In:
Blood Purification, S. Karger AG, Vol. 36, No. 2 ( 2013), p. 78-83
Kurzfassung:
〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 We examined the hypothesis that mixed-dilution online hemodiafiltration (MIXED) rather than predilution online hemodiafiltration (PRE) could enable patients with low blood flow rate (Q 〈 sub 〉 b 〈 /sub 〉 ) to benefit from advantages of convective therapies. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Thirty-eight patients were included in a prospective, randomized, crossover and multicenter study conducted with a view to comparing the equilibrated Kt/V, reduction ratio (RR) of phosphates, β 〈 sub 〉 2 〈 /sub 〉 -microglobulin (β 〈 sub 〉 2 〈 /sub 〉 -M) and myoglobin (myo) between PRE and MIXED, each at two Q 〈 sub 〉 b 〈 /sub 〉 values of 250 and 300 ml/min during 4 h sessions with a FX1000HDF dialyzer. Albumin losses (Alb) were also measured in 12 patients. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 MIXED was always found to be more efficient compared to PRE notably for middle molecules (MM). RRβ 〈 sub 〉 2 〈 /sub 〉 -M: MIX250: 81.3 ± 3.6 vs. PRE250: 75.2 ± 5.9; MIX300: 82.7 ± 3.6 vs. PRE300: 78.1 ± 5.4; RRmyo: MIX250: 70.2 ± 3.6 vs. PRE250: 42.6 ± 2.6; MIX300: 70.6 ± 3.6 vs. PRE300: 45.7 ± 3.6 and with Alb 〈 3.0 g/session. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 MIXED allows patients unable to provide sufficiently high Q 〈 sub 〉 b 〈 /sub 〉 to achieve high levels of MM removal.
Materialart:
Online-Ressource
ISSN:
0253-5068
,
1421-9735
Sprache:
Englisch
Verlag:
S. Karger AG
Publikationsdatum:
2013
ZDB Id:
1482025-0