Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia

Almost 60-90 % hemodialysis (HD) patients are hypertensive. Achieving and maintaining dry weight appears to be an effective strategy for controlling and maintaining normotension among hypertensive patients on HD therapy. Body composition monitor (BCM) helps estimate patient hydration status and dry...

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Main Author:	Khan, Amjad
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RS1-441 Pharmacy and materia medica
Online Access:	http://eprints.usm.my/46671/1/Amjad%20%20Khan%20Final%20Thesis24.pdf
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id	my-usm-ep.46671
record_format	uketd_dc
spelling	my-usm-ep.466712020-07-03T03:08:28Z Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia 2018-12 Khan, Amjad RS1-441 Pharmacy and materia medica Almost 60-90 % hemodialysis (HD) patients are hypertensive. Achieving and maintaining dry weight appears to be an effective strategy for controlling and maintaining normotension among hypertensive patients on HD therapy. Body composition monitor (BCM) helps estimate patient hydration status and dry weight accurately. For this purpose, the present study aimed to determine the time at which the majority of patients achieve postdialysis dry weight using bioimpedance spectroscopy (BIS) at Hospital Universiti Sains Malaysia (HUSM), a tertiary care hospital and a group of private centers outside the hospital in Kelantan, Malaysia. A total of 220 HD patients were prospectively assessed for fluid overload using the Fresenius body composition monitor (BCM). BCM readings were taken at 30 and 45 minutes postdialysis. Among the 220 patients included in this study, 120 (54.5%) achieved a euvolemic state at 30 minutes, and 25 (11.4%) achieved it at 45 minutes according to the BCM. In the multivariate analysis, vascular access other than arteriovenous fistula (AVF) (OR=0.286, p value=0.049) and cardiovascular disease (OR=0.384, p value=0.026) had a statistically significant negative association and receiving hemodialysis therapy at HUSM (OR=2.705, p value=0.008) had a statistically significant positive association with achieving a euvolemic state at 30 minutes. Moreover, we evaluated hypertension control and factors influencing hypertension control among euvolemic hypertensive hemodialysis patients. 2018-12 Thesis http://eprints.usm.my/46671/ http://eprints.usm.my/46671/1/Amjad%20%20Khan%20Final%20Thesis24.pdf application/pdf en public phd doctoral Universiti Sains Malaysia Pusat Pengajian Sains Farmasi
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RS1-441 Pharmacy and materia medica
spellingShingle	RS1-441 Pharmacy and materia medica Khan, Amjad Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
description	Almost 60-90 % hemodialysis (HD) patients are hypertensive. Achieving and maintaining dry weight appears to be an effective strategy for controlling and maintaining normotension among hypertensive patients on HD therapy. Body composition monitor (BCM) helps estimate patient hydration status and dry weight accurately. For this purpose, the present study aimed to determine the time at which the majority of patients achieve postdialysis dry weight using bioimpedance spectroscopy (BIS) at Hospital Universiti Sains Malaysia (HUSM), a tertiary care hospital and a group of private centers outside the hospital in Kelantan, Malaysia. A total of 220 HD patients were prospectively assessed for fluid overload using the Fresenius body composition monitor (BCM). BCM readings were taken at 30 and 45 minutes postdialysis. Among the 220 patients included in this study, 120 (54.5%) achieved a euvolemic state at 30 minutes, and 25 (11.4%) achieved it at 45 minutes according to the BCM. In the multivariate analysis, vascular access other than arteriovenous fistula (AVF) (OR=0.286, p value=0.049) and cardiovascular disease (OR=0.384, p value=0.026) had a statistically significant negative association and receiving hemodialysis therapy at HUSM (OR=2.705, p value=0.008) had a statistically significant positive association with achieving a euvolemic state at 30 minutes. Moreover, we evaluated hypertension control and factors influencing hypertension control among euvolemic hypertensive hemodialysis patients.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Khan, Amjad
author_facet	Khan, Amjad
author_sort	Khan, Amjad
title	Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
title_short	Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
title_full	Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
title_fullStr	Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
title_full_unstemmed	Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia
title_sort	evaluation of time to achieve dry weight using body composition monitor, hypertension management and prevalence of depression among hemodialysis patients in kelantan malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Farmasi
publishDate	2018
url	http://eprints.usm.my/46671/1/Amjad%20%20Khan%20Final%20Thesis24.pdf
_version_	1747821709164019712

Evaluation Of Time To Achieve Dry Weight Using Body Composition Monitor, Hypertension Management And Prevalence Of Depression Among Hemodialysis Patients In Kelantan Malaysia

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