Effect of Erythropoietin on Dialyzer Reuse, Dialysis Efficacy and Other Clinical Parameters.
- Author:
Byung Jin AHN
1
;
An Chul JEONG
;
Kwang Sik YOON
;
Do Ho MOON
;
Jin SHIN
;
Chang Kyun CHOI
;
Seung Bok LEE
;
Sung Kyoung DOH
;
Ye Keong JEONG
;
Seong Eun LEE
;
Hyo Jong KANG
;
Yong Duk JEON
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Erythropoietin;
Hemodialysis;
Dialyzer reuse;
Dialysis efficacy;
Clinical parameters;
Protein intake
- MeSH:
Anemia;
Appetite;
Blood Pressure;
Body Weight;
Dialysis*;
Erythropoietin*;
Hematocrit;
Heparin;
Humans;
Renal Dialysis;
Ultrafiltration
- From:Korean Journal of Nephrology
1998;17(2):258-265
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The use of erythropoietin for correction of anemia in maintenance hemodialysis patients affects dialyzer reuse, dialysis efficacy and other clinical parameters. This study showed the change of Kt/Vurea, nPCR, pre-dialysis BUN, body weight, ultrafiltration volume, pre-dialysis blood pressure, heparin dosage, the number of dialyzer reuse caused by the administration of erythropoietin in reuse(n=11) and first use(n=9) patients who were started erythropoietin since January, 1995. 1) In 20 all patients, hematocrit increased significantly after EPO treatment 20.7+/-0.8%, 27.8+/-0.7%, ultrafiltration volume increased from 2.0+/-0.3L to 2.5+/-0.2L(P<0.05). However no significant changes were noted in Kt/Vurea, nPCR and other parameters 2) In patients of dialysis reuse, the number of reuse was not affected by EPO treatment(8.4+/-1.7, 9.6+/-1.5, P=0.67). No significant differences were observed in all parameters except hematocrit in case of first use and reuse. 3) Entire patients were reclassified into low baseline protein intake group(nPCR<1.0g/kg/day) and high baseline protein intake group(nPcR>1.0/kg/ day) and then pretreatment versus posttreatment nPCR, pre-dialysis BUN and ultrafiltration volume were compared. In low baseline protein intake group, significant increases of ultrafiltration volume, nPCR were observed. However, pre-dialysis BUN were not changed significantly. In high protein intake group, nPCR, pre-dialysis BUN, ultrafiltration volume were changed without significance. In conclusion, EPO treatment did not affect Kt/Vurea, dialyzer reuse, nPCR, predialysis blood pressure, heparin dosage. But ultrafiltration volume increased significantly after EPO treatment. Maybe increased appetite in low baseline protein intake group caused the increased posttreatment ultrafiltration volume.
