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Aims: Fluid overloaded patients with heart or renal insufficiency have poor quality of life and increased morbidity and mortality. In this study, we aimed to investigate the factors affecting the prognosis in patients who presented with fluid overload and were ultrafiltered.
Methods: Three groups of patients were compared: Group 1: Patients with chronic kidney disease and ejection fraction ≤ 40%; Group 2: Patients with chronic kidney disease and ejection fraction > 40%; Group 3: Patients with ejection fraction ≤ 40% but without chronic kidney disease. Patients were also evaluated regarding mortality.
Results: Group 1, 2 and 3 consisted of 14, 62 and 16 patients: respectively. There were statistically significant results for 24-hour urine volume (p=0.040), proteinuria (p=0.010), ultrafiltration volume/weight at hospitalization (p<0.001), ejection fraction (p<0.001), left ventricular hypertrophy (p=0.040), uric acid (p<0.001), hemoglobin (p<0.001), dialysis dependency after hospital discharge (p<0.001) and mortality (p<0.001) when three groups were compared. However, there was no statistically significant result for ultrafiltration volume (p=0.100). Compared to survived patients those who did not survived were significantly older (p<0.001), had lower ejection fraction (p=0.010), creatinine (p<0.001), sodium (p=0.020), ferritin (p=0.040), proteinuria (p=0.010). They also had statistically significantly higher hemoglobin (p<0.001), creatinine clearance (p<0.001), uric acid (p<0.001) levels. However, the percentage of patients using loop diuretics at hospitalization (p=0.040) was higher in the group who survived.
Conclusion: Patients with HF were more prone to hypervolemia and mortality. The ultrafiltration volume/weight at hospitalization and serum uric acid levels were also significantly higher in these patients. Patients with chronic kidney disease had significantly higher proteinuria, creatinine and lower hemoglobin levels. The rate of loop diuretic usage at hospitalization was significantly higher in the survived group.
Dialysis ejection fraction heart failure loop diuretics left ventricular hypertrophy mortality ultrafiltration
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Birincil Dil | İngilizce |
---|---|
Konular | Nefroloji, Sağlık Kurumları Yönetimi |
Bölüm | Research Articles |
Yazarlar | |
Proje Numarası | Yoktur |
Erken Görünüm Tarihi | 26 Temmuz 2023 |
Yayımlanma Tarihi | 28 Temmuz 2023 |
Yayımlandığı Sayı | Yıl 2023 Cilt: 5 Sayı: 3 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
Dergi Dizin ve Platformları
TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.