A Study on the Incidence, Prevalence, and Causative Factors Associated with Intradialytic Hypotension During Maintenance Hemodialysis

Year : 2025 | Volume : 15 | Issue : 02 | Page : 1 13
    By

    Sameer Ahmad Sheikh,

  • Ibtisam Nazir Khan,

  • Pankaj Kaul,

  1. Student, Department of Dialysis Therapy Technology, University School of Allied Health Sciences Rayat Bahra University, Mohali, Punjab, India
  2. Assistant Professor, Department of Dialysis Therapy Technology, University School of Allied Health Sciences Rayat Bahra University, Mohali, Punjab, India
  3. Dean, Department of Dialysis Therapy Technology, University School of Allied Health Sciences Rayat Bahra University, Mohali, Punjab, India

Abstract

In Maintenance Hemodialysis (MHD), Intradialytic Hypotension (IDH) is a significant issue, occurring in around 15–30% of dialysis sessions and greatly affecting patient well-being and health outcomes. This study followed a group of 50 MHD patients for six months to investigate the frequency, prevalence, and causes of IDH. The findings revealed that having a low serum albumin level (<3.5 g/dL) was the most reliable indicator of IDH (OR: 4.1, 95% CI: 2.3–7.2, p < 0.001). Additionally, the use of Central Venous Catheters showed a notably higher incidence of IDH (83.3%) compared to Arteriovenous Fistulas (36.6%). Moreover, exceeding an ultrafiltration rate of 10 mL/kg/hr significantly increased the risk of experiencing IDH. With a combined intervention strategy including cool dialysate and sodium profiling, incidents of IDH decreased by 45.2%. Quality of life measures become steadily worse with increased IDH frequency. Severe IDH patients take longer to recover after dialysis, with those suffering more severe cases (12.4 ± 2.8 hours) than people deficient in any form comparing with non-IDH sufferers. Patients Without any IDH need only around 2.1 to 0.8 hours for dialysis finish. This article demonstrates the importance of personally tailored, competing risk stratified strategies for IDH management and stresses the vital role which preventative measures play in grading survival differences among patients on MHD therapy.

Keywords: Intradialytic hypotension; Maintenance hemodialysis; Risk factors; Prevention strategies; Quality of life; Ultrafiltration

[This article belongs to Research and Reviews: A Journal of Health Professions ]

How to cite this article:
Sameer Ahmad Sheikh, Ibtisam Nazir Khan, Pankaj Kaul. A Study on the Incidence, Prevalence, and Causative Factors Associated with Intradialytic Hypotension During Maintenance Hemodialysis. Research and Reviews: A Journal of Health Professions. 2025; 15(02):1-13.
How to cite this URL:
Sameer Ahmad Sheikh, Ibtisam Nazir Khan, Pankaj Kaul. A Study on the Incidence, Prevalence, and Causative Factors Associated with Intradialytic Hypotension During Maintenance Hemodialysis. Research and Reviews: A Journal of Health Professions. 2025; 15(02):1-13. Available from: https://journals.stmjournals.com/rrjohp/article=2025/view=209963


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Regular Issue Subscription Review Article
Volume 15
Issue 02
Received 26/04/2025
Accepted 05/05/2025
Published 12/05/2025
Publication Time 16 Days
211

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