Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease

Background: Chronic kidney disease (CKD) can adversely affect the respiratory systems functions and dynamics via different mechanisms resulting of toxic metabolites. Patients with CKD require hemodialysis for survival and prior studies have been showed a controversial effects of hemodialysis on res...

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Main Authors: Zahraa Abdul-Aali Al-Mudheffer, Rasha Abdul-Monaem Al-daraji
Format: Article
Language:English
Published: University of Kufa, Faculty of Nursing 2016-08-01
Series:Kufa Journal for Nursing Sciences
Subjects:
Online Access:https://journal.uokufa.edu.iq/index.php/kjns/article/view/2652
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author Zahraa Abdul-Aali Al-Mudheffer
Rasha Abdul-Monaem Al-daraji
author_facet Zahraa Abdul-Aali Al-Mudheffer
Rasha Abdul-Monaem Al-daraji
author_sort Zahraa Abdul-Aali Al-Mudheffer
collection DOAJ
description Background: Chronic kidney disease (CKD) can adversely affect the respiratory systems functions and dynamics via different mechanisms resulting of toxic metabolites. Patients with CKD require hemodialysis for survival and prior studies have been showed a controversial effects of hemodialysis on respiratory function Objectives: The aim of the study was to investigate the acute impact of hemodialysis on spirometric parameters in patients with CKD undergoing maintenance hemodialysis. Methodology: One hundred patients (50% male, mean age 43.2 ± 15 years) with CKD who underwent regular hemodialysis at the hemodialysis center at Al-Sader Teaching Hospital between January and September 2015were enrolled in the study. Forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and the FEV1/FVC ratio (FEV1%) were performed for each patient who consented to participate in the study; before the hemodialysis session and within half hour after it. SPSS was used for the statistical analysis. Results: FEV1 and FVC were showed a statistically significant improvement in their values after hemodialysis(P<0.05) while FEV1% showed no significant changes and improvement after hemodialysis(P>0.05). FEV1 and FVC were showed a significant change and increment with increased of the frequency of hemodialysis sessions (P <0.05). Conclusion: There was a significant increase in spirometric parameters after hemodialysis for patients with CKD. Recommendations: A further studies with follow ups are required to confirm our findings and establish the chronic effect of hemodialysis on pulmonary function test Abbreviations: FEV1(Forced expiratory volume in the first second ),FVC( forced vital capacity),CKD(chronic kidney disease),Hb(hemoglobin),GFR(glomerular filtration rate).
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publisher University of Kufa, Faculty of Nursing
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spelling doaj-art-e7022e96c2f44bde9b6c025ca09ec5e32025-08-20T02:17:34ZengUniversity of Kufa, Faculty of NursingKufa Journal for Nursing Sciences2223-40552521-86382016-08-016210.36321/kjns.vi20162.2652Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney DiseaseZahraa Abdul-Aali Al-Mudheffer0Rasha Abdul-Monaem Al-darajiUniversity of Kufa Background: Chronic kidney disease (CKD) can adversely affect the respiratory systems functions and dynamics via different mechanisms resulting of toxic metabolites. Patients with CKD require hemodialysis for survival and prior studies have been showed a controversial effects of hemodialysis on respiratory function Objectives: The aim of the study was to investigate the acute impact of hemodialysis on spirometric parameters in patients with CKD undergoing maintenance hemodialysis. Methodology: One hundred patients (50% male, mean age 43.2 ± 15 years) with CKD who underwent regular hemodialysis at the hemodialysis center at Al-Sader Teaching Hospital between January and September 2015were enrolled in the study. Forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and the FEV1/FVC ratio (FEV1%) were performed for each patient who consented to participate in the study; before the hemodialysis session and within half hour after it. SPSS was used for the statistical analysis. Results: FEV1 and FVC were showed a statistically significant improvement in their values after hemodialysis(P<0.05) while FEV1% showed no significant changes and improvement after hemodialysis(P>0.05). FEV1 and FVC were showed a significant change and increment with increased of the frequency of hemodialysis sessions (P <0.05). Conclusion: There was a significant increase in spirometric parameters after hemodialysis for patients with CKD. Recommendations: A further studies with follow ups are required to confirm our findings and establish the chronic effect of hemodialysis on pulmonary function test Abbreviations: FEV1(Forced expiratory volume in the first second ),FVC( forced vital capacity),CKD(chronic kidney disease),Hb(hemoglobin),GFR(glomerular filtration rate). https://journal.uokufa.edu.iq/index.php/kjns/article/view/2652Kidneyhemodialysis spirometry
spellingShingle Zahraa Abdul-Aali Al-Mudheffer
Rasha Abdul-Monaem Al-daraji
Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
Kufa Journal for Nursing Sciences
Kidney
hemodialysis
spirometry
title Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
title_full Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
title_fullStr Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
title_full_unstemmed Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
title_short Effect of Hemodialysis on Spirometric Measurement in Patients with Chronic Kidney Disease
title_sort effect of hemodialysis on spirometric measurement in patients with chronic kidney disease
topic Kidney
hemodialysis
spirometry
url https://journal.uokufa.edu.iq/index.php/kjns/article/view/2652
work_keys_str_mv AT zahraaabdulaalialmudheffer effectofhemodialysisonspirometricmeasurementinpatientswithchronickidneydisease
AT rashaabdulmonaemaldaraji effectofhemodialysisonspirometricmeasurementinpatientswithchronickidneydisease