Comparison of clinical and neurological status in elderly patients treated with two different hemodialysis techniques.
Five patients with a mean age of 63.4 years (range 62-67) who had frequent episodes of intradialytic intolerance during acetate hemodialysis (HDA) received biofiltration (BF). For each period of study (6 months on HDA and 6 months on BF), the patients underwent a complete clinical assessment, with evaluation of the electroencephalographic (EEG) pattern and acid-base status. During BF, we observed a reduction of hypotensive episodes (10% on BF vs. 26% on HDA) and EEG disturbances (18% on BF vs. 70% on HDA), with a more physiological correction of uremic acidosis. We conclude that BF improves clinical status and neurological tolerance with a better compensation of acidosis in the elderly.
Briganti
M
M
Division of Nephrology and Dialysis, S. Maria delle Croci Hospital, Ravenna, Italy.
Emiliani
G
G
Montanari
A
A
Bianchedi
G
G
Fusaroli
M
M
D000085:Acetates; D000136:Acid-Base Equilibrium; D000180:Acrylic Resins; D000368:Aged; D004569:Electroencephalography; D005260:Female; D015312:Hemodialysis Solutions; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*
D000085:Acetates; D000180:Acrylic Resins; D015312:Hemodialysis Solutions; C010504:polyacrylonitrile