Efficacy of Hemocontrol Biofeedback System in Intradialytic Hypotension-Prone Hemodialysis Patients.
10.3346/jkms.2014.29.6.805
- Author:
Hyo Wook GIL
1
;
Kitae BANG
;
So Young LEE
;
Byoung Geun HAN
;
Jin Kuk KIM
;
Young Ok KIM
;
Ho Cheol SONG
;
Young Joo KWON
;
Yong Soo KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
- Publication Type:Original Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
- Keywords:
Hypotension;
Renal Dialysis;
Clinical Trial;
Dialysis Volume
- MeSH:
Adolescent;
Adult;
Aged;
*Biofeedback, Psychology;
Blood Pressure;
Blood Volume;
Body Weight;
Cross-Over Studies;
Fatigue;
Female;
Humans;
Hypotension/etiology/*prevention & control;
Kidney Failure, Chronic/*therapy;
Male;
Middle Aged;
Prone Position;
Prospective Studies;
Renal Dialysis/adverse effects;
Young Adult
- From:Journal of Korean Medical Science
2014;29(6):805-810
- CountryRepublic of Korea
- Language:English
-
Abstract:
We conducted a study to determine whether the hemocontrol biofeedback system (HBS) can improve intradialytic hypotension (IDH) in hypotension-prone hemodialysis (HD) patients compared with conventional HD. In this multicenter prospective crossover study, 60 hypotension-prone patients were serially treated by conventional HD for 8 weeks (period A), by HD with hemoscan blood volume monitoring for 2 weeks (period B0), and by HBS HD for 8 weeks (period B1). The number of sessions complicated by symptomatic IDH during 24 HD sessions (14.9+/-5.8 sessions, 62.1% in period A vs 9.2+/-7.2 sessions, 38.4% in period B1, P<0.001) and the number of IDH-related nursing interventions in a session (0.96+/-0.66 in period A vs 0.56+/-0.54 in period B1, P<0.001) significantly decreased in period B1 than in period A. Recovery time from fatigue after dialysis was significantly shorter in period B1 than in period A. The patients with higher post-dialysis blood pressure, lower difference between pre- and post-dialysis blood pressure, less frequent IDH, and higher pre- and post-dialysis body weight in period A responded better to HBS in period B1 in regard to the reduction of IDH. In conclusion, HBS may improve the patient tolerability to HD by reducing the IDH frequency and promoting faster recovery from fatigue after dialysis.
