Evidence map›Paper›PMID 38152598›Full record

ArticleElectrolyte & blood pressure : E & BP2023

The Association Among Post-hemodialysis Blood Pressure, Nocturnal Hypertension, and Cardiovascular Risk Factors.

Hyunjeong Cho, Soon Kil Kwon, Seung Woo Lee, Yu Mi Yang, Hye Young Kim, Sun Moon Kim, Tae-Young Heo, Chang Hwan Seong, Kyeong Rok Kim

Open access · diamondAbstract read
In one paragraph

Article in Electrolyte & blood pressure : E & BP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Hyunjeong ChoRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Soon Kil KwonRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Seung Woo LeeRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Yu Mi YangRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Hye Young KimRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Sun Moon KimRenal Division, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Tae-Young HeoDepartment of Information and Statistics, Chungbuk National University Graduate School, Cheongju, Republic of Korea.
Chang Hwan SeongDepartment of Information and Statistics, Chungbuk National University Graduate School, Cheongju, Republic of Korea.
Kyeong Rok KimDepartment of Information and Statistics, Chungbuk National University Graduate School, Cheongju, Republic of Korea.
Chungbuk National University · KRChungbuk National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Most hemodialysis (HD) patients suffer from hypertension and have a heightened cardiovascular risk. While blood pressure (BP) control is essential to end-stage kidney disease (ESKD) patients, overly stringent control can lead to intradialytic hypotension (IDH). This study aimed to examine BP variations during and after HD to determine whether these variations correlate with IDH risk. Methods: BP measurements during dialysis were taken from 28 ESKD patients, and ambulatory BP monitoring was applied post-dialysis. Laboratory parameters and risk factors, including diabetes, coronary disease, and LV mass index, were compared between IDH and non-IDH groups using an independent t-test. Results: Of the 28 patients with an average age of 57.4 years, 16 (57.1%) had diabetes, 5 (17.9%) had coronary artery disease, and 1 (3.6%) had cerebrovascular disease. The mean systolic blood pressure (SBP) during and post-HD was 142.26 mmHg and 156.05 mmHg, respectively (p=0.0003). Similarly, the mean diastolic blood pressure (DBP) also demonstrated a significant increase, from 74.59 mmHg during HD to 86.82 mmHg post-HD (p<0.0001). Patients with IDH exhibited a more substantial SBP difference (delta SBP, 36.38 vs. 15.07 mmHg, p=0.0033; age-adjusted OR=1.58, p=0.0168) and a lower post-dialysis BUN level (12.75 vs. 18.77 mg/dL, p=0.0015; age-adjusted OR=0.76, p=0.0242). No significant variations were observed in daytime and nocturnal BP between the IDH and non-IDH groups. Conclusion: Hemodialysis patients exhibited a marked increase in post-dialysis BP and lacked a nocturnal BP dip, suggesting augmented cardiovascular risks. This highlights the importance of more stringent BP control after hemodialysis.

Indexed as

Ambulatory blood pressureEnd-stage kidney diseaseHemodialysisHypertensionNocturnal hypertension

Identifiers

PMID38152598
PMCPMC10751209
OpenAlexW4390110023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.