Kt/V in real time, by clarifying the electrolytes. The objective of this study was theevaluation of the relationship between average Kt/V by OCM and by the Daugirdas 93. Material and Methods: 24 anuric patients were studied, of ages 64.75 ±18.24, 16.7% women and 20.8% diabetics. The membranes used were highly permeable polysulsphone (1.8m2) and helixone(1.4m2) The calculation of the Kt/V by the Daugirdas 93 was carried out in accordance with NFK-DO-QI and that of the OCM was determined in the intermediate session for 3 consecutive weeks. The data were processed with the SPSS 11.0 using lineal regression, analysis of the variables and t-student. p<0.05 was considered statistically significant. The Bland-Altman test was used to validate the method. Results: The OCM has a close relation to theKt/V of Daugeris 93 (1.29±0.2 vs. 1.32±0.2,p<0.001, r2=0.96, SEE: 0.08). The Bland-Alt-man test showed r2=0.05. We did not find significant differences in the other parameters. Conclusions: The average dose determined by OCM correlates with the Kt/V of Daugirdas 93.Its application, which does not involve excessive work, permits adequate control of dialysis. It improves the quality of treatment and consequently diminishes the morbimortality rate.
Palavras-chave : Dose of dialysis; Ionic dialysis; Hemodialysis; On-line Clarification Monitor OCM.