Intradialytic Hypertension in Patients Unergoing Hemodialysis in Tertiary Care Hospital

Abstract

Introduction: Hypertension: Hypertension is defined as an increase in blood pressure (BP). Hypertension is
a common cause in patients undergoing hemodialysis.
Intradialytic hypertension (IDH): IDH is defined the BP values from pre to post dialysis session exceeding
BP values during dialysis onset. An increase in systolic blood pressure >10mmHg is considered as IDH.
Aim ·To study the intradialytic hypertension in patients undergoing hemodialysis in Kasturba hospital
Manipal.
Objective: ·To determine the prevalence of intradialytic hypertension in patients undergoing hemodialysis
in Kasturba hospital Manipal.
Methodology: ·Study area: Kasturba Hospital
Manipal
· Study population: out patients undergoing
hemodialysis
· Study duration: 3 months
· Study design: prospective
· Inclusion criteria:
Ø End Stage Renal Disease patients
Ø Age above 21 year
· Exclusion criteria:
Ø Acute Kidney Injury patients
Ø ICU patients
Ø Post transplant patients
Ø Catheter patients
· Sample size:
n=Z²1-a/2pq Level of significance a=0.005
(ep) ²
Z1-a/2= 1.96, e(relative precision) = 0.10
Anticipated proportion, p= 0.7, q=1-p= 0.3
Sample size: 165
Result:·A study was conducted on 165 subjects
who were undergoing hemodialysis. Out of 165
subjects 135 patients (81.8%) had intradialytic
hypertension and 30 patients (18.2%) without
intradialytic hypertension.
A study was conducted on 165 patients who
were undergoing hemodialysis. Out of 165
subjects 2 female patients (4.9%), male 28
(22.6%) without intradialytic hypertension and
39 (95.1%), 96 (77.4%) males.
Conclusions: In this study the prevalence of
IDH episodes was seen more in female patients
(95.1%) than in male patients (77.4%) and out
of 165 patients 135 patients had IDH and 30
patients without IDH