COMPARISON OF Kt/V AND UREA REDUCTION RATIO IN MEASURING DIALYSIS ADEQUACY IN PAEDIATRIC HAEMODIALYSIS IN ENGLAND.
SUMMARY Background The National Kidney Foundation-Dialysis Outcomes Quality Initiative (KDOQI) guidelines and the Renal Association recommend the use of either Kt/V or urea reduction ratio (URR) to measure haemodialysis adequacy. Objectives To determine the methods used to measure paediatric haemodi...
| Publicado en: | Journal of Renal Care Vol. 40; no. 2; pp. 117 - 125 |
|---|---|
| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103951167&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103951167 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Jun2014 vid: 40 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103951167 96210582 10.1111/jorc.12059 NLM24646007 103951167 ppf: 117 ppct: 8 formats: fmt: @attributes: type: P tig: atl: COMPARISON OF Kt/V AND UREA REDUCTION RATIO IN MEASURING DIALYSIS ADEQUACY IN PAEDIATRIC HAEMODIALYSIS IN ENGLAND. aug: au: Dunne, Nina Campbell, Malcolm Fitzpatrick, Maggie Callery, Peter affil: University of Brighton sug: subj: Hemodialysis Evaluation Urea Blood Human Pediatrics England Quality of Health Care Evaluation Data Analysis Software kappa Statistic ab: SUMMARY Background The National Kidney Foundation-Dialysis Outcomes Quality Initiative (KDOQI) guidelines and the Renal Association recommend the use of either Kt/V or urea reduction ratio (URR) to measure haemodialysis adequacy. Objectives To determine the methods used to measure paediatric haemodialysis adequacy and to assess consistency between calculations of single pool Kt/V (spKt/V) and URR. Design A service evaluation was conducted to establish current practices in measuring dialysis adequacy. A prospective longitudinal study was conducted to compare spKt/V and URR. Participants Thirty-two children were recruited consisting of 13 males and 19 females in five paediatric dialysis centres. Results Inconsistencies were reported of the method of post-urea sampling with 4 of the 10 centres using the KDOQI recommended sampling method. Five dialysis centres reported using URR and five reported using spKt/V. There were substantial differences between the two measures. Using URR suggested that up to 44% of children did not receive adequate dialysis, whereas measurement by spKt/V suggested no more than 6% of the same dialysis sessions were not adequate. Conclusion One standard measure should be used to assess dialysis adequacy in paediatric centres in England. KDOQI guidelines were not consistently followed in obtaining a post-urea blood sample and this procedure should be standardised. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|