Matches in SemOpenAlex for { <https://semopenalex.org/work/W2891816945> ?p ?o ?g. }
Showing items 1 to 83 of
83
with 100 items per page.
- W2891816945 abstract "Background: Intradialytic hypotension (IDH) is the most commonly reported complication of hemodialysis (HD) treatment. At our institution, dialysis patients often have both 25% albumin and normal saline ordered as rescue options for management of IDH, without specification of which agent to use first. Objective: The purpose of this study was to determine the effect of an algorithm for IDH management. Methods: A retrospective study was conducted in HD patients who experienced IDH. The primary end point was to evaluate albumin use. Secondary end points included albumin costs, study fluid use per dialysis session, compliance with algorithm, efficacy of hypotension reversal to mean arterial pressure (MAP) ⩾60 mm Hg, percentage of target ultrafiltration achieved, time required to restore systolic blood pressure ⩾90 mm Hg, blood pressure post–study fluids, IDH treatment failure rate, and early termination of dialysis as a result of persistent IDH. Results: Implementation of the algorithm was observed in 94% of patients (n = 90). Total albumin use was significantly reduced from 11 400 to 4700 mL in the pre– (n = 90) and post–algorithm implementation group (n = 90; P < 0.001). The associated total cost of albumin was reduced by 59% ($10 534 vs $4343; P < 0.001). No statistical differences were observed between the 2 groups regarding efficacy of hypotension reversal to MAP ⩾60 mm Hg, early HD termination, or treatment failure rates (all P = 0.99). Conclusion and Relevance: Implementation of an evidence-based, standardized algorithm and pharmacy education to nursing staff can result in a reduction in albumin use and its associated drug costs for IDH management without compromising efficacy of IDH reversal." @default.
- W2891816945 created "2018-09-27" @default.
- W2891816945 creator A5018170704 @default.
- W2891816945 creator A5046246305 @default.
- W2891816945 creator A5080734862 @default.
- W2891816945 date "2018-09-15" @default.
- W2891816945 modified "2023-09-27" @default.
- W2891816945 title "Implementation of an Algorithm Utilizing Saline Versus Albumin for the Treatment of Intradialytic Hypotension" @default.
- W2891816945 cites W1605021687 @default.
- W2891816945 cites W1971904289 @default.
- W2891816945 cites W1977750567 @default.
- W2891816945 cites W1998806990 @default.
- W2891816945 cites W2006075878 @default.
- W2891816945 cites W2013547663 @default.
- W2891816945 cites W2020534916 @default.
- W2891816945 cites W2027743842 @default.
- W2891816945 cites W2146550146 @default.
- W2891816945 cites W4235302552 @default.
- W2891816945 cites W4253109905 @default.
- W2891816945 doi "https://doi.org/10.1177/1060028018801024" @default.
- W2891816945 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30221974" @default.
- W2891816945 hasPublicationYear "2018" @default.
- W2891816945 type Work @default.
- W2891816945 sameAs 2891816945 @default.
- W2891816945 citedByCount "2" @default.
- W2891816945 countsByYear W28918169452021 @default.
- W2891816945 countsByYear W28918169452022 @default.
- W2891816945 crossrefType "journal-article" @default.
- W2891816945 hasAuthorship W2891816945A5018170704 @default.
- W2891816945 hasAuthorship W2891816945A5046246305 @default.
- W2891816945 hasAuthorship W2891816945A5080734862 @default.
- W2891816945 hasConcept C104863432 @default.
- W2891816945 hasConcept C11413529 @default.
- W2891816945 hasConcept C126322002 @default.
- W2891816945 hasConcept C141071460 @default.
- W2891816945 hasConcept C165616093 @default.
- W2891816945 hasConcept C167135981 @default.
- W2891816945 hasConcept C2776125364 @default.
- W2891816945 hasConcept C2776452961 @default.
- W2891816945 hasConcept C2777397205 @default.
- W2891816945 hasConcept C2777953023 @default.
- W2891816945 hasConcept C2778063415 @default.
- W2891816945 hasConcept C2779978075 @default.
- W2891816945 hasConcept C41008148 @default.
- W2891816945 hasConcept C42219234 @default.
- W2891816945 hasConcept C512399662 @default.
- W2891816945 hasConcept C71924100 @default.
- W2891816945 hasConcept C84393581 @default.
- W2891816945 hasConceptScore W2891816945C104863432 @default.
- W2891816945 hasConceptScore W2891816945C11413529 @default.
- W2891816945 hasConceptScore W2891816945C126322002 @default.
- W2891816945 hasConceptScore W2891816945C141071460 @default.
- W2891816945 hasConceptScore W2891816945C165616093 @default.
- W2891816945 hasConceptScore W2891816945C167135981 @default.
- W2891816945 hasConceptScore W2891816945C2776125364 @default.
- W2891816945 hasConceptScore W2891816945C2776452961 @default.
- W2891816945 hasConceptScore W2891816945C2777397205 @default.
- W2891816945 hasConceptScore W2891816945C2777953023 @default.
- W2891816945 hasConceptScore W2891816945C2778063415 @default.
- W2891816945 hasConceptScore W2891816945C2779978075 @default.
- W2891816945 hasConceptScore W2891816945C41008148 @default.
- W2891816945 hasConceptScore W2891816945C42219234 @default.
- W2891816945 hasConceptScore W2891816945C512399662 @default.
- W2891816945 hasConceptScore W2891816945C71924100 @default.
- W2891816945 hasConceptScore W2891816945C84393581 @default.
- W2891816945 hasLocation W28918169451 @default.
- W2891816945 hasLocation W28918169452 @default.
- W2891816945 hasOpenAccess W2891816945 @default.
- W2891816945 hasPrimaryLocation W28918169451 @default.
- W2891816945 hasRelatedWork W1992136573 @default.
- W2891816945 hasRelatedWork W2003715534 @default.
- W2891816945 hasRelatedWork W2065605219 @default.
- W2891816945 hasRelatedWork W2126649629 @default.
- W2891816945 hasRelatedWork W2154824818 @default.
- W2891816945 hasRelatedWork W2166986381 @default.
- W2891816945 hasRelatedWork W2398521991 @default.
- W2891816945 hasRelatedWork W2896112250 @default.
- W2891816945 hasRelatedWork W4205616914 @default.
- W2891816945 hasRelatedWork W2288623299 @default.
- W2891816945 isParatext "false" @default.
- W2891816945 isRetracted "false" @default.
- W2891816945 magId "2891816945" @default.
- W2891816945 workType "article" @default.