Abstract

CASTANEDA CANO, C.; CIRIZA ARAMBURU, A.  and  DIEZ CANO, R.. Online haemodiafiltration in 52 patients: clinical and analytical evolution. Rev Soc Esp Enferm Nefrol [online]. 2005, vol.8, n.3, pp.12-15. ISSN 1139-1375.

With the aim of comparing their test results, quality of life and morbility, a case history control study was carried out on 52 patients with more than 9 months of prior treatment with conventional or high-flow haemodialysis (HD), who then switched to online haemodiafiltration (HDF) for a period of similar or longer duration. Test results show a significant improvement in: Hb (p<0.01), Ca, P, Ca x P, Urea pre, Kt/V and URR (p<0.001), and an improvement in CRP, Cholesterol, Triglycerides and iPTH, although not significant. In relation to the quality of life evaluation, the following results were obtained: an insignificant increase in weight in HDF, which if compared for the under-55 age group, acquires statistical significance (p< 0.01). The same occurs with the BMI, although the significance is greater in the age group mentioned (p<0.001). The TAC of urea increased significantly, as did interdialysis weight gain. The nCRP was higher, but without statistical value. Blood pressure figures, although lower throughout the on-line HDF treatment, were not significant. The drop in admissions and complications during the online HDF stage is notable. Online HDF is a technique for the treatment of chronic renal failure that improves the dose of dialysis patients receive, their quality of life, and reduces morbility.

Keywords : Online haemodiafiltration; Haemodialysis; Quality of life; Morbility.

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