Key result
Diabetic haemodialysis patients achieved pre-dialysis BP targets less often than non-diabetics (28.6% vs 40.8%, p<0.01) and had more symptomatic intradialytic hypotension (20.3% vs 14.9%, p<0.01).
Why the study?
Do diabetic haemodialysis patients have worse blood pressure control and more frequent intradialytic hypotension compared to non-diabetic patients?
Population
2,193 end-stage kidney failure patients on haemodialysis across eleven renal centres in the Greater London…
Comparison
Diabetic status (observational) vs Non-diabetic status
Design
Cross-sectional
Follow-up
1 week
Authors
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Diabetic haemodialysis patients warrant cautious BP management; hypothesis-generating association leaves optimal strategies open, needing prospective trials.
Cross-Sectional (n=2,193)
Yes
Do diabetic haemodialysis patients have worse blood pressure control and more frequent intradialytic hypotension compared to non-diabetic patients?
Absolute Event Rate: 28.6% vs 40.8%
p-value: p=< 0.01
Diabetic haemodialysis patients have poorer blood pressure control and higher rates of symptomatic intradialytic hypotension compared to non-diabetic patients, despite higher rates of antihypertensive prescription.
Davenport et al. (2008) conducted a cross-sectional in End-stage kidney failure on haemodialysis (n=2,193). Diabetes vs. Non-diabetic patients was evaluated on Achievement of pre-dialysis blood pressure target (<140/90 mm Hg) (p=< 0.01). Diabetic haemodialysis patients achieved pre-dialysis BP targets less often than non-diabetics (28.6% vs 40.8%, p<0.01) and had more symptomatic intradialytic hypotension (20.3% vs 14.9%, p<0.01).
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