Oxygen Saturation and Heart Rate Variations as Predictors of Intradialytic Hypotension.

Intradialytic hypotension (IDH) occurring during hemodialysis (HD) may cause severe complications and can be life-threatening. IDH is a common symptom in patients with end stage renal disease undergoing HD. Currently, no effective predictive models for IDH exist. This study analyzed data on variatio...

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Publicado en:Nephrology Nursing Journal Vol. 45; no. 1; pp. 53 - 62
Autores principales: Chan, Vincent King Yu, Chan, Lawrence Wing Chi, Chow, Daniel Hung Kay
Formato: CEU research tables/charts Journal Article
Publicado: American Nephrology Nurses' Association Jan/Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2018
      vid: 45
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      pub: American Nephrology Nurses' Association
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        atl: Oxygen Saturation and Heart Rate Variations as Predictors of Intradialytic Hypotension.
      aug:
        au:
          Chan, Vincent King Yu
          Chan, Lawrence Wing Chi
          Chow, Daniel Hung Kay
        affil: Assistant Professor, School of Health Sciences, Caritas Institute of Higher Education, Hong Kong
      sug:
        subj:
          Oxygen Saturation
          Heart Rate
          Hypotension Symptoms
          Hemodialysis Adverse Effects
          Education, Continuing (Credit)
          Kidney Failure, Chronic Therapy
          Dialysis Patients
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Outpatients
          Weight Gain
          Blood Pressure
          Pulse
          Dialysis Centers
          Random Sample
          Electrocardiography
          Pulse Oximetry
          Sensitivity and Specificity
          Bioinformatics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Intradialytic hypotension (IDH) occurring during hemodialysis (HD) may cause severe complications and can be life-threatening. IDH is a common symptom in patients with end stage renal disease undergoing HD. Currently, no effective predictive models for IDH exist. This study analyzed data on variations in oxygen saturation (SaO2) and heart rate (HR) in 68 patients during their HD sessions by using sequence alignment and Boolean algebra. Three classifiers derived from SaO2 and HR variation data were developed as predictors for predetermining IDH occurrence within 30 minutes. The accuracy of these classifiers in predicting IDH occurrence was approximately 80%. SaO2 and HR variations can potentially be used as predictors for developing an alarm system for detecting IDH occurrence.
      pubtype: Academic Journal
      doctype:
        CEU
        research
        tables/charts
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      ougenre: Article
    language: English
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