March 22, 2021The Egyptian Journal of Hospital MedicineOpen Access

Longer HD session time was associated with a highly significant decline in mean SBP and DBP (p<0.001), with pre-dialysis SBP and DBP declining by -17.27 and -9 mmHg respectively at 6 months.

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Why the study?

Hypertension is prevalent in end-stage renal disease, and increasing hemodialysis duration to achieve euvolemia may benefit patients failing to reach target blood pressure during standard prescription hours.

Does prolonging hemodialysis session time improve blood pressure control in hypertensive ESRD patients?

Population

50 hypertensive prevalent HD patients on thrice-weekly maintenance HD

Comparison

Longer HD session (4.5 hours) vs usual 4 hours session

Design

Observational study

Follow-up

6 months

Authors

NTNahla Mohamed Teama HSHeba Soliman Mohammed Soliman MEMagdy ElSharkawy

Discussion

Member takes

Overview

Increasing HD duration may aid BP control in ESRD; hypothesis-generating and requires RCTs before practice change.

Structured PICO

Does prolonging hemodialysis session time improve blood pressure control in hypertensive ESRD patients?

Population

50 hypertensive prevalent end-stage renal disease (ESRD) patients on thrice-weekly maintenance hemodialysis

Intervention

Longer hemodialysis session (4.5 hours)

Comparator

Usual hemodialysis session (4 hours)

Outcome

Changes in pre-dialysis blood pressure (systolic and diastolic)surrogate

Prolonging hemodialysis sessions from 4 to 4.5 hours significantly improves blood pressure control and ultrafiltration volume in hypertensive ESRD patients.

Cite This Study

Teama et al. (2021) studied this question.

synapsesocial.com/papers/6a73eaa90e7fa2a8810dda74 https://doi.org/10.21608/ejhm.2021.158086

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March 22, 2021The Egyptian Journal of Hospital MedicineOpen Access

Longer HD session time was associated with a highly significant decline in mean SBP and DBP (p<0.001), with pre-dialysis SBP and DBP declining by -17.27 and -9 mmHg respectively at 6 months.

View Full Paper

Ask AI

Bookmark

Why the study?

Does prolonging hemodialysis session time improve blood pressure control in hypertensive ESRD patients?

Population

50 hypertensive prevalent HD patients on thrice-weekly maintenance HD

Comparison

Longer HD session (4.5 hours) vs usual 4 hours session

Design

Observational study

Follow-up

6 months

Authors

NTNahla Mohamed Teama HSHeba Soliman Mohammed Soliman MEMagdy ElSharkawy

Discussion

Member takes

Overview

Increasing HD duration may aid BP control in ESRD; hypothesis-generating and requires RCTs before practice change.

Structured PICO

Does prolonging hemodialysis session time improve blood pressure control in hypertensive ESRD patients?

Population

50 hypertensive prevalent end-stage renal disease (ESRD) patients on thrice-weekly maintenance hemodialysis

Intervention

Longer hemodialysis session (4.5 hours)

Comparator

Usual hemodialysis session (4 hours)

Outcome

Changes in pre-dialysis blood pressure (systolic and diastolic)surrogate

Prolonging hemodialysis sessions from 4 to 4.5 hours significantly improves blood pressure control and ultrafiltration volume in hypertensive ESRD patients.

Cite This Study

Teama et al. (2021) studied this question.

synapsesocial.com/papers/6a73eaa90e7fa2a8810dda74 https://doi.org/10.21608/ejhm.2021.158086

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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