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Relationship between dialysis quality and brain compliance in patients with end-stage renal disease (ESRD): a cross-sectional study
Rickli, Cristiane; Kalva, Danielle Cristyane; Frigieri, Gustavo Henrique; Schuinski, Adriana Fatima Menegat; Mascarenhas, Sérgio; Vellosa, José Carlos Rebuglio.
  • Rickli, Cristiane; Centro Universitário Integrado. Campo Mourão. BR
  • Kalva, Danielle Cristyane; Universidade Estadual de Ponta Grossa (UEPG). Biological and Health Sciences Division. Ponta Grossa. BR
  • Frigieri, Gustavo Henrique; Braincare Desenvolvimento e Inovação Tecnológica S.A.. São Carlos. BR
  • Schuinski, Adriana Fatima Menegat; Universidade Estadual de Ponta Grossa (UEPG). Biological and Health Sciences Division. Ponta Grossa. BR
  • Mascarenhas, Sérgio; Braincare Desenvolvimento e Inovação Tecnológica S.A.. São Carlos. BR
  • Vellosa, José Carlos Rebuglio; Universidade Estadual de Ponta Grossa (UEPG). Biological and Health Sciences Division. Ponta Grossa. BR
São Paulo med. j ; 140(3): 398-405, May-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1377382
ABSTRACT
ABSTRACT

BACKGROUND:

The high number of patients with end-stage kidney disease (ESRD) on hemodialysis makes it necessary to conduct studies aimed at improving their quality of life.

OBJECTIVES:

To evaluate brain compliance, using the Brain4care method for intracranial pressure (ICP) monitoring, among patients with ESRD before and at the end of the hemodialysis session, and to correlate ICP with the dialysis quality index (Kt/V). DESIGN AND

SETTING:

Cross-sectional study conducted at a renal replacement therapy center in Brazil.

METHODS:

Sixty volunteers who were undergoing hemodialysis three times a week were included in this study. Brain compliance was assessed before and after hemodialysis using the noninvasive Brain4care method and intracranial pressure wave morphology was analyzed.

RESULTS:

Among these 60 ESRD volunteers, 17 (28%) presented altered brain compliance before hemodialysis. After hemodialysis, 12 (20%) exhibited normalization of brain compliance. Moreover, 10 (83%) of the 12 patients whose post-dialysis brain compliance became normalized were seen to present good-quality dialysis, as confirmed by Kt/V > 1.2.

CONCLUSIONS:

It can be suggested that changes to cerebral compliance in individuals with ESRD occur frequently and that a good-quality hemodialysis session (Kt/V > 1.2) may be effective for normalizing the patient's cerebral compliance.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Renal Dialysis / Kidney Failure, Chronic Type of study: Observational study / Prevalence study / Risk factors Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Braincare Desenvolvimento e Inovação Tecnológica S.A./BR / Centro Universitário Integrado/BR / Universidade Estadual de Ponta Grossa (UEPG)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Renal Dialysis / Kidney Failure, Chronic Type of study: Observational study / Prevalence study / Risk factors Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Braincare Desenvolvimento e Inovação Tecnológica S.A./BR / Centro Universitário Integrado/BR / Universidade Estadual de Ponta Grossa (UEPG)/BR